HomeMy WebLinkAboutDEBORA #2 BLK E LT 23*a
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Tom Fink,
Mayor
ANCHORAGE WATER & WASTEWATER UTILITY
February 17, 1988
Customer Service Division
401 W. International Airport Road
Anchorage, Alaska 99!v& -,l 195
DEPT OP
NVIRONM01T HLALAT"
FEB 2 4Aae
PROTECTION
:88
RECEIVED
Larry Klayum
16518 Mercy Drive
Eagle River, AK 99577
RE: DEBORA SUBDIVISION ADDITION NO. 2, BLOCK E, LOT 23
ACCOUNT NO: 050-041-40-000-0
Dear Mr. Klayum:
Owned by the
Municipality of Anchorage
This letter is to confirm that the above referenced property is
served by the Municipal sewer system.
Sincerely, T
.JULIA XE�aESTER
Customer Service Representative
Customer Service Division
Anchorage Water & Wastewater Utility
JR/kbCS233
Munlclpi..1ty P.O. E 1196650
ANCHORAGE, ALASKA 99519-6650
of ,. �.�. (907) 343-4200
�'� '•""� TONYKNOWLES.
Anchorage MAYOR
DEPARTMENT OF HEALTH S HUMAN SERVICES
October 15, 1987
Larry. and Christine Klayum
16518 Mercy Drive
Eagle River, Alaska 99577
Dear Mr. and Mrs. Klayum:
In response to your letter of October 11, 1987, this department
has no objection to an extention of the existing health
authority. We are, therefore, extending the Conditional
Health Authority until November 20, 1987.
If construction should lag further than that date please
call our office at 343-4744.
Sincerely;
Daniel N. Bolles
On-site Services
cc: Rainier Mortgage
PO Box 101200
Anchorage, Alaska 99510
Gus Andress, P.E., Manager
On-site Services/Water Quality
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH d
ENVIRONMENTAL PROTECTION
OCT 141987
RECEIVED
d�l�2f/ SYIl�o��Xe
Awe
99.�yr
W� 0�
✓�g,u�� � �'� x/07 � �- .���ra�cc'
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6�
� O• �So,� /o/Gaz�v
Municip� ity ANCHOR tsssso
ANCHORAGE, ALASKA 99519-6650
of B �p� y (907) 264-4111
TONY KNOWLES.
Anchorage
MAYOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
June 12, 1987
Larry & Christine Klayum
16518 Mercy Dr.
Eagle River 99577
Mr. & Mrs. Klayum:
This office hereby grants your request for an extension of
the conditional health authority, for Lots 21,22 & 23 Block
E Debora #2, dated February 6, 1987.
This extension is granted until October 15, 1987,
contingent upon your receiving public water and sewer
service.
Should you need further clarification or wish to discuss
the matter please call me at 343-4744.
Sic , NZZI- /��
Daniel N. Bolles
Engineering Tech.
On-site Services
cc: Rainer Mortgage
cc: Louis A. Butera
ANC1bPl�'f
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GRAB HD -I GVTATER ANCHORAGE AREA BORO" M
i HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
MAILING %EAI. DeL
L
i
DISTANCE FROM WELL9C MATERIAL CCN cl<(T7 NUMBER OF
COMPARTMENTS /
G ' ID 4('
LIQUID CAPACITY %5'c% GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTLIOUH
SEEPAGE SYSTEM:
SEEPAGE PIT: C9 ?;</5 tAtr
EPTHLNUMBER OF PITS OUTSIDE DIAMETER OR WIDTH, LENGTH 3, DEPTH--Ya—
LINING
INING MATERIAL �`ti'O . DISTANCE FROM WELL / BUILDING FOUNDATION P 7
i
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LG�� SO. FT.
TILE DRAIN FIELD:
DISTANCE FROM
FOUNDATION , NEAREST LOT
TOTAL LENGTH
OF LINES_
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA SO. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE 7 �1 DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
TYPE DEPTH WELL: �. /3 I DISTANCE FROM WATER
,BUILDING FOUNDATION. SAMPLE , NEAREST
NEAREST SEPTIC90 r SEEPAGE J7 1 OTHER
LOT LINE , SEWER LINE-, TANK , SYSTEM, CESSPOOL . SOURCES_
DIAGRAM OF SYSTEM
DISTANCES:
A_6 -_I(31
I
f
DATE I� I �1 APPROVED C'�A
I HE41H AUF,O
v
GAAB-11D-2 GREATEi .'ANCHORAGE AREA',OROUGH Case No. C917
IIEALTII DEPARTNIENT
327 Eagle St. Anchorage, Alaska 99501 279.2511
SEWAGE DISPOSAL SYSTEM- APPLICATION & PERMIT
//
NAME OF APPLICANTZQrry/ Ii 1PI11,1f/% MAILING ADDRESS � 1 lel, PHONE'N0. r�
RESIDENCE ADDRESS LOCATION OF INSTALLATION UF_Soy?A JLeZi
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK �, SEEPAGE PIT , DRAIN FIELD , OTHER
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH TO BE INSTALLED BY
PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION �n 411 F!G�
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ?%'PERMIT TO INSTALL A/
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
SEPTIC TANK SIZE ?SPK--�-r 7D TYSEEPAGE AREAr�/
DIAGRAM OF SYSTEM
DISTANCES: %
45�i�U�v
Authority
I lertify that I 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.
DATE APPLICANTS APPLICANTS SIGNATURE
MUNICIPALITY OF ANCHORAGE n
_ 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 H97— C o "C
Application Date 1/14/87
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lots 21,22 & 21, Block E Debora #2 T14N R2W Sec.2.
Location (address or directions) .
Fagle River
(b) Applicant Name Larry_K? ayt_m± Telephone: Home 694-2620 Business 278-3555
Applicant Address 16c;1$Mercy Drive. Fayl e River, AK 99577
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder GI ; Buyer ❑ ;Other ❑ (explain);
(d) Lending Institution Rainer Motaage Telephone 561-1744
Address Anchorage AK
(e) Real Estate Company and Agent
Address n/a
Telephone
(f) Mail the HAA to the following address:
2. TYPE OF RESIDENCE
Single-Family(3 Multi -Family ❑ Other
Number of Bedrooms I
3. WATER SUPPLY
Individual Well ® Community ❑ Public ❑
Note: If community well system, must have written confirmation from the Slate Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite ® 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)
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Swerd3: GmerO (explain):
Telephone Ali-w17A4
State OeparunenrotEnvimnmental Conservation
N?itt'.�ITC�Iit7tltmnr�aRlYsta)i1�6Last'Cigvge1L�411t11.a1Ab�rr4[tr�eS?ate:DepactmentaDtEmrironmisntat Canaervatlon
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MUNICIPALITY OF ANCHORAGE (6110.)
H�EA
bN1hlIC�IORITY APPROVAL (HAA)
CEPI.Pt.Y OF r1EAAk16GKLIST -FEBRUARY 1984
et4vlRONwt4TAL Poonc ION 284-4720
%N 2 61997 Legal Description: I - o r.2 y' -2 2- -1-T 'em, c
loe'bo Va _T..'.e/. ezzw Sc -_l
A. WELL DATA RECEIVED
Well Classification PA r t/A TE If A. B, C. D.E.C. Approved (Y/N) A7�11_1
Well Log Present (Y/N) X Date Completed G,lIZZ6/6 9 Yield �• 9 &/" 6S 1lest �
Total Depth 130 ' Cased to / 30 I Depth of Grouting AZI
Static Water Level ,?S• &/.W y.e. a( r rhoc Pump Set At ha�^-
Casing Height Above Ground /8 Sanitary Seal on Casing (Y/N) y
Electrical Wiring in Conduit (Y/N) %1 Depression Around Wellhead (Y/N) N
Separation Distances from Well
To Septic/Holding Tank on Lot lye 11 ; On Adjoining Lots +/0O'
To Nearest Edge of Absorption Field on Lot Jo : On Adjoining Lots +/O°
To Nearest Public Sewer Line To Nearest Public Sewer
Cleanout/Manhole To Nearest Sewer Service Line on Lot
�O
Water Sample Collected by �4z� /P,r. t� wee ; Date 4�/s/€ 7
Water Sample Test Results 75s
i
Comments 4 we// ae � i-,.(
B. SEPTIC/HOLDING TANK DATA
Date Installed - 12'Gi Size No. of Compartments
Standpipes (Y/N) y Air -tight Caps (Y/N) y Foundation Cleanout (Y/N) /2
Depression over Tank (Y/N) A✓ Date Last Pumped ITS 6
Pumping/Maintenance Contract on File (Y/N) ;for
Holding Tank High -Water Alarm (Y/N) 42/`' Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank:
To Water -Supply Well hO r /' { /S77 To Building Foundation
To Property Line fro To Disposal Field
To Water Main/Service Line b To Stream, Pond, Lake, or Major Drainage
Course NIA
Comments
4
Page 1 of 2 �L�
72-026(11184)
W
C. ABSORPTION FIELD DATA
.&6 "
Soils Rating in Absorption Strata 8S ��` 4-1 Type of System Design 7''
Date Installed �'� `�
Length of Field � � s ia.oC,
Width of Field Depth of Field %s
Gravel Bed Thickness z t.
Square Feet of Absorption Area est. '� S /K� .r 2 Standpipes Present (Y/N) _
Depression over Field (Y/N) / J Date of Last Adequacy Test
Results of.Last Adequacy'Fest S's y.s �..r..
Z. T- od 2 -
Separation 4c«++ro j - u�i i
Distance from Absorption Field:
iPs >'c {o r B t4 rc . G
mss- eo ` �a/ e7 zYJ
To Water -Supply Well 90 To Property Line r/o e
i
To Building Foundation 116 To Existing or Abandoned System on
Lot Nli ; On Adjoining Lots t Yo r
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course _
To Driveway. Parking Area. or Vehicle Storage Area
To Cutbank (if present) All,
to /
Comments �eiY—f(. ,L tV= IQz'
BXB= 4--(Z/
264 d
D. LIFT STATION N�
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N) -
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
" Check Permitted Bedroom Rating Against HAA Request "
Vent(Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
I certify that I have checked. verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed '� Date �//
Company ��r MOA No. ST
r)
Receipt No. V U d J
Date of Payment
Amount: $
— rpt 01'%
Eagle River Engineering Services
Page 2 of 2 t • 0. Box 779294
Eagle River. AK 99577
694.5195
72-026111,841
Seal
EAGLE RIVER ENGINEERING SERVICES
Lou Buren P.E.
P.O. Box 773294
Eagle River, Alaska
99577
Telephone (907) 694-5195
January 18, 1987
Mr. Steve Morris
Municipality of Anchorage
Civil Engineer, On-site Services
P.O. Box 196650
Anchorage, AR 99519
REF: Lots 21, 22, 23, Block E, Deborah k2
Dear Mr. Morris:
On behalf of my client, Mr. Larry Klayum, I am submitting a request
for Health Approval for a single family home located on the above
referenced lot.
The septic system serving this home was installed in 196e with
Municipal inspection. During that year, the state code for separation
distances was in transition from 80' to 100' separation, well to
leachfield. I would like to submit this system assuming placement
under a permit for the 80' separation distance as it would be unfair
for my client to incur any additional costs to accomplish a current
Health Approval. The well and septic system are located as shown on
the attached plot plan. The house has a full foundation that is
located directly between the well and the septic system. A search of
MOA records for this lot shows no soil log on file. Further search of
neighboring lots shows a consistent GW -GP type soil for this area with
no evident shallow ground water table. The septic leach trench total
depth is 7.5' below ground surface which is fairly shallow. Therefore
allowing a water table to 11.5' elevation without infringing on
vertical separation distances. It would be safe to assume that based
on local evidence there is not a ground water separation problem. A
water sample for coliform bacteria was satisfactory. The existing site
plan and list of neighboring lot soil logs is attached.
If there are any questions, or if additional information is
requested, please feel free to contact me at 694-5195.
Thank You,
Lou Butera, P.E.
EAGLE RIVER
ENGINEERING SERVICES INC.
P. 0. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
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STATE OF ,ALASKA.--.. -_------- -- -- --_..
THIRD JUDICIAL DISTRICT..-,
On this day of1987, before me the
undersigned, a Notary Public fort �Stateofska, duly commissioned
sworn, personally appeared Larry LaFramboise, to me know to be the person_
described in and who executed the above and foregoing document, and
akcnowledged to me that he signed and sealed the same freely and voluntarily
for the uses and purposesthereinmentioned. —_
WITNESS. my_hand_and official seal the day -and year first
hereinabove mentioned.
Notary Public for:F.laska
Ao
Commission. expire y� _�.