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Home My WebLink AboutDONALD C SCHROEDER #2 TR 11 REMPERMIT NO. I! _,,,, ,,_, .... [:,EF'RRTMENI' ERL'rH FIN[:, F.N, I F,_ NMEN"[ I-IL TECT I ,=,,=:._,'~'""'= '" L'" ':, .... FF..EEl' ' - '., RNCHORRI.3E., FIE. '.~'.-.4.5~:2:L L..I E'- L_ L_ R I"-.I E:. C, t'-.I -- 25 1' 'T' [:~ "E-; E: [4 E: F-.". PIE: ( 77:~.5::-.~ ) FIF'F'L. I CFIN'I" L. OCFII' I ON 80B HFIMMFIN RI'5 i74 EFI~L.E RIVER RD TRi& DON SCHROEDER SUB[) BOW i85 CHUGIFIK LOT SIZE 272-'5~5i iS0680 SQUFIRE FEET "["¢F'E OF' SOIl._ FIBSORBTION SYSTEM IS: TRENCH MRXII"ILIM NUMBER OF' BEDROOMS = 2.': SOIl_ RRTING (SQ FT,."BR::,= :1.25 'THE REQUIRED SIZE OF THE SOIL FIBSORPI'ION S¥STEbl IS: E:, [~: F' "r H = :9 L E I"-.I G -F H = _--:-; ~: i..~.i F..: IR '-.." E L_ IE:, E F" 'T t--! :: "['HE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINFIEI,,.D. THE DEPTH OF FI TRENCH OR PIT IS THE DISTFINCE BETI,~EEN THE SURFFICE OF' THE GROUND FIND THE E:OTTOM OF THE E',:':',CFIVRTION (IN FEFZT). "['HERE IS NO SET WIDTH FORt TRENCHES. "r'HE GR. FIVEL DEPTH IS THE MINIMIJM DEP"['H OF GR. FIVEL BETWEEN THE; OUTFFtLL. P]iPE FIN[";, THE BOTTOM OF THE EXCFIVFITION (IN FEET). T' l..l C, ( 2: ::, I ~"-.I S I:::" F_' E: T I i_~1 ~'-,! _'--_] IR F-'. E F-' E t.";.! IJ I I~: E [) [:FICKFILL. ING OF FtN'.r' SVSTEM WITHOUT FINFtL INSPECTION AN[:, FtPPR. O',,,'FIL. B'¢ "['HIS DEPFIRTMENT WILL BE SUB..TECI' TO PROSECUTION. MINIMUM DIS"rRNCE BETWEEN FI WELL FIN[:, FIN¥ ON-.SITE SEWFIGE DISPOSFIL. S"r'S"I"EM IS -i. 00 FEE"[' FOR FI PF..'IVFITE WELL OR 2~t~i'~ FEET FOR A PUBLIC WELL. WELL LOG':; FIRE F.'.EE.:!UIRED FIN[::, MUSI" 8E RETURNEr:, TO THE [:,EPFIRTMENT WITHIN ]:0 OF THE WELL COMPLETION. SPECIFICFITIONS FIN[:, CONSTF.'.UCTION [:,IFI~Z~RFIMS FIRE F]VFtIL. FIBLE TO INSLIRE PROPER I NSTFILLFIT I ON. I CERTIFY THAT :1.: I AM FFIMILIFIR WITH THE RELiUIREMENTS FOR ON-SITE SEWERS AN[:, WEL. LS FIS SET FORTH B'~' THE MUNICIPRLIT¥ OF ANCHORFIGE. 2: I WILL. ]:NSTALL THE SYSTEM IN FICCORDFINC:E WITH THE CODES. ]~: I UNDERSTFIND THFI'T' THE ON-SITE SEWER S'~'STEI"I MFt'¢ REf."41JIRE ENLARGEMENT IF:' ]"HE I;.:ESIDENCE IS REf"IO[:,ELE:D TO I NCLLI[:,E MORE THRN ]: BEDRO01"IS. FIF'F'L_ ICANT E, LB HFIMMRN I :,L:,UED E:"r TE Performe ~ I ~ ~ ._'I7~ . ~ ---~ --: This Form Reports a: ~o~.~ u ~~ .... - Depth Feet 'b~~· /~'" ~, Soil Characteristic_s__ 5 t Was Ground Water Encountered? .['~.. ._... Reading D~_ ross Time Net m~ e Location Sketch . ............ Depth To H20 Net DrOp ' Installatmon: Seepage Pi~ ~4,~, Drain Field Pm?posed .... DePth Of Inlet Depth To0Bottom Of: Pit Ov Trench-,j : 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 '~~ GENERAL INFORMATION (a) (b) (c) / Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name ~-~ ~~43 Telephone: Home ~' ~/ ~Z Business Applicant Address -~.~. ~X /~5~/ L~/~' ~/~/~, ~) Applicant is (check one): Lending Institution ~; Owner/builder ~uyer D; Other D (explain); (d) Leoding Institution .~?/~.~,'~" ,/~ ~i~¢.... ,~,~ ~'~.~/~ Telephone (e) Real Estate Company and Agent ~ ~ (f) Address Telephone Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family ~Multi-Family Number of Bedrooms Other WATER SUPPLY Individual Well [;]'"~Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite I~"~ublic [] 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) ENGINEERING FIRM PROVIDli iNSPECTIONS, TESTS, FILE SEARCH, D, ,, 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. Name of Firm ~/'---/~.Z' Address / Date Telephone DHEP APPROVAL Approved for -~ bedrooms by Approved ~ Disapproved Terms of Conditional Approval Conditional 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 72-025 (11/84) WELL DATA MUNICIPALITY OF ANCHORAGE (MO~; HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JUN 0 4:1 Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: Well Classification /~-/",~/~'~'* If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) ¢P'~'~' DateCompl~te'd. ~,~,---//~( .~.3'~/ Total Depth ,~ /-/~ Cased to ,,~,-~ Depth of ~rro)uting Static Water Level ~' ' ~ 5'~,,-'~.~.,~ Pump Set At /~.~ // Sanitary Seal on Casing (Y/N) //~5' Depression.Around Wellhead (Y/N) To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line C leanout/Manhole Water Sample Collected by Water Sample Test Results ; On Adjoining Lots _/ ; On Adjoining Lots · /~/"~ To Nearest Public Sewer ,,'~/~ ' TO Nearest Sewer Service Line on Lot ~'~'- / ~/~'.~ .~//~ ,~-~¢'. ; Date Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) }/~ ~' Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: /0 ' To Water-Su pply Well To Property Line To Water Main/Service L~ne Course Size ~ No. of Corn partments ~-' Foundation Cleanout (Y/N) / / Date Last Pumped f'/A ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field , To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~' ~Z ~-' Date Installed ¢/4::2/7/7 ~ Width of Field ,/~ Depression over Field (Y/N) Results of Last Adequacy Test Square Feet of Absorption Area ~ ~:~ Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot ,~/,/~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field Z// Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ' On Adjoining Lots / TO Cutbank (if present) Comments D. LIFT STATION 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 Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** IsiC~nrt~f; th~_,~.~_cT~~onf~ratm~d to a.~,~nd ~.~,g~i;; nos in effect on the date of this inspection. Co m p a n y /~'/~'-Z"' .~-~,~ ~'~,/'fi,~. ~<; MOA No. ~'~' ~' ~--~ Receipt No. '-'~C~ Date of Payment Amount: $ ~? l~ ~---" Page 2 of 2 72-026 (11/84) Engineering, Architectural and Surveying Consultants Seruing All of Alaska June 3, 1986 P.O. Box 774649 Eagle River, Alaska 99577 (907) 694.3574 Municipality of Anchorage Department of Health & Environmental Protection 825 "L" Street Anchorage, AK 99501 Re: Ronald Coleman, Health Authority Approval (HAA) Application, Tract 11, Donald C. Schroeder Subdivision, No. 2 Gentlemen, During the period from June I to June 4, 1986, we performed research, investigations and testing pursuant to Health Authority Approval on the above referenced lot. We performed a flow test on the well and found the output to be adequate for a 3-bedroom house. Well production was found to be 0.8 gallons per minute (gpm); for a 3-bedroom house well production of 0.312 gpm is required. We took a water sample for bacteriological analysis and results were negative (Refer to Chemical & Geological Laboratory Analytical Report, attached). We performed an adequacy test on the septic system and found that it absorbed at a rate of 650 gallons per day (gpd). This is more than the 450 gpd required for a 3-bedroom house and the system is therefore adequate. The septic tank was pumped and the volume was verified to be 1,000 gallons. To our knowledge, we have assembled all available information on the HAA Checklist and Application Form. We offer this information for your review. Please call if you have any questions. Sincerely, ~NSULTANTS~ X/ Attachments: HAA Application HAA Checklist Sewer As-Built Well Log Total Coliform Analysis (Chem Lab) cc Ronald Coleman :IDIO^NI ACHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907)562-2343 5633 B Street ! ,~.'. ,,~ .~..¥ Anchorage, Alaska 99518 Drinking W~'~ter Analysis Report for Total Coliform Bacteria TO BE COMPLETED WATER SUPPLIER [~/PPRIVATE WATER SYSTEM ' Name Phone No. Mailing Address City State Zip Code Mo. Day Year ouE TYPE: tine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: {~ Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received ~/~a ' -_'~'~ S*'~::~ Time Received ~ oc;~4:~ 0 Analytical Method: Membrane Filter * No. of colonies/100 mi. SAMPLE NO. 1 ~ I . I ~ I LOCATION Time Collected Collected By 1 I I I Lab Ref. No. Result* E~ FTq Frq BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter: DireCt Count Coilformll00ml BEFORE COLLECTING SAMPLE Verification: LTB BGB //-~ Final Membrane Filter Results ? .~ / Date TNTC - Too Numberous To Count OB = Other Bacteria Time: Coilformll00ml