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HomeMy WebLinkAboutSKYWAY PARK ESTATES BLK 6 LT 16Onsite File s � k l::ff::' F'L '.[ C FII",FF I:;:R£:,R F: ,,l Ofq E'_'5 L.EICRT Z 0[",1 :k;I-IOI;i:E; Er, l-q: :[ ',,,% LEGF:IL t..O'l" :1.6 E:[..I-::: E; :~i;K'.r'H R'¢ F'FIF.':K LOT SIZE t"Ilt',I:[I'"ILJi"! D IS'FRF,ICE DETI,IEEI",I Fi I,.IEEI...L FIND f::ll',l~'r' OI',!-S]:TE SEi:HFIGE L':'I:~;PO~.:,F:IL '-'E;'T'~:;'TEhl J.OO FEET F'O[4: F:I F'E['v'f:l-f'[:~ t,.IELL. OR ::L[:;EI TO 2:00 F::'EET F::F4tEWI F:I F:'UE:I.IC I'.!E:L.L UF'OI".! THE: -I""r'F'[~:: OF F:'U[31..I'C HEL.L.. H :[ I",1 ]:J"tUhl I:." 'I STFIB!E:E I::'Jq:Oi'"l FI PIq: :[ ',,"F:l'l'E I,IEL.I_. TO Ira F:'F: I ","FIT[E 'J~',EI.'.IEI:;: L I I'qf£ ]: 'Er 2!!5 FEET TL*.[ I::l COi'"li'"IU?~I:[T'¢ :FJ;[EI.,.I[~:F;~r t..:[NE :!:S ';:"~5 FrEI:;rT. I.'.IELI.. L.O(;~:~i; FIRE R[i:(;]I..I:[F,'.EED FIND P'ILE;T b:~E Fe. ETURNEC' "l'CI THE DEPFff?.TFIENT H;[TH!I"! :Z:~l DF!'r'S OF: 'f'HIE I.'.]E!..L CO['"IF'L[~:TIOI'4. {)'1"H[£[4'. 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"," 'd- Ei ,],-, L'}CR r I[ ON I.;:F~F)I. ! ! i :: i i i i ~3UNI~EP^LiTY dl i ; : i : : : : : : ";':~'O ~: 0 0 0 © 0 0 0 CD 0 © o o cU o MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF C)N-SITE SEWER AND WATER FACILITY 264-4720 GEN["RAL INFORMATION (a) (b) (c) Legal Description (include lot, block, subdivision, section, township, range) , Location (address or directions) Applicant Name Telephone:Home ~'~ Business Applicant Address /~// ~e~ Applicant is (check one): Lending Institution ~; owner/builder ~; Buyer []; Other ~ (explain); (d) Lending Institution _~')/~'¢~'.~ i -~¢~~ Telephone (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single~Family~ Multi-Family Number of Bedrooms. "~:' Other WATER SUPPLY Well~ Community [] Public [] Individual Note: If community well system, must have writtee confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4, SEWAGE DISPOSAl.. Onsite [] Publicx Community [] Holding Tank [] Note: If cornmun~ty well system, must have written confirmation from tile State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 5. ENGINEERING FIRM PROVIDIh,.. ~NSPECTIONS, TESTS, FILE SEARCH, DA..~ 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 Approvar shows that the on-site water supply and/or wastewater disposal system is ssfe, functional and adequate for the number of bedrooms and type of structure indicated herein. I lumber verify that based on the information obtained fi'om 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 in~i~ .... , ~. ,~~'~ of Firm (/¢ ~~~ . I ' ~ Telephone ~2~ Name -- Engineer's Seal Approved for ~_Z.~bedrooms by _ ~ 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 DFIEP 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) CHECKLIST - FEBRUARY 1984 CIi%LITY OF ANCliCb!~ (Ir: DEPT. OF ilEAl.[ & ENVIRONMEHTAL PJ!OlCCr DF . 2, 1986 WELl. DATA Well Classification /~ If A, B, C, D.E.C Approved (Y/N) Well Log Present (Y/N) ~_ . Date Completed ,-...~../P.~.~.// Yield ~_~ Total Depth _f_'~"' / ~ /' /' / v'~/' /,/~.~ "-~/ ' Cased to 4'¢0,~ ,'/",~nf Depth of Grouting / I/'//~¢' , Static Water Level c.~/ _ '_'' Pump Set At _'/' Casing Height Above Ground /~ 4/ ~" Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) ~/ Decression Around Wellhead (Y/N) /~[/' Separation Distances from Well: TO Septic/Holding Tank on Lol ~//,~ ~fl~P.l 1¢ L.~-~'~./~r'. ~,~ ; On Adjoining Lots .~.-/~//'., .,~ TO Nearest Edge of Absorption Field on Lot ~- ; On Adjoining Lots To Nearest Public Sewer Line ~/.~0 ~ ' To Nearest Public Sewer Cleanout/Manhole _ ?%/~-¢,' ' To Nearest Sewer Service Line on LOt -~ ~- water sample Oo,ected W : ate _ Water Sample Test Results . c--- Comments B. SEPTIC/HOLDING TANK DATA Date Installed (~'/'~ Standpipes (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 To ~Nater-Supply Well To Property Line To Water Main/Service Line Course Comments ¢ - ..~/.4,z'//~-z¢~_,~ ._ . Size No. of Comeartments Air-tight Caps (Y/N) _ Foundation CJeanout (Y/N) Date Last Pumped for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake. or Maior Drainage Page 1 of 2 72-026¢1/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test 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 Comments Type of System Design Length of Field Depth of Field 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) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test, Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** IsiC~rntie'~ t hs~h av~ f~ratmeed t° ~/~.¢A//~d~AA guidelines in effect °n t he date °f t his inspecti°n' Company MOA No. Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 lll/84) Engineer's Seal -- '" DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME TNSPECTOR INSPECTOR INSPECTOR MUNI~IPAMTY OF ANBHORA~E ~NVIRONMLNhd v.b,~LC[iON 825 L Street - Anchorage, Alaska 99501 ,,, -) .:t ~ 'i ENVIRONmEnTAL ~ANITATIO~ ~IVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES ~ ~OPERTY OWNER PHONE ~ BUYER PHONE ~AILING ADDRESS 3, LENDINGINS~ITUTION ~ ] PHONE MAILING ADDRESS ~. LEGAL DESCRIPTION _ STREET LOCATIO ER ~ SINGLE FAMILY [] ~lU L_TI PLE FAMILY NUMBER OF~BEDROOMS r-] One [] Four L~wo []Five hree E~ Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI Li'rY "~. SEWAGE DISPOSAL SYSTEI~ [] INDIVI DUAL/ON-SITE~ EZ]/~PUB LIC UTI LITY * ATTACH WELL LOG. A well log is required for all wel s drilled since June 1975. For wells drilled prior to that date, give wel depth (attach log if available.) YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THF. INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [~] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL ; DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~ INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS I~APPROVED FOR , '~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~ 72-010 (Rev. 6/79) --~ 'l~ ~-~ ~ ~m ~ ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 16, BLOCK 6, SKYWAY PARK ESTATE LOCATION: 13].1 SHORE DRIVE OWNER: RODNEY K. JONES TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 8 GALLONS PER MINUTE PUMP YIELD: 5 GALLONS PER MINUTE DATE OF INSPECTION: TEST PROCEDURE: JULY 23, 1986 WELL WAS PUMPED AT A CONSTANT RATE OF 5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. STATIC WATER LEVEL WAS FOUND AT 50 FEET BELOWW TOP OF CASING. WELL STABILIZED AT 53 FEET AFTER 5 MINUTES. A TOTAL OF 320 GALLONS WAS PUMPED. WELL RECOVERED 100 % IN 13 MINUTES. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON JULY 24, 1986. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact %J%~ conditions of the aquifer feeding the well. .',: ~.,~..' ,, . ~ ,' ,~: 4~: , ,. ~- ~ .-.:',:; APPLI{ rr FILLS OUT UPPER HAL ONLY PropertyOw,ler ~-£<~¢-.J /.) i.,., ') (,~.JC~>J.[L. Phone .: ~ / Buyer I.:,..~, , J / ~.. :~ ..,.. ,./?. Address Zip Code Street Water Supply ~- Individual [] Community [] Public Utility Sewer Disposal [] Individual ._r~j~ Public Utility ~] Holding Tank Time Date Inspector ~)~ _~___¢,~=~ , ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. For wells drilled prior to that date, give weg depth (attach log If available). ~ ,- When Connected to Public UIilIIy: NOT~: THE INSPECTION FEE MUST ACCOMPANY EACN RE~EST BEFORE ~IOCESSING 1CA~ ~ITI~D~ ~ , Date Date Date Insp6ctor Inspector Field Notes: /~/> ~ ~_oc4 ~ ~/z_~£~.. d? /~_ MUNICIPALITY OF ANCHORAGE [NVIRONM:NIAL ?ROT~.CIIO~ ( ~'~) APPROVED BEDROOMS ) DISAPPROVED 'CONDITIONS OF APPROVAL RECEIVED Soils Rating Date Sewer Installed Welt To Absorption Area Well to Tank Well Log Received Septic Tonk Size  CHEMICAL & Gl ,LOGICAL LABORATORIES ~ / ALASKA, INC. TELEPHONE (907) 562-2343 ANCH0~AGE iNDUS~-I~IAL CENTER /~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I.D. NO. ~ / / Water ~-istem Name Phon. Nd Mailing ~.dd ~ess , ~ City State Zip Code MO. Day Year SAMPLE TYPE: [] Routine [] Cheek Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 1 2 3 LOCATION l_. / '..'~ Time Oollect~l Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to oe: [] Satisfactory E UnsatisfactoYy [] Sam ale too long in transm samole should not be over 48 hours om at examination to indicate r/~] ~Ol~ results.' Ple§~e sene new sample. ....scs,v. / Time Received//- ?-,/) Analytical Method: [] Fermentation Tube .~ Membrane Filter Lab Ref. No. Result* Analyst L J I FT'I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06,1220 (BI Rev, 197a BACTERIOLOGICAL WATER ANALYSIS REcoRD PresumPtive 1Omi 10mi /0mi 10mi /0mi 1,0mi 0.Zml Final Membrane Filter Resul/tl / Reported By /,~? ~'~:' Date ACHEMICAL & G~., /LOGICAL LABORATORIES ~F ALASKA, INC. TELEPHONE (g07)-279,4014 ANCHORAGE INDUSTRIAL CENTER 274.3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I.D. NO. Water System Name Phone No. Mailing Address City State 'Zio Code MO. Day Year SAMPLE TYPE: [] Routine [] Cheek Sample (for routine sample with lab ref. no. ._) [] Special Purpose [] Treated Water [] Untreated Water SAMPLE Time Colleoted NO. LOCATIOI~ Colleoted BY'.~ 2 "~ -J 4 I TO BE COMPLETED BY LABORATORY Aha ys~s shows this Water SAMPLE to De: ~] Satisfactory --I Unsatisfactory [] Samele too long in transit, sample should no~ be over 48 hours OlO at examination To nd~cate reliable results. Please seno new SamDle. Date Received Time Received Analytical Method: [] Fermentation Tube ~ Membrane Filter Lab Ref, No, Result* Analyst :-!', r-lTl J I-]-I I. I-Iq J[-[-I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06.Z220 (b) Ray. Z978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collectee Sourcs Prelumptlva Z0ml 10mi 3.0mi 10mi ].Omi 1,0mi 0,1mi 24 Hours 45 Hours Conflr;'natory 24 Houri 48 I-louts Box %98~ S'tar Routo A Ancho~rage, Alaska Lot 16,~ Block 6, D,3ar Mr.. W~lls ~ The Oreater Anchorage Aras II,srough-Health Dapartmen,~. glw~a its a~proval to th~ installation (~f a~ ~ite sewage disposal ~yatera al: the subject location subject to the following c~fteria. 1. That the sy,gtem is installed as show~ ou the att;,,~ched plot pla~ (F,B. No, A-145 - Job No. 19..81 -, TryCR, N~]an and Hayes). That the septic tank is sized as~ follows: 1 or 2 be¢lroc~ ~ 1000 gal, l~quid capacity; 3 b~dro~ - 1200 gal. liquid capacity; 4 bedroo~ - 1500 gal~ liquid capacity. That the seepage are~ is ~fmod at a rate of 85 ~q. ft. per bedrocx~. If seepag~ pl~s a~o to b~ used Only the ~q. £t, o~ {:h~ wet3. spaoe m~y be used to reach the required ~eepage ar~a. The seepage pits be surroundei! on all sides by a minimum of 2 ft. of coarse gravel. DAWED R, L, DUNGAN, Medical Director Glifford P, Judklns CPJ;el ADAMS . COI~THEi. i ~ ASSOCIATES WINCE CONSULTING ENGINEERS AFFILIATED WITH Mr. H. G. Wells Box 198, Star Route A Anchorage, Alaska October 11, 1965 Work Order No. 6774 Project: Percolation Test - Lot 16, Block 6, Skyway Park Estates Dear Mr. Wells: Two percolation tests were performed on the subject lot. The first (Test Hole t~l) on the front portion of the lot was in soils not conducive to seepage. The second 'Lest hole was dug on the rear portion of the lot. The test data are shown on the attached sheets. The percolation rate in test hole no. 2 was 1" per less than 1 minute. We suggest that you change the proposed location of your well to the front of the lot and plan to install your waste disposal system on the rear portion of the lot. Very truly yours, ADAMS, CORTHELL, LEE ,WINCE & ASSOCIATES Frank W. Wince, P.E. FW~Ar: s c FRICHARD S. ADAMS. P. E, ALAN N. CORTHELL. P. E, HARRY }~. LEE, P. E, FRANK W. WINCE:, P. E, LOCATION LOT /'¢2 BLOCK, FHA NUMBER CLIENT .__/~- SOIL CLASS-VISUAL-UNIFIED ARCTIC ALASKA TESTING 1940 POST ROAD ANCHORAGE LABORATORIES BOX ~4~S FAIRDAN K8 PERCOLATION TEST DATA SUBDIVISION LOCATION SKETCH LEGEND TEST HOLE LOG READING SATURATE O DAT~r GROSS TIME / APP. TOPOG. FROS'F I.i NET 'rIME ~ TO HzO NET DROP GRAVEL SAND SILT CLAY ORGANIC ;ONTENT ~EAT WATER TAI3L. E LOCATION LOT FHA NUMBER C L I E NT SOIL CLASS-VISUAL-UNIFIED ARCTIC ALASKA TESTING LABORATORIES 1940 POST ROAD ~,OX ANCHORAGE FAIRDAN KS PERCOLATION TEST DATA BLOCK. ~ SUBDIVISION TEST HOLE LOG LOCATION SKETCH APP. TOPOG TEST t..IOt. E NO. :'. W.O. NO. "" ' ' DATE / ~- '~, ' '~-~'" T,;;ChNICIAN. -- -~ '~_ READING SA__._TURATE O I 2 $ I G DATE GRO$.~ FROS'F NET TIME DEPTH TO NzO NET DROP GRAVEL SAND SILT CLAY ORGANIC CONTENT PEAT WATER TABLE