HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 10 LT 80evelopment Services Department
kildin_q Safe-Ity bivision
4
On -Site Water & Wastewater Program
47 CC) 'EIrrore Road
P -O. Box 996650
'*,
dark Segioh Arclho rage, AK 9950' $ , F 1'"
Mayor 4,mv.-nuni.or:� IO 1111 e
{907', 342-7904
Pump Installation Log
'Well Drilling Pemit N U111 ber: SW Data; of Issue:
Parcel Identification Number. -D-1-9 — qq f - 3"S
Legal De�iuiptioo Fropti-t} Owi er _N I arne &_ Address:
Moml-ck,in Pc,,k
Pump Instg1latioll Da.e:
�
poln"', lnftke Dep"h 90nNy Fop ofNA"AH Casing: t'5—fe'
PuripNianufacturer's Nante: A
PunIpPylod'e'l.. S5(z-,
Pump Size ;rz-hp
Pitless Ada ptezz Burial Do.pth: I 'r— Ieer
L'�'Pitless Adapter IM anu ;cture r's Narnt: Xrk"_
Pitless Adapter Installix;
'es(__1No
Method of Msinfectivn-
AeC5
Comments
Pump installer _Narne-.
Arientioa. T:)e.p,,.mp ri�,LaJcr shall rio'vid�- a ramp install, -,dr m Ing to the DSDwilbin 0 days vi pump installzj;ion,
Name
MUNICIPALITY OF ANCHORAGE ,~/'"7*L-/'Z//-,.,~
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Address
,3773/ I0¢ ?/.
LEGAL DESCRIPTION
Townshff}, Range, Sechon
TANKS
SEPTIC
[] HOLDING
TYPE OF SYSTEM ~.r
TRENCH L~ BED
[] W. DRAIN [~ OTHER
-7-1oral deplh from original grade
FT
DISTANCES
SEPTIC ABSORPTION
TANK FIELO WELL
WELL / ~ ,5- / ~/O '
LOT LINE ~,6- 6' ~ J6- '
__ FOUNDATION ,5" ~0 ' ~o '
AS-BUILT DIAGRAM (Show Iocanon el well sephc sys err. properly lines, fount at orl
WELLS
PRIVATE
~ OTNER (Identify)
REMARKS:
ScaPe: i ~1
Inspections Performed by:
~/~ /~
~uflicipal and 81ale guidelines in effect on this date: ..... / '~ / ~ ~// ~ .,,..
72-013 (3/85)
ENGINEERS SEAL
,., Cd - 353?
,:.:,::. ..,,. :.. . ...
_C / T~ P
,GREA1 ANCHORAGE AREA BORO
f~ Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATI ON
_ MATERIAL
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER ~.-~
NUMBER OF
COMPARTMENTS /
INSIDE LENGTH
INSIDE WIDTH
WELL:
TYPE
BUILDING
FOUNDATION __
LIQUID DEPTH
LIQUID CAPACITY_/~-¢-~ GALLONS.
TI LED RAIN
DISTANCE FROM WELL /~ / FOUNDATION /o / ~/~ NEAREST LOT LINE ¢~ /
NUMBER OF LINES / DISTANCE BETWEEN LINES
___~ TRENCH WID'%I21 '~9 IN.
ABSORPTION ARE~ ~/¢ /2~ / ! !
SQ. FT. LENGTH OF EACH LINE / ?~ ~¢ /~ /
'7~!~'-A/¢',"/ Z)~-,~.>-;~ /2.-! DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISN GRADE -~'"-///~ MATERIAL BENEATH TILE
~ ABOVE TILE
CONSTRUCTION DEPTH
S E pT i C~-g.~"~Z) S E E PAGE
TANK /~/ SYSTEM
NEAREST NEAREST
LOT LINE , SEWER LiNE
TOTAL LENGTH
OF LINES
TOTAL EFFECTIVE
IN.
DISTANCE FROM:
? ¢-o/ ,~2~z)
CESSPOOL
APPROVED
OTHER SOURCES
DISAPPROVED
REMARKS
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL: L-/7/'/~'~ /t2¢~/ /~-~
LOT SLOPE: tKO ~t-¢~
REMARKS: ~"~- ~ ~k~
Form EQ-032
DIAGRAM OF SYSTEM
G.A.A.B. ~
GRE FER ANCHORAGE AREA BO,,OUGH ·
PERMIT
[;)EPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456 I
SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT _,.~.,.~
NAME OF APPLICANT
INSTALLATION OF: SEPTIC TANK ,~.i SEEPAGE-~]T DRAIN FIELD .
COMPLETION DATE ANTICIPA'rED "'
MAILING ADDRESS
, OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL 'rEst
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES., REQUIREMENTS
FOUNDATION TO SEPTIC TANK
SEPTIC TANK TO SEEPAGE Pit WALL
SEPTIC TANK , SEEPAge P~ ' ., DRAIN FIELD
TO NEAREST LOT LINE.
WELL_ TO SEPTIC 'rANK * ~
DRAIN FIELD /~ /
SEEPAGE Pit ¢/~t t
ALSO CONS[DER AREA WELLS.
WATER MAIN TO SEPTIC TANK /~ / ., SEEPAge Pit ~/J /
DRAIN FIELD /(? ;'
SEPTIC TANK, /*')(~') /, SEEPAGE PIT / ~2 / DRAIN FIELD .'/~ /'
TO RIVER, LAKE, STREAM.
SEEPAGE AREA SIZE
DIAGRAM OF SYSTEM
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIS CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHt REMOVABLE CAPS.
/3~.t.~ ./.'X~ ~¢1 ,~ /
GRAVEL BACKFILL '¢-~ '~/'__ m :} ¢
CONFORM TO BOROUGH RBGgLATIONS REGARDING INSTALLATION.
,.4>.'-~': - / ¢¢.'-'
~ CERT~EY-rHAT ~ AM E^M~UAR wrm THE REC~UmEMENTS or GREATER ANCHORAge AREA BOROUGH ORD~NANC~/NO. SS-~b AND T~*TT.~*.OW
DESCRIBED SYSTEM 15 IN ACCORDANCE WITH SAID CODE.
../' -' ;,.x- I'
GREATER ANCHORAGE AREA BOROU
Department of Environmental Qua i ty
3330 "C" Street
Anchorage, Alaska 99503
SOII,S I.,OG - PEROI,ATION TEST
Performed for ~ ~-~
Legal gescrip~n:~/~ ....
This form reports:
Date Performed..~Z~-
Soils log_~
Percolation test
Depth
Feet
7-
8-
9-
12 ~
Was ground water er~countered? ._]_.~.c:_'~ ....... If .yes, aC wilat depth?
Reading
Date Gross Time Net Time
Depth to Water
Net Drop
is~'~-~]-a~-o~- fT~]~ mi nute.
-
Proposed i ns t~_l 1 atl on; Seq)agQPl t .........
040 (6/74)
M[.IN~CY. PALITY OF ANChORaGE
APPLICffFI(~] t~OR fW~!J[H ,~KfEORI%~ ~P~V~ CEtY~IFI(TATE
Locat$on (add.ess o~' di~,ectiona )
Water
~pa~'tn~nt of Env:L~ronrc~mta]. Coi~s<)z'VahiOr~ attesting to tzhf~ ].efjatitv and
Is the wastewater dislx~:~al system ad, equate 'fo~'
[Pa.c~', 1 of 2]
the 'rc]mbe~ of I;(~c]]" ~ :~a"~ ,¢?~q)
2-,15~84
'I>e~:t~ of Conditior2d. App,'oval
not caiaz/antea the continued ~at.i:,f~u~,,!.y [~}xzi:.o~,rfl~nco oJJ the water, s~iDp~y a:,,:/ ' thc:
J,;1
tiot'~al fo~- the i-'u~.~:~ of. ~ck'c~ and ~?'
[Pag~-~ 2 of 2]
2-] 5-,84
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AtrI~ORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Legal Description:
~f~ ~t~[o.
Well Classification ~I~u3~l[ __//If A, B, c~ C, D.E.C. Approved(Y/N)
Well Log P~esen~ (Y~ Date C~i-%71eted dD[p~%pbu~' Yield
Total ~p~ ~~Ca~d to_~ ·
Casing Height Above Ground_ ~
Electrical Wiring in Conduit d/N)
Separation Distances f~.om Well:
Sanitary Seal on Casing ~N)
Depression A~ound Wellhead (Y .~_
To Septic/Holding Tank on Lot [~)~_/ O ; On Adjoining Lots [~3r/
· --L ..... LOt ~/%f~L/ g ; On Adjoining Lots
To 'Nearest Edge of Absorption ~'le-U u~ .~(~ . ~ .. -..
r nine ~ ~//~3~To Nearest Public Sewer ^//~t
To Nearest Public Sewe ...... ~, - .,,~y.~f~ _
Wate~ S~le Collected By ~, ~6~.%~ ; ~te ~////.~
Wate~ S~le ~st ~sults
B. SEPTIC/HOLDING TANK DATA
Date nstaned
Standpipes ~/N)
si~ l~ ~o. of constants I,
Air, tight Caps· ~N) Foundation Cleanout ~)
Date Last pureed _ '~/! ~.~ ~ ~
Depression ove~ Tank _(Y~ _
Puraping/Maintenanee Contract on File (Y/N) ~)._; for ~1/./~
Holding Tank High-Water Alarm (..Y../N) ~][/~ .' Temporary Holding Tank Pe~mi't (Y/N)_~_//~
SeDa~ation Distances f~om Septic/Holding Tank:
To Wate~-Su..oply Well i~0 ~./ O To Building Foundatioq_ (~/O
To P~operty Line ~-/~p , To, Disposal Field ~/~- --
To Water Main/Service Line ~ Stream, Pond, Lake, c~ Major D~ainage
cou~ [00 F~ o
Comments
[Page 1 of 2] 2-15-84
.C.
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field ~-~
Square Feet of Absorption A~ea
,, 17 ~ ~ b.~ Type of System Design
Depth of Field ~ ~
Gravel Bed Thick,ss ~ / ~
~[~3 ~ Stan~ims ~esent ~)
Depression ove~ Field (Y~ Date of Last Adequacy Test
Results of Last Adequacy Test .~or~C~o~ '
Separation Distance f~om Absorption Field: /
To Water-Supply Well t~/ O To P~operty Line ~
To Building Foundation t(~.O~L/ O TO Existing or Abandoned System on
Lot , oining rots
TO Water Main/Service Line .. /~/~ To Cutbank(if p~esent)
To Stream/Pond/Lake/c~ Majo~ Draimmge Course /.~/ ~
To D~ivewa!;, Pa~king Area, or Vehicle Storage A~ea ~ /
Comm~nts .~L~/~ ~M~i_~
Date Install~al~. Dimensions ~
Size in Gallons ~ Manhole/~/N)
"Pump On" Level at ~ ~f" Level at
High Water Alarm Level at ' ~ Vent (Y/N)'
Tested fo~ / Pumping~cles du~ing Adequacy TeSt. Meets
Electrical Code sJ~ ~ MOA
C~nts ~J ~,~.~
** ~
Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect
on the date of this inspection.
S igrled. ~~ ~ /~/.~.~..~ Date .~Z////~
Company
KB1/d5/s
[Page 2 of 2]
2-15-84
ALASKA eIidII OFlm FITAL COI TF OL $ I uIC S, IF1C.
~nqineerJnq $ ~nuironmenlal $1udJes
JULY 11 1984
ASSOCIATE BROKF~/A?]~N LOU CAMPBELL
640 W. 36TH SUITE 1
ANCHORAGE AK 99503
SELLER - JIM BENDER/MICHEILE BUYER -
SUBDIVISION - MOUNTAIN PARK ESTATES BLOCK - 10 LOT - 8
ADEQUACY TEST FOR S}~]NER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 816 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 660 GALLONS OF WATER PER DAY.
III-IESURGE CAPACITY OF T~{E SYSTEM IS 894 GALLONS.
BASED UPON ~IE ~ST DATA THE SYSTEM IS ACCEPTABLE FOR A
4 ~F~ROOM HOME.
THE SEPTIC TANK WAS PUMPED 0N7/12/84 .
~LON TEST ON WELL
THE WELL FLO~ RATE WAS 3.9 GPM ]~DR 3.8 HOURS.
SEPTIC TANK ADEQUACY
THE PiIflSTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR
THIS 4 BEDROOM HOUSE.
1200 LUgsl 33rd Au¢,u~. Su,~ B. Anchoroq¢. AI,sko 99503 .(907) 561-50/40
.... DA;I-~ RECEIVED
DATE DATE DATE
NSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTII~NICIPALITY OF ANCHORAGE
825 L Street- Anchorage. Alaska 99501 DEPT. OF I~,F~ALTi'I &
ENVIRONMENTAL P~OTECTION
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 JUL 1980
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWI~ j~/~L~J"lr~.~
~IRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow tee (10) days for processing.
·~..~OPERTY OWNER / PHONE
MA . NG ADDR~'~ / /
PROPERTY RESIDENT (If different from above) ! · / PHONE
2.~ BUYER / ~
K~FAI LING ADDR ESS..~
.3~. -'~NDING INSTITUTION ~ ~ .¢~;~) / [PHONE
MAILING~'DDRESS .,
MAI ktN~ ADDRESS
STREET LOCATION
6, TYPE'OF RESIDENCE
'~x~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One 1~. Four
[-1 Two [] Five
[] Three [] Six
[] Other
7. WATER SUPPLY
~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for ail wells drilled
since June 1'975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~;~L~. INDIVIDUAL/ON-SITE** . YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY
x~£ NOTE: ~rHE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1, TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
[] OTHER
2. WATER SUPPLY
INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3, SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or []Holding Tank
Size: [/c~''O If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
Septic/Holding Tank
Absorption Area Sewer Line
INearest Lot Line
5. COMMENTS
DATE
[]~]-"~'APP R OV ED FOR 4 BEDROOMS
[] CONDITIONAL APPROVAL (letter mu~st.ac~ompany
[] DISAPPROVED
certificate)
72-010 (Rev, 6/79)
Tobben Spur land p.F.
8155 Cranberry St.
Anchorage, Alaska 99502
Phone (907) 243-5302
judy Senden
SRA Box 367S
Anchorage, Alaska 99507
aDEQUACY
Legal:
Residence:
Lot 8, Block 10 Mountain Park
Four Bedrooms, ~'ully Finished
TEST
No. 2
July ~8, 1980
MUNICIPAI.ITY OF ANCHORAGE
DEPT, OF I?.AL~Fi &
I~NVIR()NMEN~A~- Ff.C [i.C~ION
JUL 8/9f 0
RECEIVED
Wat er:
Sewer:
Date of Test:
Test Procedure.
On Site Well
From Municipal Records:
1250 gal fiberglass Tank
12 feet deep trench with 6 feet ~f gravel
Total absorption area 816 sq. ft.
July 24, 1980
System inspected on July 23.
Tank full 49 inches of water in trench
Tank p~uped on J~ly 24
Water depth in Trench 44 inches
Trench caar~ed with 1500 gal.
Water depth 70 inches.
~t 9 ~ on $~u~n July 25 water depth in trench 42 inches
Absorption rate. 1500 gal in less than 18 hours.
'~/~'((~li~'~ /~~ GREATER ANCHORAGE AREA BOROUGH "- ~-- ~]L.V:'P..~ ......
Department c~f Environmental Quality
~~/~131 "C~ Street, Anch'~, Alaska 99503 27~-4561
~' /,~ ~. ~ ~,~] Date Received_,~-~-~..
~ ~~ Time of Inspection.~~
~~~~' ~ Date of Inspection ~c~,~'~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by: ~
Mailing Address: . ~-~ Phone:
2. Property Owner: ~ ~L~ Phone: ~L~L~-
Mailing Address: ~ ~...~ ~X_.~)q~
4. Location: _~~], ~
5. Type of facility to be ~spected ~ ~.,~,~, No. of bedroom~,~
A. Type ~ iT~,,~~ B. Depth ~ ....
C. Construction ~~ D. Bacterial Analysis
7.Sewage Disposal System: ~~ ~~ ~{~g/C~
A. Installed ~.u~,~, ~o~q~ B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
Nearest lot line
, Absorption area
, Other contamination
, Sewer Lines
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re, st for Approval of Individual F er & Water Facilities
Legal Description c~(
Comments
\
Ap~oval Valid 'For one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
2. Property Owner: ~
Mailing Address:
3. Name of Buyer:
VA FHA CONV :/'
Day Phone
Mailing Address:
4. Name of Lending Institution: ~ ~,C~__(-~.
Mailing Address: ~_~)--!__I~ ( ~,~
5. Nameof Realtor or Agent:. ~'~C)~'h(~,,
Day Phone
Phone
Mailing Address: Phone
Legal Description:
Type of Facility to be inspected: -fd~C)L.J._~/-~_-
Water Supply
Type of Supply: Public Utility
If Individual, nurnber of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System:
If Individual, date of installation
Individual
No. Bdrms.
Public Utility
Individual (on-site)
EQ-037 (1/741
M~ydx 2~, lg7~. /
WILLIAAt A. EGAfl, GOVERNOR
/
/
SOUTHCENTRAL REGIONAL OFFICE
MACKAY BLDG.
33B DENALI STREET
ANCHORACE
--Mountain Park ~
Ls~at~s
We have reviewed your situation in light of the interpretation of
the 40,000 Sq. Ft. -20,000 Sq. Ft. requirement contained in Section
18 AAC 72. 030 of the Department of Environmental Conservation Waste
Water Regulations. It is our finding that since you had o~mership
of the lot on or before February 5, 1973 and that you intend to
construct a private residence for your personal use, that this particu-
lar Section of the Waste Water Regulations is not applicable in your
case.
We would however advise you that of course ail existing Borough
Regulations are in effect and are applicable in all cases except
where State requirements are more stringent.
cc: GAAB-DEQ¢/