HomeMy WebLinkAboutMOUNTAIN PARK ESTATES #2 BLK 1 LT 3
the Builder or Owner tq verif:,
that building location shown
meets all subdivision covenanl
and local zoning ccdes and
o rdinances.4
ALASKA ENVIRONM~TAL
CONTROL SERVICE ~JC.
1220 West 25th Avenue
ANCHORAGE, ALASKA 99503
Phone 276-1361
SHEET NO.
CALCULATED BY
CHECKED BY
SCALE '~
DATE
unicipalitYof
Anchorage
October 9, 1987
P.O. BOX 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264-4111
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
Arlyn J. Yurman
P.Oo Box 112688
Anchorage, Alaska 99511
Subject: Health Authority Approval of Septic System,
Lot 3 Block 1 Mountain Park Estates #2
Dear Mr. Yurman:
We have received and inspection report of the septic tank installation on the
subject lot from Alaska Environmental Control Services. The installation of a
1500 gallon tank satisfies one of the conditions for Health Authority Approval
of the septic system on the lot.
Apparently there was some confusion as to what was to be done in order to gain
full approval of the septic system. A Health Authority Approval was issued
last December with the condition that a soils test and ground water monitoring
be performed, and that the dimensions of the existing soils absorption system
be documented. The purpose of these requirements was to establish that the
existing undocumented system was installed in conformance with applicable
state and municipal codes.
At the present time we have received information'that satisfies the soils test
and water monitoring requirements. The dimensions of the absorption field
still need to be determined, however. A perc test should be performed to
establish that the system is adequaOely sized to handle design wastewater
flows from a five bedroom dwelling. Until the department receives this
information, Health Authority Approval will not be issued for the subject loto
I have enclosed a copy of the original Health Authority Approval, dated
December 23, 1986, which outlines the conditions required for full approval of
the subject lot. If you have questions regarding this matter, please contact
me at 343-4744.
Sincerely,
Stephen S. Morris
Civil Engineer
On-site Services
cc Gus Andress, P.E.
Manager, On-site and Water Quality Pro
Leroy Reid, PhD, P.E., AECS
MUNICIPALITY OF ANCHORAGE
~ 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
DISTANCES
Address / / FRO M-'""~ TANK FIELD WELL
Phone(s) Permit No. No. of Bedrooms WELL ,'lC,'
Township, Range, Section
~ 2 tU ~ k3 .~<~ ~ ~ / 7 -- ~ Z ~ ~ ddveway,AS'BUILTwaterDIAGRAMbodies, etc.)(Sh°w local,on ol well. septic system, proPerly lines, Ioundahon,
No. of Compartments
TYPE OF SYSTEM ~,
U TRENCH ~ BED O W. DRAIN U OTHER
~ to p~pe bottom from Total depth ~rom original grade
FT FT
Fill added above original grade Gravel depth beneath p~pe
......... FT FT
7oral
WELLS ~~ /~
~ PRIVATE ~ OTHER fldentilv)
Classdicatlon (A,B,C) 7oral Depth Cased to ,
FT
FT
I
REMARKS: -
{. ~ ~ [~(- ~ ceflily Ihat lhis inspeclion was p~florm~d according to all -
Municipal and State guidelines in elfect on this date: ~//~/~
Health
Depadment
Approval:
72-013 (3/85)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
/-,//
SLOPE SITE PLAN
10-
11
12
13
14
15
16
17
18
19
20
WAS GFJOUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT 0
.~',/.~ ~(~./~.w,?~ DEPTH? p
E
~:) ~ '~_ ~"~2'C''/') Depth to Water After
Monitoring? Dote:
R~ading Date ........... ~.,. t~. ....
p,,'/4, ?;/ r
MUNICtpALtTY OF ANC:H(~I
DEPT. OF HEALTH
ENVIRONMENTAL pRoTECTION
OCT 6
RECEIVED PERCOLAT,ONRATE __ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN __ FT AND FT ·
PERFORMED BY: ~., J~- ~'eJ I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUN,CIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~._/'~O/~ ?'
72-008 {Rev. 4185)
P.O. BOX 112688
ANCHORAGE, ALASKA 99511
PHONE
345-2513
July 31, 1987
Municipality of Anchorage
Department of Health
P. O. Box 196650
Anchorage, Alaska 99519-6650
Attn: Steve Morris
Lot S, Block 1
Mountain Park Estates
Gentlemen:
Please consider this letter as a request of an extention
until the end of September, 1987 to complete our new septic
tank.
Thank you,
A. J. Yurma~
Owner
cc: House file
AJY/kh
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\ .-"-/ /2 ._j AOX? .?,,K'
· ""'" (;REATEI~ Ad{,IIC' d\(.L.' ' hP. EA B()~r ~Jl
UepartmenL of lnvironJ,rml, al Qua liLy
3330 "(2' SLre_mL
Anchorage. Alaska 99503
S()ll,S l,()(; I'EROI,ATION TEST
Performed for~__ itr_,__2%):_:4ql_~ ...... Date Perf'omed ~/10/74
This form reporLs: Soils log x Percolation Lest
Del; th
Feet
· r,~ 00,%
9 - ~.'g (275)
10 - ':',-" (2oq)
11 - s:'
12 - Sv.
13 - SY
14 - s~f (22p)
Was ground water encountered?
[ :0
If yes, at wilat depth?
Reading Date
Gross Time
...... 9L!2
...... ?_:_1__3 ..........
Net Time Dept;i to Water' fief Urop
7-77 ! 4" ........................
........... i ............ 7- ]7~-~,'' ........... i/~d~ ....... _
Percolation raLe ~o.9 minute /~
-Proposed installation: Seepafle Pit urain Field
DepUm of InleL Depth
COHFIEItl S:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
D WSJON OF E.WRO.ME.TA, SE.WCES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date
GENERAL INFORMATION (MUST BE COMPLETEE~ PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, r~nge)
Location (address or direction~)
(b) Property Owner J~ -~- ~ '"/,~-~' x/u~v'~4'''~ Telephone: Home ~ ~Tq~
Business
Mailing Address · I~,, O, ~o,.~ ~ I ~t~ ~ ~/'~.~////
C ¢.f4 ~"~L- Pl ~ ~ ¢//~elephone b~/, ¢~
(c; Lending Institution -
Mailing Address ¢~ ~/~ ~~ ~¢~ / ~ ~
(d) Real Estate Company and Agent ~ ~
Address
Telephone
(e)
Mail the HAA to the followino address: or: Check here'~ if hold for pick up.
List contact person and day phone number below.
TYPE OF RESIDENCE
Single-Family~
Number of Bedrooms
WATER SUPPLY
Individual Well~ Community [] Public
D
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'~' Public [] Community [] Holding Tank []
Note: If community weft system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 trey 8/86~ Front
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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
Address
Telephone
Engineer's Seal
·
DHHS APPROVAL
Approved for '~"v'~--'~?bedrooms by ,~-',/~'
Approved Disapproved Conditional
Date /2.- ~-~, ~'6,
Terms
of
Conditional
Approval
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
certificates based only upon the representations given in paragraph $ above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to pu r4~n~sers 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.
Page 2 of 2 72-o25 [Rev 8/86) Back
'CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
MUNICIPALITY OF ANCHORAGE DECEMBER 19, 1986
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Re: Request for Conditional Health AUthority Approval
Lot 3, Block 1, Mountain Park Estate
Whitey Yurman
Gentlemen;
On behalf of our client, we request a conditional approval
of the septic system serving Lot 3, Block 1, Mountain Park Estate
# 2. This system was installed without any Municipal Inspection
but was approved by the Municipality in 1981. The existing tank
is 1250 gallons, based on pumping tests. The house has five
bedrooms, and the owner intents to install an additional 500
gallon tank next spring. The leachfield has been tested to absorb
in excess of 1000 gallons per 24 hours. There is no indication
that groundwater is interfering with the operation of the system.
*tll~ O~ '~ . ?~JUNICIPALITY OF ANCHORAGE (MOA)
O~:¥~..~t~lAL ?~.OIE~LTH AUTHORITY APPROVAL (HAA)
c,3,~/l~.O CHECKLIST - FEBRUARY 1984
,-~ C. '~ C~ ~ 264-4720
WELL DATA
Well Classification
Well Log Present (Y/N)
Total Depth ~¢.~¢LP t~
Static Water Level
Casing Height Above Ground :'~'~
Electrical Wiring in Conduit (Y/N) ~
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
Cased to ,¢..Oca ~'
If A, B, C, D.E.C. Approved (Y/N)
Date Completed O~.~,l~4.~ot.~..'vl Yield
Depth of Grouting N~/~
Pump Set At ,~0¢_~
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
14~ ~-I¢ ; On Adjoining Lots 1 ¢,~ ~ ; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
;Date
/DOff"
SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes (Y/N)
Depression over Tank (Y/N)
Size /~,.(¢C~ No. of Compartments 1
Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N)
~N~ Date Last Pumped 12'/'t2/~¢~'
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well
To Property Line
To Water Main/Service Line
Course J'~ Ot4~
Gomments
;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation ~/
TO Disposal Field _~ ~'.~ ( ~ ~..~.¢~.J, 3
TO Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~-.~1 ~¢4
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Type of System Design
Length of Field
Depth of Field
ravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well /~ ~ I/'
To Building Foundation .,~ .~ '(~
Lot /N/~:~ ~/="'
To Water Main/Service Line ~/~'~
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
To Property Line p / 0
To Existing or Abandoned System on
; On Adjoining Lots ~.~ O
To Cutbank (if present) ~'~ O ~ ~"
Comments
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 **
I certify that I have checked, verified, o.,,r~conformed to all i~IOA, and HAA guidelines in effect on the date of this inspection.
Signed ~.-~ Date t ~ ~,/~j~
/
MOA No.
/OO/ OO
Company
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
Engineer's Seal
CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: [907) 279-3916
SEPTI. C
SYSTEM ADEQUACY
TEST
LEGAL:
LOT 3, BLOCK 1, MOUNTAIN PARK ESTATE #2
LOCATION:
12640 HILLSIDE DRIVE
OWNER: WHITEY YURMAN
RESIDENCE: SINGLE FAMILY, FIVE BEDROOMS _~ O~ ~ ~,
~---~oO...-. ;~,? ~-~.
WELL: PRIVATE, ON SITE ' ~%.' ~,.,.' '.~
SEPTIC SYSTEM: FROM MUNICIPAL' RECORDS: ~°'t,°;;,~o7/TM
TANK: UNKNOWN TYPE, '1250 GAL. ~..~o~~;~
A SORPTION AREA: UNKNOWN .....
SOIL RATING- UNKNOWN ......
INSTALLATION DATE: UNKNOWN ~%f~N~-
· . . ~-~U~ ..
DATE OF PUMPING: DECEMBER 17,' 1986. ROTO ROOTER
DATE OF TEST: DECEMBER 17, 1986
TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND
WITH 3 FEET OF COVER AND 59 INCHES OF LIQUID.
THREE '6-INCH SUMPS WERE FOUND AT THE ABSORPTION AREA. DEPTH OF
SUMPS WERE 10 FEET. LIQUID LEVELS WERE 14 INCHES. 1700 GALLONS OF
CLEAN WATER WAS ADDED TO THE ABSORPTION AREA. THIS CAUSED THE
WATER LEVEL TO RISE 31 INCHES. 5 HOURS LATER THE WATER LEVEL HAD
DROPPED 4 INCHES, INDICATING AN INFILTRATION RATE OF 219 GALLONS
PER 5 HOURS OR 1000 GALLONS PER 24 HOURS.
TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF
THE MUNICIPALITY OF ANCHORAGE.
THE SEPTIC TANK IS SIZED FOR A FOUR BEDROOM HOUSE. A 500 GALLON
TANK MUST BE ADDED TO UPGRADE THE TANK CAPACITY TO A FIVE
·BEDROOM.
The operational life of all septic systems depends on the local
soil conditions, groundwater levels that may fluctuate during the
year, and the water usage of the family being served by the
system. These conditions are outside the control of the evaluator
of this septic system. We can therefore not give any estimate of
how long the system will continue to meet the operational requi-
rements of the Municipality and State.
ALASKA NOW-WELL - VERN'S DRILLING & ENTERPRISES
12241 AVION ST.
ANCHORAGE, ALASKA 99516
(907) 345-4417
~itey Yurman
P.O. Box 1~2688
Anchorage, Alaska 99511
Lot 3, B l, Mountain Park Estates
Well depth unknown.
reach water level.
December 9, 1986
Six inch diameter well.
Probe would not
Well pumped open discharge over top of casing for total of
223 gallons in 50 minutes ( 4.46 gpm average). Pump intake
reached,at this time. Pump turned off and re-started at
30 minute intervals for seven each half hour tests. Well
recovered and pumped 38.25 gallons per hour.
Total time of pump test 4½ hours.
Well should produce 918 gallons per day.
(Well flow may increase after use, as pump was lowered 48'
from its origional setting and thi~ area had not been fully
developed).
D,~,3~ E RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DA-~E
INSPECTOR INSPECTOR I NSPECTORr-%
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION
ENVIRONMENTAL SANITATION DIVISION MAR 2 1981
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEwEp~i~i~_ikV~.~E D
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing.
1. PROPERTY OWNER I PHONE
MAILING A/DDR ESS
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
MAI LI,N'G ADDRESS
3. LENDING INSTITUTION [ PHONE
I
MAILING ADDRESS
4. REAL'rOR/AGENT ) , ..~ IPHONE
MA, L[-I N G ADDRESS
5, LEGAL DESCRIPTION
TRENT LOCATION
6, TYP~ OF'RESIDEnCE
r~ SINGLE FAMILY
~ MUkTI~LE FAMIkY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
[~ Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
*ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8, SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE 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
F-11NDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tank or [] Holding Tank
Size: ! '~_~--o If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sawer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
: "PROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY ~
72-010 (Rev. 6/79)
ALASKA ellUlRO[lmenTAL COI1TROL SeRUlCeS, InC.
J~l~(jJn~PJn§ ~ ~nuJronmcntaJ $1adi~s MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MAR 2 1981
RECEIVED
t..OM¢:'.,,"i; ~.~. Nr:.Y L..r:.. C~t,I
A N (3 J..t C) f;,: ~:'~ G ~i~] A 1.( '-2 5~ 'JL; 0
1220 J. Ucst 25lh Aucnu¢ · Anchor~q¢, Alaska 99503 ~' [907) 276-1361
