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Home My WebLink AboutMOUNTAIN PARK ESTATES #2 BLK 3 LT 18 QGRE ,,'ER ANCHORAGE AREA BORulJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-51TE SEWAGE DISPOSAL SYSTEM NAM E./'~ ~,. LOCATION ~--"C-J~l~'~--~ ~ SEPTIC TANK: DISTANCE FROM WELL 1(-.90 INSIDE LENGTH M AN U FAC T U R E R ./~k~Q. -¢-~ INSIDE WIDTH MATERIAL..,~ NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY /~-.~-"O GALLONS. SEEPAGE 'Fffl' NUMBER OF PITS DIAMETER LINING MATERIAL _. BUILDING FOUNDATION_ ADDITIONAL ABSORPTION _ OR WIDTH LENGTH_ DEPTH CRIB SIZE: DIAMETER DEPTH_ DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE· ABSORPTION AREA (WALL AREA). /'//~"//<:) SQ. FT. WELL: TYPE BUILDING FOUNDATION _ CESSPOOL APPROVED_ CONSTRUCTION DEPTH DI~,TAN CE FROM: NEAREST NEAREST SEPTIC SEEPAGE LOT LINE__ SEWER LINE __ -, TANK ~., SYSTEM OTHER SOURCES DISAPPROVED REMARKS_ DISTANCES: INSTALLED By: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE G.A.A.B. Form NO. EQ~031 PIPPL, I LOCFI"I I [:,EF'RRTMENT OF" HERL.'I"tt laFll) EN',/IRONHENTlaL F I4.C FEUI ~:5J):¢ E. 'i'UDCiR RD.., laNL. HL:t4. Hm[:., PIE. 80X 4-A FO~:;TER t...J..o EA..~ MT PHI,.t.,. EST ...... LOT 512:E 20'1 "~O ........ '" FEE]" TN.'F'E OF :~.;O1L H~ ...... F,E, I ~f,l ,..r:,lEtl .... 'TRIENCH i,IPIXIi'ILtbl NI_IME:ER OF' E,I:.[RLII]M~, .~ '~{ ~-~;OIL RFi'i"](.t",I6 ,:;LE;(;,~ F'T',."BR)= i~:P3 ' ]HIE I.!{NL41"H [:,tMENSION IS TILE; LEN(i'I'H (IN FEET) OF THE TRENCH OR DRRINFIEL. D, -I'HI~:; [:,EF;'TH CIF R I'F.:ENCH OR PIT IS THE [:,ISt'RNC:E F3IEI'WEEN ]'FIE SURFltCE OF THE 3RI')tJND HN[:, THE BO'TI'CIM OF' THE E2,:C[1VFtT].CtN (IN FEEl'). 'f,HE,];.'.E IE; NO :;SET Wi[.',IH FUll, TR. ENCHb_, THt:;: (:il'tR',,/[~L PEPTH J:S THE MINIHUM DEPTH OF 6RlaVEL BETWEEN ]'HE OLI~I:;'FIIJ.... PIPE RNi} THE B'iTT"iM OF THE b~,,..RVlit ION (IN F'EE'¥). E;I:aCF.:FtLLING C;P' I-;:INV S~r'S'FEF1 WI]HOUr F'INRL INSPECTION I-3ND FtPPR()VI~IL- b'¥' THI~; I)IEPHI.;.'TMENT I,IILL.. BE SlJBJ'E[CT TO PROSE. CU'FION. MIN]LMUM I..)iE;TRNE:E BE'FWE:EN FI WELt.. liN[;, RNY Ot'4-SI]'E :E;EWt'aGE [)ISPOSRL S'¢S1EM :LOC FEET t..UR h F'RIVR'TE WELL OR 200 FEET FOR FI PUBLIC NELL. I'.IELL. LOI.J'_;:, FiRE RE{.;!LJIRED fqND MU2;T DE; RE'I'UF~INED TC~ 'filE BEF."FIRTMENI' WITHIN ]~:O DRN"S OF' THE 14EL. L. COHPLET]:ON. SF'ECIP'tCRTION:S RND CONS"I'RUCT :[ ON [>IFtGRRMS laRE RVRILlaBLE l'O INSURE PF~.OPER i NS"I FtLL J::IT :1,, ON. I CER'[ if::"Y lHliT l: .'r_ FtFI FI:;tMII..IRR 1411H TliE REf.~UIREf'IENTS FOR ON-2~;ITE SEWER&; laND WELLS lis F OR]'H ifY¢ THtf MUN I C I Plal..I l"'T' OF IINCHORlaGE, ;c:: I !,IIL. L ):NS;TRLL. IHE S'¢S"I'EM .iN F-'tCCOR[.~FtNCE WITH THE CODES. L:~: :!. IJNDERE;iPIND THlaT 'THE ON,--SlTF.]' E;EI4ER LE;~¢STEM I',IF1'¢ RE[..;!UIRE ENL, laRI]iE'.MENT IF 'I'HE.:, RE% I [)b:NCE I E; i;;:!SMO[)EI. ED 'T'O .1 NCLIJDE MORE] THf;IN ].,~ BE:DROOH2~. F:IF'I:;'I. :I; :.:;HNT I3FIBR I Et_ }),I .... ::-' ,. J) ' '" / MUNICIPALITY OF AxNCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General information Application Date (a) Legal Description (include.~ lot, block, subdivision, section~ township, range) Location (address or directions) (b) Applicants Name ~LL'P ~/~/t7~,} Tel?_phone - Home Business Applicants Address (c) Applicant _is (check one) Lending Institutiqn ~--~; Owner/builder Buyer ~; Other ~._(explain);, .-- ~/,. ~/~J .~)~~4£~4-~ ~--~; (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: .~ype. of Residence Single-Family~ Number of Bedrooms Multi-Family Other (describe) 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. 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] 5- 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 ~11 Municipal and State codes, ordinances, and regula-- tions in effect on the date of this inspection. Name of Firm .~'~ ~ ~.//7 ~C2~ Teleph°ne-~-~)/q ~/~z~ Z ( ~ ~ ,~ -' ~.. ~ <:" .'-' Approved for ~ bedrooms By ~~ ~FE5%'/',];'.',;~ //J ~ Approved ~ Disapproved __ Condition~ __ Terms of Conditional Approval CAUT ION T~!E MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISS'JES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS 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 REQUIRE- MENTS. ~[PLOYEES 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 ae DATA Well Classification Well Log P~esent _~N)~ Total Depth ~--~d~ Cased to Static Watch Level ~Z)/ Casing Height Above Gnound Electrical Wiring in Conduit ) Separation Distances f~c~ Well: To Septic/Holding'Tank on Lot MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: NOI.I.:D::I J.O~d lVIN~wNO~IAN::I ~' HJ.'iWH ~O 'ld3O ~OV'ciOHDNV 40 XJ. IIYdlDINFI~! /.-/$ 9,D If A, C, ovea(,z l 'gf '¢ ~ / Depth of G~outin~. ~ Pump Set At //;~¢~ Sanitaz~, Seal on CasingS) Depression Aztound Wellhead (Y~?)~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /~)~-/gF- ; On Adjoining Lots To Nearest Public Sewer Line /D/4- To Nearest Public Sewer cleanout/Manhole ~J/~r--' To Nearest Sewer Service Line on Lot ~//~ Water Sample Collected By ~ ; Date 8h 7/¢ q water sample Test Results~~_~. SEPTIC/HOLDING TANK DATA .~/¢f~.. Size ~ i~-'0/'4 NO. of Ca.~a~tments Date Installed Standpipes~)"/~'~ Ai~-tight Caps.) Foundation Cleanout__~) Dep~essi°n °ve~ Tank (Ye FileDate Last Pumped.,/.. for ~/~/ Pumping/Maintenance Contract on (Y/N) 4~r ; Holding Tank High-Water Alarm (Y/N) /~/4~'~' Temporary Holding Tank Permit (Y/N)/~/~-- Separation Distances f~om Septic/Holding Tank: To Water-Supply Well / To P~operty Line To Water Main/Se=vice Line Course Comments To Building Foundation ~/¢ To Disposal Field /6-! To' Stream, Pond, Lake, c~ Major D~ainaG~ [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field ~..~squa~e Feet of Absorption A~ea Depression over Field (Y~i) Type of System Design Length of Field -~¢p ~ Depth of Field /~ ? Gravel Bed Thickness ~ Standpipes P~esent ~N) Date of Last Adequacy Test -- Separation Distan~ from Absorption Field: fi, ~ To ~ter-Supply Well /d~/ b~-' To P~o~erty Line ~-~/ To Building Foundation ~/<-~/ To Existing or Abandoned System cn Lot ~3/,~--~ ; On Adjoining Lots .7~ ~ / TO Water Main/Service Line 7~L//J~ To Cutbank( if p~.esent) ~/~ To St~eam/Pond/Lake/c~ Major D~ainage Course ~/~D / To D~iveway, Pa~king A~ea, o~ Vehicle .~o~age A~ea ~O De LIFT STATION Date Installed ~ 1 ~D ~ns .~./ Size in Gallons A ~ / / M~._~e~Y/N) "Pump On" Level at / ~' / "Pump Off" Level at High Water Alarm Level ~ Vent (Y/N) Tested fo~ J Pumping Cycles du~ing Adequacy Test. E le ctr i ca/~.~s (. Y/N ) Meets MOA ** Check Permitted Bed~ocm Rating Against HAA ~quest ** I ¢~tify that I have checked, verified, o~ conferred to all MOA HAA Guidelines in effect on the date of this inspection. Signed Co~gany KB1/d5/s [Page 2 of 2] 2-15-84 ALA,SKA f LIIROFImI IqTAL COFITROL ,5( I uIC ,5, IFIC. ~n§in¢er. incI $ ~nuJronrncnlol $1udies AUGUST 27 1984 BUD HANSEN 3201 C STREET SUITE 100 ANCHORAGE AK 99503 SELLER - JIM BENTON BUYER - SUBDIVISION - MTN PARK ESTATES BLOCK - 3 LOT - 18 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 440 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON8/17/84 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. 1200 West 33rd Auenu¢. $uii¢ [~, Anchoraq¢. Alaska 99503 ,(907) 561-50/40 MUNICIPALITY OF ANCHORAGE ." DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ,- ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, A~aska 99501 Telephone 264-4720, CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES 1. PROPERTY OWNER 2, LEGAL DESCRIPTION 3. TYPE DWELLING SINGLE FAMILY RESIDENCE MULTIPLE FAMILY RESIDENCE [23 OTHER (Describe 4. WATER SUPPLY INDIVIDUAL COMMUNITY/PUBLIC 5, SEWAGE DISPOSAL [5~ INDIVIDUAL/ON-SITE E3 PUBLIC UTILITY E2] HOLDING TANK (Maintenance Required) APPROVED FOR ?' BEDROOMS CONDITIONAL APPROVAL (See Attached) DISAPPROVED I(DATE 72-014 (3/78)