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HomeMy WebLinkAboutNORTH WOODS BLK 4 LT 17MUNICIPALITY OF ANCHORAGE NAME ~ LOCATION ./~ '~ ~ W Absorptio are ~ ~ Z ~ Manufacturer ~  Top of tim to fi~isn grade ~ ~ ~ateriaFbe~eath tile ~ Length Width Depth ~ ~ I Type of crib Crib diameter Crib depth ~ DISTANCE TO: ~ Well Building foundation IClass Depth Driller ~ D STANCE TO Building foundation Sewer me DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONIVIENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE , ~,,,NEW Dwelling~ ~ IWidth Material NearestJ°tlin~'-'gnc~ha Trench~~ i s ~--~OC~ inches NO. OF B,,~ROOMS No. of c~.~__~.rtments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO, Septic tank Absorption area(s) OTHER PIPE MATERIAL~o 3 ~/ PU~ SOIL TEST RATIN~~''-'' R EMAR KS 72-013 (Rev. 3/78) C~ ~-~ ..... :~; Z ~" PERMIT NO~ ( 8:t. 0::.~07: ) RPPL I ORNT LOC;FIT I ON L. EGRL DEPFIR"t"i"IENT OF HEFILTH RND ENViROI",IMEN]"FIL PROTECTION 825 "L" STREET., RNC:HORFIGE, FIK. 9'..a. 50:.I.. ;=]64-4720 FRFff-,IK BETHERD F'ETER'" S CREEl'::: L 17 B 4 NORTH WOODS S,"'D SRFI BOX ::L6.9'BK SIL-'a507 LOT SIZE 22000 SQURRE FEET 'T"¢PE OF' SOIL RBSCIRP'I"ION 'B¥STEM IS: TRENCH MFIXIMUM NUMBER OF BE.[:'F-.'OC~MS = ]: SOIL, RRTING (.S~] FT,.'"BR)= 85 THE REt]]UIRED SIZE OF THE SOIL. FIBSORPTION SYSTEM IS: E::, EE IF::' T' ~-.-~ == ,:.E:?. [f._ E f-,l C:~ T' FII .... Z-i: ;3 ~2[ F.?. !F~ %." E: b. [.:::. E] F" 'T t'-! ......!. TI...tE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE: TRENCH (]IR [)RRINFIELD. 'THE DEPTH OF FI TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURFFIC:E OF THE GROUND FIN[) THE BOTTOM OF THE EXCFIVRTION ,::IN FEET). THERE IS NO SE]" WIDTH FOR TRENCHES. THE GRFIVEL DEPTH I:-2; 'THE MINIMUM DEPTH OF' GRRVEI... BETWEEN THE OUTFFIL. L PIPE Bf',ID THE BOTTOM OF' 'THE EXCFIVFITION (IN FEET.'.',. PERMIT RPPL. ICFINT I'-IRS THE RESPC~N"-':IBILIT¥ TO INFORM THIS DEF'RRTI'qENT DURING ]"HE INSTFILL. RTtON INSPECTIONS OF FIN¥ WELLS FIDJFICENT TO THIS PROPERTY FIND THE NUMBER OF' RESIDENCES THFIT THE WELL WILL SERVE. ................ "f t1..-..] CT} ,::.' ;.:'~ :::* ;[ !'..,fl 5C:.; F' E C: IF :[ C~ t'--1 :E; F:It IF.;.: E F:': E ,;~ .~.J ~ f;.'. EC E:F!CKFILLING OF FIf'.,I¥ S'¢STEM 14ITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT 14ILL BE SUBJEC'T '.['0 PROSECUTION. MINIMLIM DIS'T'FINCE BETWEEN R WELL FIND FIN"r' ON-~;I'TE SEI.,.IRGE DISPOSFIL S"?STEM IS :;L00 FEET FOR la PRIVFITE WELL OR :L50 TO 200 FEET FROM FI PUBL. IC: WELL DEPENDING UPON THE T'¢PE OF PUBLIC I.'.IELL. MINIMUr,1 [:,ISTRNCE FROM R F'RI'¢FITE WELL "FO Ft PRIVFiTE SEWER LINE IS 25 FEET FIND TO Fi COMMLfI'.,!IT'.r' SEWER LINE IS; 75 FEET. OTHEF.: RE(T~UIREi"!ENTS l'"!Fi"r' RPPL"r'. SPEC:IFICFiTIONS RND CONSTRUCTION DIFiGRFIMS FiRE FIVFiILRBt...E TO INSURE PROPER INSTRLLFITION. I CERTIFY THFi'f' :1.: I FIM FFIMiLIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELL.:'E; FIS SET FORTH 8"? THE MUNICIPFILIT¥ OF FINCHORFIGE. 2: I WILL INSTFiLL THE S"r'STEM IN FiCCOR[:'RNCE WITH THE CODES. .7-.':: I LINDERSTRND THRT THE ON-SITE SEt.,.IER S'¢STEM MFiV RE~;!UIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED 'TO INCLUDE MORE THFiN :ii: BE[:'ROOMS. PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7' 8 9 10- 11 12 14, 15- 17 18 19 20 COMMENTS PERFORMED BY: I '~VlUNICIPALITY OF ANCHORAGE '/'~ DEPARTMENT OF HEALTH AND ENVI RONN;ENTAL PROTECTION Pouch 6-S50, Anchorage, Alaska 99502 276-222.~ SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST SLOPE SITE PLAN OW~ ~ou rrfl~ w^s ~ROU.D W^TER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time . Time Water Drop PERCOLATION RATE TEST RUN I~ET~VEEI~J [ ' 7 (minutes/In¢h) 4 FT ^~~---- FT MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH &.HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER. FACILITY 264-4744 ~' ;'- · Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 17~ Block 4~ Northwoods Subdivision Location (address or directions) McMan~s April 7~ 1988 (b) Property Owner Mailing Address. Alaska Housinq Telephone: Home Business (c) Lending Institution Northland Mortgage Telephone Mailing Address ' (d) Real Estate Company and ,Agent JACK WHIT~ COMPANV/Lau. ri¢ Crowd~ Address ". I0928 Ea,~l~ Rivzr Roadr Ea,q£C Rz'.v~r, Alaska 99517 TelephohJ" ~ (e) Mail the HAA to the followina address: or: Check here F~, if hold for pick up. List contact person and day phone number below. _c; ,~ _e, FNC~TN~E~INP~/~q4-¢q79 ordered by Lauri~ Crowder TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms 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 ~] 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 I of 2 72-025 fRev 8/861 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 suppty and/or Wastewater disposat 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 suppty and/or wastewater disposal system is in compliance with all Municipai~ and state codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm $ & SENGINEERING 17034 :Eagle Ri~er Loop Road No. 204 Address - , ., ___ ~,..~.. a.='~-~ Date Telephone DHHS APPROVAL Approved for ?~'~/~:~/_~ bedrooms by Approved ~ Disapproved Terms of Conditional Approval Conditional 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 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers 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 72-025 trey 8/861 Back WELL DATA Well Classification MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) ~UNIcIPA[iTy OF ANCHo~;..AI.~CKLIST - FEBRUARY 1984 ENVIRONMENTAL SERVICES DIVISION 264-4744 '"'~ 1 ~ 1988 RECEIVED Legal Description: If A, B, C, D.E.C. Approved~/N) y Well Log Present (Y/N) Total Depth Cased to / Static Water Level Ground ~'~ /A Casing Height Above Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Sepbc/ ...... n9 Tank on Lot ,~::~ I..p, · ' ..... ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ~ 14d ; On Adjoining Lots To Nearest Public Sewer Line Cleanout/Man hole Water Sample Collected by Water Sample Test Results Comments Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Nearest Public Sewer To Nearest Sewer Service Line on Lot Date B. SEPTIC/H~L-DING TANK DATA Date Installed Standpipes (~N) y Air-tight Caps (~/N) Depression over Tank (Y/l~ f~ Pumping/Maintenance Contract on File (Y/N) i,.~ ,]' /,~- Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/~ Tank: Size \~ No. of Compartments y Foundation Cleanout (Y,~ /t Date Last Pumped ~ ~'~ I~ ;for Temporary Holding Tank Permit (Y/N) To Water-Supply Well To Property Line T'0 ,Wat~ Main/SerVice Line ' CoUrse *:' To Building Foundation To Disposal Field \"'~ To Stream, pond, Lake, Or Major Drainage Page 1'of 2' , 72-026 fRev 8/86) Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~,O ~ ,c~ Width of Field ~ Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well .---/...~:~ l..g. To Building Foundation r-5 [/~, Lot Length of Field Depth of Field Gravel Bed Thickness ""~ '~'-~L"P "C'~ Standpipes Present ~/N) Date of Last Adequacy Test 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 To Property Line To Existing or Abandoned System on ; On Adjoining Lots '";~c:~ l Jr' To Cutbank {if present) Comments D. LIFT STATION Size in Gallons-~., High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~~'~Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all M O,~-and HA~, guidelines in effect on the date of this inspection, Sig ne~& $ ~i,16iNEF-R;~;,% Date ComiC4 ~le Ri,er L~ R~ No. 2~A No. E~le River, Alaska Receipt N©. ~ ~ C ~ Date of Payment ~ Amount: $ ~ ~ Page 2 of 2 72-026 IRev 8/861 Back DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE, ALASKA 99503 STEVE COWPER; GOVERNOR 563-6775 BATE: _~.p~il 14~ 1988 PWSID: 213001 To Whom It May Concern: According to the records on ?ile in this o??ice, the UTILITIES (Northwoods) Water System is in compliance State o¢ Alaska Orinking Water Regulations. CHUGIAK with the SWE:pkk Sincerely, District ~ineer 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, ~ection, township, range) Location (address or directions) Applicant Name I~lg~,~z~_l') J~'fl..a~t ~ ~elephone: Home Applicant Address "1 ~c~ Applicant is (check one): Lending Institution []; Owner/bu;,~der~Buyer []; Other [] (explain); Business (d) Lending Institution Address (e) Real Estate Company and Agent Telephone (f) Address T.elephone ~:::>~ ~ HAA to the following address: . . .8RB19~ · . 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. 4. SEWAGE DISPOSAL Onsite/[~ Public [] Community [] Holding Tank [] Note: if corn munity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 {11/84) Page 1 of 2 (~r ~ ~ 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 Telephone Date ?.H: R_~gj~.. 29.'/~ - ......... / -r/'-' Approved f o'~'-/~~'~ b Date Approved ~ Conditional Terms of Conditional ApprovaD~d ~ 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 WELL DATA Well Classification Well Log-Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring m Conduit (Y/N) Separation Distances from Well: To Septic/'. ',c.'.d~,ng Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Tesjt Results Comment~ ~! L-~ P--"T"~IJ NcO c~.~-¢~ ~ MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION 3 0 IfA. B, C, D.E.C. Approved~) Date Com pletea Yield Cased to / Depth of Grouting ~_ ~-/.~ Pump Set At ! .' Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) 'Z~O ~-J~ ; On Adjoining Lots ~----=,-z~ ("t~ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot : Date B. SEPTIC/H~;~-Bfl~TANK DATA Date Installed [~ -~ J Size ~ ~ No. o[ Compartments Standp~pes~N) Air-tight Cap.s~.~N) Fou ndation Cleanobt (Y,{~, Depression over Tank (Y~ Date Las~t Pumpe__d ~'-Z..~' v ~" Pumping/Maintenance ContraCt on File [Y/N) ~-~//q. ; for Holding Tank High-Water Alarm (Y/N) /'~/,A Temporary Holding Tank Permit (Y/N) Separation Distances from Septi~Tank: ~:~ ~---~ c_ To Building Foundation To Water-Supply Well ;~ ~ ~ To Property Line [ O ''~- J'-~ To Disposal Field To Water .Mam./Service Line J Co u rse '~/~ To Stream Pond, Lake. or Major Drainage Comments Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed, 1, ~--~ - ~ I Width of Field ,"'¢-2(.¢ ~ '" Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Welt To Building Foundation Lot To Water Maln/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 ~..~.~ ,¢5 Standpipes Present ~N) Date of Last Adequacy Test ¢oi~L,~O Co'Property Line To Existing or Abandoned Syst.em on ; On Adjoining Lots "~ ~ ~+ To Cutbank (if present) ¢J/'¢~ 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, or conformed to all ~OA apd HAA guidelines in effect on the date of this inspection. Sign~,9,, ~ ~.i'i~i~iE~."i~{~ Date ,~/:2.,,,~/~'/'~/t Amount: $ ~ Page 2 of 2 72-026 (11/84) DEPT. OFENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL .~HEFFIELD, GOVERNOR Telephone: (907) Address: 274-2533 To Whom it May Concern: According to records on file ~n this o f fi ce thetv/~~q-.~---- Water Regulations ._.Sincerely, .,~ Time ~, : Time ime Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No, Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank Property Owner &~'~'/~:~ 'cJ~,~'~7,,~4-'-'~',, J~'" ' ' ': Phone Mailing Address'"5-'~'~ ;~'~ '~9~',~5'~ ,'~C','~'~~, ~:~/d'. 5~;'~3 Buyer ~sC~'Z;) ~" ~$~,~ Address ~"'~'/~'~'~ ~ ~/~" Lending Instit'ution /""~-~,~"~ ~.~5~ ,~0~',~.~.'* Phone Address /P~a~'~,,~' ~/6-.~ /2/. J,,/p, / /,~,~,,.~,~ ~ ~ ,~,/~ RealtyCo. &Agent~,/,4~,,~)~ ~,,~-~'4,~'~,cc5~ /,~ , ~/~ ~,~,,~_(. ~'~ Phone Legal Description ~t~'~ ~ 75(-~',~ ~/ ~ Street Location A),~//~ ~ ~,~.5 Tyl:~p~o f Residence ~Z] Single Family [] Multiple Family No. of Bedrooms [] Other Water Supply [] Individual ATTACH WELL LOG. A well log is required for all wells drilled since June ~ Community 1975~ For wells drilled prior to that date~,~give well depth (attach log if Public Utility available.) Sew~g e Disposal E] Individual Year Individual Installed: [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. I ALASKA eFIUIROFlmeFITAL COFITROL $1ZRUICI~$, IFIC. (~nqin¢¢rinq 8 ~nuironmenlal StudJes May 24, 1982 Les Bucholz Municipality of Anchorage 825 L Street Anchorage, Alaska 99501 Dear Les: The broken pipes on Lot 15 and 17, Block 4 Northwoods Subdivision has been repaired, and now meet Municipal codes. If you have any questions please let me know. Sincerely, President 0 1220 U Jest 25th Auenue ,~ Anchoraqe, Alaska 99503 · {907) 276-1361 / LASKn I3UI O[lm I TAL COllTROL'.., RUIC $, IFIC. ~nqin~¢rinq $ ~nwron~nlol $1udics April 6, 1982 Bethard Construction SRA Box 1698K Anchorage, Ak. 99507 Dear M~r. Bethard: On April 5, 1981, I checked to see if water was standing in the three homes in Block 4. Below are my cc]~nents: Lot 14- Sump pipe is dry. All standpipes are in place. Lot 15- Sump pipe. dry but standpipe broken off. Lot 17- Sump pipe dry but standpipe broken off. I also checked th~.water level in the sump pipes on Lots 34 Block 3 and Lot l~B~ock 1. The water depth on Lot 34 was 34 inches down frc~ 41 inches on January 28, 1982. On Lot 16 the water level was 12 inches down from1 25 inches on January 28, 1982. It appears that the water traveling through the ground is dropping drastically. If there is no.increase during break up then it appears that the systems may be good. , If you have any questions please let me know. Leroy ~. Reid Jr., PhD, PE President