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Home My WebLink AboutNORTH WOODS PHASE 2 BLK 2 LT 1P h sc, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVI RONME N'I'A L/EI~IGI N E E RI NG DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING A D D R E45'~ LEGAL DESCRIPTION LOCATION DISTANCETO: V~ Absorption area q. c IF HOMEMADE: Inside length Dwelling c~O ( Mat ~fl~.~_~..~ IWidth . [] UPGRADE NO. (~B E DR OOMS .C~O m p-~ r ~'me n ts Liquid depth Well Dwelling PERMIT NO. DISTANCE TO: Manufacturer Liquid capacity in gallons inches DISTANCE TO: Well Foundation Length of each line Total length of lines No. of lines inches Material beneath tile Top of tile to finish grade Material Nearest lot line Trench wdth DISTANCE TO: Class PERMIT NO, Distance between lines Total effective absorption area y Depth , P ERM, 3 Type or__crib Crib diameter~ Crib depth~ ,., Total effective absorption area dation Nearest lot/line /~ / er Distance to lot line PERMIT NO. Sewer line Septic tank Absorpt on area(s) DISTANCE TO: Building foundation OTHER PIPE MATERIALS %0 SOl L TEST R~.~TI INSTALLER REMARKS 72-013 (~..,¢v. 3/78) LEGAL PERMIT NO. APPLICANT LOCATION LEGAL DEF'RRTMENT ( )HERLTH RND.ENV I RONMENTRL 3TEC:T I ON ' ] :~25 "L' STREET. RNL. H~RRGE. RE. 9:~5~t ~,~ G~ STEMEN L. SKAGGS P.O. BO>4D. CHUGIRK 688-283% LOT i BLK 2 NORTHWOOD &l LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MRXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR)= 250 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [:.EF'TH= 5 L EI"-I,3TH = ~_26 tSRR%-'EI_ [:.EPTFt= 2 ]'HE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THE TF:EF4E:H L4IL],TH IS 5_ E~EI~} FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F.:EL---!Li IRE[:. '_=-EF"T 1" L--: TRi'--iI< S_. I ZE= :.-L E-~ F'~ E'~ GRLLC, I'-ILS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TL4,D (2) 1" F4SF'E,ST1"6I~4S RE:E E:E6~LI1"REE:. BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. i'tlNIMUM DISTRNCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR A PRIVRTE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ERi'"I I T' E::-::P I RES [)EC:EFIBER -::":1.. I CERTIFY THRT t: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH 8Y THE MUNICIPALITY OF ANCHORAGE. 2: I WILL. INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. Z.':: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF THE RESI[:'ENCE I~.:EMODELED~ TO INE:LLtDE MORE THAN ~: BEDROOMS. _~~~~ RF'F'LICRN~ STEk~EN L. SEA365. / t · -. ~ ~ , ,-,- ,~ ~ _ ~ . . . ~ · ~j * · POUCH 6-650 ANCHORAGE?, /\I_ASKA (907) 264-..411 I /, i'ARTMFNi OI IiFq! ; ' i,) tLNVIRONIV1ENT"AI_PI~OfECTIOI~,i <Permit ~: 821054 January 31, 1983 TO: Permit Applicant Subject: Lot 1 Block 2 North Woods Subdivision Phase II A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well~ a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel% Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 PERMIT NO. < o~±~~4~4 > APPL I CeNT LOCAT I ON LEGAL ~ il: I:~L I T'¢ I--IF ~I"I~SH~GE DEPARTMENT ~. HEALTH fiND ~VIRONMENTeL ,<OTECTION 825 "L~ STREET., 8NI_.HORHGE., AK. '~'~5~1 264-472~ SEWER PEE~FI I T ,- ¢ =,TE%EN L SKAGSS CONST LiB2 NORTHWOODS I I PO BOX D CHUGIAK 99567 bc, o ~,..~l LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION-.":","r, TFi'4 ...... I~. DRAINFIELD MAXIMUM NLIMBER OF BEDROOMS =_,? SOIL RATING <SQ FT?BR)= 258 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E:.EPT-" I-- 5 LEI"IllTH= "126 ISRR"..."EL DEPTH= 2 THE LENGTH DIMENSION IS THE LENGTH (IN FEET..':' OF THE TRENCH OR DRRINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>. THE TRE1'-.IB_-:H WIDTH IS 5. eee FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET>. REC41_I I I~."E[:,, SEPT I C: TR1'4b:.' S T ZE= ieee GRLLCIt4S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TWID ( 2 ) I I'-,ISPEC:T I 01'45 ARE REI=-~. L! I RE[-'", BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEF'RRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR A PRIVATE WELL OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEF-:I'I I T E:>::p I RES [:,EF:EI'.IBEF~: ~t., .-~_- -- ~' I CERTIFY THAT t: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. Russell Oyster 694-2774 O & E ENG.,~IEERING & DEVELO~ ,VIENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Performed for: Name: Mailing Address: Legal Description: L.o 7' // SOIL LOG Earl Ellis 688-2280 Tel. N0. Depth (feet) 0 Soil Characteristics 6__ 7__ 8__ 9__ 10__ 11__ PLOT PLAN 12__ 13__ 14__ 15__ 16__ Ground Water Encountered: Yes JNo Proposed Installation: Seep~e Pit .Drain Field Comments: Performed by: PERC, TEST If yes, what depth Date: ~',//~ ~'/ ' ~ MUNICIPALITY OF ANCHORAGE ' ' / DEPARTME.T Or HEALTH A.O E.WRONME"TAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL j~ ~)~_ ~1~)-'~ ,~' OF ON-SITE SEWER AND WATER FACILITY 264-4720 February 25, 1988 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) LOT 1. BLOCK 2. NORTHWOODS< ~2i~SEC- 4, T15N, R1W Location (address or directions) NE Corner of Northwoods Dr. & Whisperinq Birch Dr. (b) Applicant Name Anne Davenport Telephone: Home n/a (c) Peters Creek Business .274-5150 Applicant Address Northland Mortgaqe Company 2605 DeDa] i Ste. 100 Anchoraqe 99503 Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); (d) Lending Institution applicant Address Telephone (e) Real Estate Company and Agent ~./~ of Eaqle River Attn: Address 166~ ~nf~r~i~ld Dr. Ea~l~ R~ver~ AK 99577 694-4200 Telephone Lee Walker (f) Mail the HAA to the following address: Pick up by engineer 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: tf community 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 '5. ENGINEERING FIRM PROVIDIN ~SPECTIONS, TESTS, FILE SEARCH, D&'~ 1AND 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 EAGLE RIVER E~GINEERING SVCS. Telephone 694-5195 Addres~.O. BOX 773294 EAGLE RIVER, AK 99577 Date ~-/..9-~;-/oC'~,c' DHEP APPROVAL Approved for ~".,?/.',F~'(?~/;bedrooms by Approved ~ ~ Disapproved Terms of Conditional Approval Conditional Date 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 72-025 (11/84) k~UN$CIPAUTY OF ANCHc~I~IIClPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL SERVICES Di~,~ AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 1988 RECEIVED WELL DATA WeB Classification 264-4720 Legal Description: If A, B, C. D.E.C. Approved (Y/N) Y Well Log Present (Y/N) Total Depth Cased to _ 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 Absorpbon Field on Lot 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) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) /I/ Air-tight Caps (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 Water-Supply Well ~,:=,z~ "' To Property Line -~ '--.~' / To Water Main/Service Line Size /'/_~c;,~/ No. of Compartments '~ · '~ Foundation Cleanout (Y/N) Y Date Last Pumped .,4~_~,~ /~,~',,~ ~.~..~,_ ~ for ~/,/~ Temporary Holding Tank Permit (Y/N) ~ To Building Foundation "~' / To Disposal Field /.5- / To Stream, Pond, Lake, or Major Drainage Course ~-/~" Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils' Rating in Absorption Strata Date Installed f.¢~.3 Width of Field ,,,2. ~' / Square Feet of Absorption Area Depression over Field (Y/N) /V' 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 Type of System Design Length of Field '-~--~ / Depth of Field ~ t 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) 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 Page 2 of 2 72-026 (11/84) ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ,~-~~ ..... Date ..-~/,,2 Company ,~'J~ MOA No. Receipt No. ~ ~ 3 ~ Date of Payment c:~/c:~ ~, /0c ~ oC,,) Amount: $ /~ <~ Eagle River Engineering Services P. 0. Box 773294 Eagle River, AK 99577 694-5195 ANCHORAGE/WESTERN DISTRICT OFFICE 3601 "C" STREET. SUITE 1334 ANCHORAGE. ALASKA 99503 563-6775 DATE: PWSID #: To Whom It MaY Concern: According to the records on ?ile in this o??ice, the ~_~ O~ /XJ~?~~ Water System is in compliance uith the State o¢ Alaska Drinking Water Regulations. Sincerely, Ronald S. Klein Environmental Field O??icer ~_~ .. APPLI~'~NT FILLS OUT UPPER HA~' ONLY Property Owner. ~)~.OC~(, (~K) '~(.A, /~J{~/'"~' '~ Phone Mailing Address ~,~, Buyer Address Zip Code Phone Lending Institution Address Zip Code Phone Realty Co, & Agent Address Zip Code Legal Description ~. r~ -/ Street Locat,o. ~ee~'~.~ Type of Residence .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 1975. For wells drilled prior to that date, give well depth (attach log if available). Community Public Utility Sewer Disposal / (~ .~ ~.~ [. 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. Time Time Time Time ~ Date Date Date Date /// / ~-~/ Inspector Inspector Inspector Inspector .... ~' *CONDITI' ~'" ~Ns IF A~mental Frotectlo," ( ) CONDITIONAL APPROVAL* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~k Size 72,023 (3t82)