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Home My WebLink AboutNORTH WOODS PHASE 2 BLK 2 LT 8 North Woods Ph 2 Block 2 Lot 8 #051-811-05 Oct 2022, homeowner reports that a plastic septic tank was installed about 10 years ago without the benefit of a permit. This will need to be documented and confirmed that it met all wastewater codes in affect at that time. '/-~ MUNICIPALITY OFANCHORAGE ~,~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING ADDRESS LEGAL DESCRIPTION LOCATION DISTANCE TO: Manufacturer Liq. ca :ity in DISTANCE TO: Manufacturer DISTANCE TO: IWel~ Absor ptio~,~ret IF HOMEMADE: Well Inside length Dwelling Foundation Well Length of each NO. OF~J~DROOMS No, of compartments Liquid capacity in gallons No. of lines line Total length of lines Top of tile to finish grade Material beneath tile Total effective absorption area Width.~ f Crib diameter Depth Building foundation Type of cri~,.~,_ Depth /IL-- 3 Crib depth Building f~ou nd.ati on Driller Sewer line Dwellin~ / I Mater.~7',~ IWidth~ · Liquid depth PERMIT NO. Material Nearest lot line PERMIT NO· Trench w dthinches Distance between lines inches PERMIT NO. -- Total effectiveabsor~tion area /! ~..~__~::~ Nearest lot Fine Distance to lot line PERMIT NO. Septic tank Absorption area(s) DISTANCE TO: ;lass DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATIN~C~ AP~ 72-013 (Rev. 3/78) DATE LEGAL PERMi T NO C~!h-Jt---.E:: :E "T' EEE L E; ¢3 !::! L PFIT ,.tIL, I.... i ~, LSE:2 NORTHHCIO[:E~ PFtFISEI I [.. E.~ , 'E .... LJ',i,--'"'~. HEF!L TH 'R ',.[: ENV t RONHE:N]"FIL ----,:q:;h] TE] T I i;.~lt'.~ 82.5 ~:.";TREET, FIHCHORF!GE.. ::IK. t!::...¢Et:1. 2E;4-4720 LOT :.:i; Z ZE Ir'l ..... U!! NLHBE'R L]F:' EE'F,F;'"'"'H':::; = '>'.:'9999E~ ':: '9. FiRE THE REC.!U I F~:ED THE L. ENGTH DIMEN2:;iON IS "FHF L. ENGTH <IN FEET::, OF THE: TRENCH OR DRF:I. INFIEL.[:,. THE DEPTH OF: tR TF::EtqE:H (:iF: Pi'T l'E; THE: [:-'i':-.--,TF'~NCE E~E'I"HEEN THE' '::iL.tRFF~C:.F:': [:.'.'if:' THE: GROUNE) FIN[:) 'THE E~Cr!'TEd"I OF' THE [CXCFP.,'Fi]"ION (]:F,! FE'E'T) 't"HE GRIg,/EL DEPTH IE; THE MihilHLIM DEPTH ElF: GF.:Ft'EEL. BETHEEI'4 THE: OLFFF:'FILL PiPE F:!.fq[) ]"HE BOTTOH OF' !-.HE E;qE.'RVRTION (IN FEET). F'EF;'*,'~_ ,,, ..T T. FJPF'L. t CF:ff.,IT FiRS THE ,.._.:,,-~'F'-'~:"r]~_ ,,::, ~': .,'r o~, ......... ~'I "T'.,.' TO I NF'CiRM TH I 5 [:'EF'FIR'T'MEN]" [:,UR I NG THE ]'" fit'-lb' I.,EL..:, fR[)J'F!C:Eh,F[ Tc THIE; Pra-F'[::'RT'.,.' ¢:q[', THE IN:STFE_L. RTI-H Ir.I'::PE"TI-1'.4F .~- '- '- . _ NL!ME~ER (}F RES :[ E:,ENCE:E; 'THFFF THE HELL HILL MINIMUH DI:E;'TRNCE BETHEEN l":t 1.4ELL. Rh![.':, RN'¢ ON-SITr.:.{ SE,b.tFK3E [:,ISPO'.~;F~L E;"r'E.r,"FEM IS ±EIE~ F'EE:T FOR FI PRI',/RTE HELL r.]F.,. :t.5,9 TO 21;~i..'.{! FEET FROI,! FI PUBLIC F.IEL. L DEPENE.',ING L.tF'Oi'-,I THE T"r'PE (iF PLIB!...IC: HELL. MINIMUM DISSTRNCE FROM Fl PI:;;'.iVRTE HELL TO R PR!VRTE :SE.:.'HER LINE liE; ;;~:5 F:EE'I" F:IND TO F! (]OMHUNi'TY :.:.';EHER LINE IE; 'FEi FEET. cr!"HEF':.: REQUIREMENTS MFi¥ F!PPL¥. :E;PEC]IFICF1TtON$ RND C:OI'-,t2;TRUCTZON [:,IFtGF.:taMS FIRE 19,,,'F:IIL..RE&.E TO INSURE PROPER .I'N:EiTRLLFFTZON. ..... E: .:.:. E] C: E:£ E-l! E~, E: F~: Z2~: :::.1[ i CERTIF'T' THRT i: ! FtH F'FtMtLIFIR HI'TH 'THE REQUIREMENT'.E; FOR ON'-:;E;tTE E;[.EHERE: FLND HELL:B R:!::; SET FORTH D"/ THE HUNICZPRLIT'¢ OF' RNE:HCLRF!GE. 2: I ,WILL. INSTRLt.... TH.E ?.,h.%E;TEM If',! RCCORDRNC':E 1.4ITH THE CODEE;. _ . I ~ Rusl~llOyster I 694-'~774 Earl Ellis- 688;2280 6 12 16 Date:~ i'~ Corr~l~ents: ', }~,: Pe~ormed by: . ~ · Parcel P.D. # MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING HAA # ~ ~,°~c~ ((~'b~C~LD 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lOt, block, subdivision, section, township, range) Lot 8; Block 2; North Woods Subdivision ~2; Location (address or directions) Shadowy .'S/2~tUc~.D,~L~ve; Peters Creek, Alaska (b) Property owner ALASKA HouS'ING FINANCE CO.Telephone :.(home) .... ' #108057 .......... ' .: ' Mailing Address 520 E¢.~ 34~fi z,,~,,,~; Anchora.qe, AK. 99503 Business 561-1900 (c) Lending Institution : Telephone Mailing Address. (d) Real Estate Company and Agent 2ACE r.¢H!TE CO,U. PA.~!Y ATT.~!: Lo*.i rj~ K¢.t~v~ Eagle Riv~, Ak. 995~7 Address 10928 E~l~ Riv~ Ru~d Telephone 694-4200 (e) Mail the HAA to the following address: (or check her~, if hold for pick up.) ' List contact person and day phone number below: 5 & $ ENGINEERING 17034 Ea_ole River Loo_~ Road No, 204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Number of bedrooms Single-Family ~ 3. WATER SUPPLY Individual Well [] CommunityK]( Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site [~X 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. 72-025 (Rev. 7/88) Page 1 of 2 MUNICIPALITY OF ANCHORAGE ~ Department of Health & Human Services ! DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY( APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING HAA # ON (Must be completed prior to submittal) 10t, block, subdivision, section, Woods Subdivision #2; Parcel I.D. 1. GENERAL (a) Legal Description Lot 8; Block 2; No range) Location ( Shadowy 'SprUce D.~ve', (b) Property owner ALASKA Mailing Address (c) Lending Institution Mailing Address ons) (d) Real Estate Company and Agent Address Telephone 694-4200 (e) Mail the HAA to the following ad List contact person and day ph Creek, Alaska FINANCE ~hone: (home) Anchoraqe, AK. 99505 V~~K Telephone ('JH!TE CO~PANY ATT~!: Lo~i r,~ K~t~L Business 561-1900 Eagle River, Ak. 99577 heck herek4~, if hold for pick up.) ~eJow: S & S ENGINEERII Eagle 2. TYPE OF RESIDENCE Single-Family ~ 3. WATER SUPPLY Individual Well [] Note: If communi 4. SEWAGE DIS~/OSAL er of bedrooms fix Public [] system, must have written cc I to th legality and status. On-site ~X Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 from the State Department of Environmental State Department of Environmental 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 all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date 17034 Eagle River Loop Road No. 204 _ ,_ as ....Alaska 9957'/ Telephone App?oved for.~ ~ bedrooms by _ _ Date ~pr~od Di~approvod Conditional Ter~~ of Co'clitoral Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 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. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELL DATA PA' '~'f~"~'~"~""CHO~V~'~ ICI PALITY Of ANCHORAGE (MOA) ENViP. ONMI:~""m~m~-:I~'i'~[I~"""¥'ESv'"~' DIV S (~l~alth Authority' Approval (HAA) '~ CHECKLIST - FEBRUARY 1984 OCT 1 7 1989 RECEIVED 343-4744 Legal Des~iption: ~ ~ '~[~_.~ "J--- A __ Date Completed Depth of Grouting Well Classification 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 If A, B, C, D.E,C. Approvedd~lN) ~ Yield Pure p Set At Sanitary Seal on Casing.(Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~k~,~. ~,'~. '~ On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING ~ANK DATA Date Installed <:21/~,~ Size Standpipes~N) y Depression over Tank (Y~) ~ ~ No. of Compartments Air-tight CaPsd~'/N) PumPing(Maintenance Contact on File (Y/N). / Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCEs FROM SEPTIC/HOLDING TANK: To Wqter,Supply:Well , · .,: To Building Foundation To Property Line "-' ; · " To Disposal Field To Water Main/Service Li~ To Stream. Pond, L~k.e ~r Major Drainage Course ~ (5;:a;::> IA" Comments .'~--~ ~~-'C~L.. ""~~r,~ , FOundation Cleanout4~q) y ~.,~/,~te Last Pumped ; for Temporary Holding Tank Permit (Y/N) 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design Square Feet of Absortion Area Depression over Field Results of Last Adequacy Test Length of Field Depth of Field Gravel Bed Thickness I ~----'l~'~ Statndpipes Present ~xl) Date of Last Adequacy Test To Building F:oundatiOr~ Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ ~.,~ To Property Line I '2_ _~ To Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) Comments "Pump On" Leve-"'~'~__ High Water Alarm Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in inspection. Signed Company Date MOA No. 5 & 5 1 ?c134 Ea~le River Loop Road No. 204 Eagle River, Alask~9957~ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 eff,~?~pt~ate of this al DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE WESTERN DISTRICT OFFICE / 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 October 16, 1989 STEVE COWPER, GOVERNOR 563-6775 Mr. Roger J. Shafer S & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, AK 99577 PWSID: #213001 According to the records on file in this office, the Chugiak Utilities/Northwoods Deer Horn Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, Vera E. Craig Environmental Field Officer VEC:bas ,, AP~I T FILLS OUT UPPER H ONLY Property Owner Address Zip Code Lend,ng,ns..ut,on''' Phone ...... ' "~' '~ ~ Phone Realty Co. & Agent ~'1~. N ~ ~ ~I ~/ L/I, 4 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. .Cmmunity For wells drilled prior to that date, give well depth (attach log if available). Public Utility Sewer Disposal ~.lndividual Year Individual Installed: [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REC~JEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ,., MUNICIPALITY OF ANCHORAGF ENVIk-, SE? ,~ 7 1982 RECEIVED ( '"'~,~PPROYED BEDROOM8 "CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE ~- ~ O ~ ~ -/ Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received "~_-~ ~..-,~ ¢' "~'~ .- ~" '"~' Welt to Tank Septic Tank Size / 72-023 (3182)