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Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 5H LT 13ARabbit Creek V iew &Heights Block 5H Lot 13A #020-551-48 QGRE, ANCHORAGE AREA BOF Department of Environmental (~uality 3330 C Street Anchorage, Alaska 99503 'IGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING ADDRESS ~9~/~- LEGAL DESCR,PTION ~/'/ /~'~ SEPTIC TANK: DISTANCE FROM WELL /¢ /f NUMBER OF MANUFACTURER c'~ 'g~CPZ'-"/L/ MATERIAL ,~/~:/- COMPARTMENTS / INSIDE LENGTH INSIDE WIDTH ~ LIQUID DEPTH I_IQUID CAPACITY Cg;~f~ GALLONS. SEEPAGE PIT: NUMBER OF PITS __ DIAMETER OR WIDTH LENGTH___, DEPTH ~ / TOTAL EFFECTIVE %~- BUILDING FOUN~.~.~ION , NEAREST LOT LINE ./. ABSORPTION AREA (WALL AREA) %~ SQ. FT, ADDITIONAL A BSO R PT I'"ON ~ WELL.: ~,,~×,~/~ ~//~/ ..,~.~/..r '/..//-//~ CONSTRUCTION DEPTH /~ / TYPE / , - DISTANCE FROM: BUILDING I/ NEAREST /g) h/ NEAREST hr ~E"P:Fff6 .~;~ ~ SEEPAGE FOUNDATION /~ LOT LINE SEWER LINE /5 TANK SYSTEM CESSPOOL ., OTHER SOURCES APPROVED __ DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SI_OPE: REMARKS: Form No, EQ.O31 DIAGRAM OF SYSTEM G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DI-"PARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456 ! SEWAGE DISPOSAL SYSTEM --- APPLICATION AND PERMit PERMIT NO, [NSTALLATION LOCATION NOTE: THIS PERMIT IS ~OT VAL|I~ WITHOUT SOIL TE:~ I~INIMUf~i DISTANt;ES, REi~UIREMENT$ TO NEAREST LOT LINE. WELl. TO ~ TANK /¢~ SEEPAGE Pit ~ CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIBCROSSING GAP OF EXCAVATION 5 FEET Ir,FrO UNDISTURBED SOIL,, 4 INCH DIAMETER CAST IROf'l SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIR'FIGHT REMOVABLE CAPS· GRAVEL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. [ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHO.~L~A~E AREA ~OI~OUGH ORDINANCE: NO. 28-68 AND THAT THE ABOVE R&M Civil Engineers EN ..,NEERING & GEOLOGI__AL CONSULTANTS 22g EAST 51st. AVE. - P.O. BOX 6087- ANCHORAGE, ALASKA 99503 TELEPHONE 907--279--0483 TELEX 090--354-19 GeoJo#ists Land Surveyors JAM~:3'% ROONEY, P. E. MALCOLM A. MENZIES, P.E., L.S. JAMES H. WELLMAN, P.E. June 21, 1974 RALPH R. MIGLIACCIO Engineering G eo]ogist. Mr. Roger Purcell A.I.M. Inc. 2605 Arctic Blvd. Anchorage, Alaska Re: Test Hole and Soil Log Report for Sanitary System Lot 13 Block 5 Rabbit Creek Heights Subdivision Dear Mr. Purcell: We are submitting herewith the test boring results and out comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request o~ June 20, 1974, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lo~ 13 area for the purpose of defining general subsurface soil conditions for the proposed_~aa~i~,ry system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 13.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test holeo We appreciate being given this opportnnity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. -Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS, iNC. /J~ames W. Rooney ~ TH- 1 6-~0-74 0.0' ORGANIC MATERIAL (PEAT) 1.5I CLAYEY SILT W/SOME SAND & GRAVEL GRAY (ML-CH) 6.0~ CLAYEY SILT W/SOME SAND & GRAVEL BROWN (ML-EH) 1,3, O' T.D. NO WATER TABLE NOTE: Test hole excavated with tractor mounted backhoe. R Engineering & Geological Consultants Inc. ANCHORAGE FAIRBANKS ALASKA JUNEAU A.I.M. INC. PROPERTY LOG OF TEST HOLE ANCHORAGE,ALASKA e~zsl-20-7~ Isc~ 1"-2.0' l~w~ "¥WED JcuxD.Y WED I""ou-"o-~620~ J~w~ .o, A-01 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL I~ALTH DEPARTMENT OF H]~ALTH ~D ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1o General Information Application Date ~~~'' (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicants . __~.2_.~.~//'//~ ,~. Telephone Home Name ~ M ~ ~ - Business Applicants Address /~ ~g ~ /u~~ g~z/~ ~._ ('check (C) Applicant is Lending Institution ~] ; ; Own e r/4~a~i-l-~e~ ~ Buyer E~; Other I~ ~(pxplain); - Tete~__~ (e) Address ~al Estate.. Co. & Agent Address ~,~.,:~ Telephone gT~ (f) Mail the HAA to the following address: ~of Residence Single-Family F~ Number of Bedrooms Muiti-Family ~_~ Other (describe) Note: If community well system, must have written confi~ation from the State Department of Environmental Conservation attesting to the legality and status. Sewage Disposal Onsite ~ Public ~ Community L'~-~ Holding Tank .[~..] Note: If community well system, must have written confirmation fro~ the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5o Engineering Firm Providing.Inspections, Tests~ File Search, Data and Information e 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 ~n-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 aJ.! Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. (ENGINEER SEAL) Approved ~ Disapproved Co ndi t {~~~' Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF H~ALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSLTES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON T}~ REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN TI~ STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO P~CHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL ~ND STATE REQUIRE- MENTS. EMPLOYEES OF DItEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE I$ ISSUED. THE MUNICIPALITY OF ~NCHORAGE IS NOT ~ZSPONSIBLE FOR ERRORS OR OMISSIONS IN ~l]tE PROFESSIONAL ENGINEER'S WORK. RR4/eJ/D18 [Page 2 of 2] (DHEP SEAL) 7 -19'- 84 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicants Nam~..~_~/~ . ~ Telephone- Home Business Applicants Address /~. %g ~ ~/~ ~z/~ ~>g... ~ (c) Applicant is (check one) Lending Institution ~ ; O~er/~~ ; (d) Lending Institution__~ Telephone Address -- (e) ILeal Estate. Coo & Agent Telephone (f) Mail the HAA to the following address: 2. ~pe of Residence Single-Family~ Number of Bedrooms 3. Water Su_p_p_lZ Muiti-Family ~__~ Other (describe) Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4..Sewage Dis o~1_ Onsite ~---~ Public I~[ 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 Provid__i_ng 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 bn-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 ~th all ~nicipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. DHEP A~j~roval Approved for ~ Approved ~ (ENGINEER SEAL) ff.c~/°49T__M~ .~2~}~S:(. ~/7~--r ~ Co~ Disapproved ____ Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES R~kLTH 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. TIiE DHEP DOES THIS A8 A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF D~IEP DO NOT CONDUCT INSPECTIONS OR ANALYZE ~ATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE I$ 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 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AtYZMORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description Well Classification Well Log P~esent {.Y/N) MUNICIPALITy OF ANCHORAQE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED If A, B, o= C, D.E.C. ~p~o~d(Y/N) Date ~leted / y ~ ~~ie ld ~,/3~~ Total Dept~._~ z Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances fFom Well: To Septic/Holding Tank on Lot__~/~' To Nearest Edge of Absorption Field on Lot_ To Nearest Public Sewer Line Cle ancut/Manhole~ WateF Sample Collected By Wate~ Sample Test Results Cc~¥ents Pump Set At Depth of G~outing O Sanitary Seal on Casing (Y/N) ~ Depression A~ound Wellhead _(Y/N) ,4/ ; On Adjoining Lots /~,//~ ; On Adjoining Lots To ~est ~blic To ~est ~ ~rvi~ Li~ on ~t Be SEPTI N DATA Date Installed. ~./~X~ Size ~>z-~q~/ No. of Comp. a~tn~nts / Standpipes (Y/N) T Air-tight Caps (Y/N) ~/ Foundation Cleanout (Y/N) Depression ove~ Tank (Y/N) .z~/ _ Date Last Pumped ¢/~ Pumping/Maintenance Contract on File (Y/N) ~ ; for . Holding Tank High-Wate~ Alarmt (Y/N) Temporary Holding Tank Permit (Y/N) Sepazation Distances f~om Septic/Holding Tank: - To Water-Supply We 11 //F3 ' To P~operty Line 30' To ~ter Main/Service Line Course A//~ To Building Foundation To Disposal ~ield To Stream, Pond, Lake, c~ Major Drainage A//~ [Page 1 of 2] 2-15-84 02/25/2008 13:39 9073453287 K4 DRILLING PAGE 01/01 Legal Description) r.GGr�' Grace yds 3R Development Services Department Owner Na e & Addre"*. Ms�f4,lti .lh-�,dk �lsli Building Safety bivision • '''� on -Site Water & Wastewater Program feet 4700 Elmore Rood P.O. Box 196650 Mark eogich Anchorage. AK 99507 Mayor v_yw muti.ero/ons to Mn 341-7904 Pump Installation Log Well Drilling Permit Number. SW_ Date of Issue: Parcel Identification Number— Method of Disinfection: Legal Description) r.GGr�' Grace yds 3R Owner Na e & Addre"*. Ms�f4,lti .lh-�,dk �lsli Pump Installation Date: a _a r.Oy Pomp Intake Depth Below Top of Wcll Casing: q7, feet rump bhoufacturer's Name: Ae-T&M- Tor Pnmphlodel: TI ra 8co 2,u Pump Size %A by Pitless Adapter Burial Depth: 10 fcet PitlessAdapterManafaetorer'aName: r Pitless Adapter Installer: Well Disinfected Upon Completion! EKes ❑ No Method of Disinfection: Comments: YN-'• Pump IastallerName: [.,le, LJvA6, alt -w U rdh�y Attention: The pump kutaller shall provide a ramp instalMon log to the DSP within 30 days of pump Sastalletion.