HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 5H LT 19AT'h:[s Io'!. i'...-:, subject to gr. ound ,ga. ter. ir~tr, us:i. on. SeF,~r'.atior~ fr. om
cir"our~(l ',V.~'~eP ~,.r~d the bottorfl o'~ th~ 8xis'l~:~i"~g system mue.'~ b~
ver. ified befor'.e fur. ther. developrr~en'E ,z~n pr. oceed. 30 day
I'[~OF~:~tOF':i. rt~l O'~: 'l:he gF'OUF~,J W~.teP MUS'~ ~)e F, er.f'or. Med '~.hPOUgh the
hiqh ~4~'~.t;.ep cyc] 8,, er~d:i.F~(~]t bet~Jeer~ October. aF~d Iklovember'.
The ex:i. st:~ng al::,sor, ption bed :is cur. r'.erl'l:'l,/ :i.n nor'~comF,'liF.~n,:::e ,¢~ith
~,HC 11.5,,65 and eh.joys no ua:i. ver. for. separ..at:i.c,r~
a,:J,ia, cer~t ~..o I"-,l:i,::l.::'lE)er~ S't. Also no ~,~a.:iver. has been :Ls.sue,:l .,Cop
s e ~::, -_"~ r" a. t i o r~ t: o a ,:: u r'..I.. ~ :i. n ,:l r. ,~:~ J. n :25' u p s ] o p e o
'J'J'ie 8;<:[~;'~:i, lh!::! t;Y~itSM '~'as ,'_-or~str. u,::'ted for. use I:,v the r'.es~den,:::e on
Lot ~!.~. Ph:)~.~ever.,, lot ~.~i has beer, 'l:aken over. b~, the 'len,:Jer. and
:is no ior, qer. he'ld ].n common ~.~ith L. ot '19. Lot 11.8 is eur. pen'l:.'l~z
~. e r. v e ,:1 b y a h o '1 d :i. n g '1:. a n t.::,
MUNICIPALITY OF ANCHORAGE
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
T PHONE
C l'/~lle.- J,./~,~ 13~f~" 241
[~N EW
NAME
[] UPGRADE
MAILING ADDRESS
S;~,~
LEGAL DESCRIPTION
LOCATION
DISTANCE TO: Well
~.P'Z9 ~ l Manufacturer
~ ~ [Liq, capacity in gallons
z.
Absorption area
Dwelling
NO, OF BEDROOMS ~
Width
No. of compartments
Material ~;-,~ I , ~
Inside length i Liquid depth
IF HOMEMADE: ~ ~
DISTANCE TO:
Manufacturer
No, of lines
~an~th
Tgpo of crib
DISTA~C[ TO:
[~ength of each line
Top of tile to finish grade
~_-- ,/ .,/ y
Width
Depth
Dwelling
PERMIT NO,
Material
Liquid capacity in gallons
Foundation 2~1~ Nearest lot line ~7~.~ PERMIT NO,
Total leng,t~ of lines
3,~~'~ ~
Material beneath tile
Trench width
'~ :'~ '~ inches
Depth
Distance between lines
Total effective absorption area
/~¢r¢- O ~'
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller
Distance to lot line
Building foundation Sewer line Septic tank
PERMIT NO.
OTHER
PIPE MATERIALS
SOIL TEST RATING
/ ,
NSTALLER
REMARKS
AFPROVED' ~ /'[ ~ ~i.~-~
DATE LEGAL
72-013 (Rev. 3/78)
P()b~l ! ~
AN(~HO :~AG E, AL.A,-31(A 99502-0650
(90)'i :!6,! 4111
Lot 19 Block 5 Rabbit Creek Ileigh~s
~830156
22, 1983
Kenneth C. Muller, Jr.
Star Route A Box 438-G
Anchorage, Alaska 99507
Subject: Rabbit Creek IIeighhs Subdivision
Rabbit Creek View Subdivision
Accordin5 to our records, your were recently issued a permit
for "o-~rsit{ sewage disposal" in either the Rabbit Creek View
or Rab}5~t Creek Heighhs Subdivision, and have not yet completed
cens truction ef the disposal system.
Due to discrepancies in the original survey, there may be
appreciable errors in; lo~ lines, lot corners, streets, right-
of-ways, etc., which would result in impreper placement of
the wastewater disposal system. We are not, at this time,
rescinding your permlt. Hewever, we de wish to cautien you to
he certain of your lot lines, cerners and configuratien befere
installing yeur wastewaker disposal system.
If such a system were installed and subsequent lot line change.~;
were necessary, it is then possib].e that the system would have
to be relocated.
In view of these existing problems, with the original survey,
this office has discontinued the issuance of on-site sewage
disposal, permits until tile problems have been addressed and
c.}:rec ted.
If there are any further questions, please call this offico at
264-4720 .
at hachmen h
E:,E: F'FI F::'T M E 1`.~T (
825 '" L..
B,JI E.{ E_ L F:, l]"-4
F:'IERMIT i'.,t0. ,:: 830JLSd; ::,
FIPF'L. I E:l::lN't' I':.:EI'..!t',IE-I"H E: MULLER
LOCFII" 101`4
LEGRL. LOT :I.L--.~ DLK 5 F?.RBE~:[T CREEK H'f'S
SRFI E:',:-:; 4]::.E:-G FINCH
L. OT SIZE 9D.L=.'SD:".:.~ ,S~]URRE FEET
T"r'PE I]F 'SOIl.. FtE:SORPTIOt",I S"r'S"i"EM IS;: [:'RFtlNI::'IELD
MR;:':;II"IUM IqLIt'"IBER OF' E:EE:'ROOMC.:, = 4
SOIl_. RR'TIi'..IG (SE:.! FT/"BR)= 295
"FHE REIZ, LtIRE[:, ~SIZE ElF THE SOIL RB:5ORF'TIO1`.~ SYSTEM I5:;:
E:, iE~.: F" ][" il--ii .... ~E; iL. IE i'~4 IC.~ qf'" Ik.-l] == :JL ,,~:; ~:..E; ,;3 IF;: IF::~ %,." E L. E:, E: F" -IF F-II == :2:::
I"HE LENGTH [:,II'"IE]qSII]H'.~ IS THE LENt]HFH (:I1`.,I FEET) OF' THE TREi'.,tI_-:H OR I.':,F-~:R:[t'.,IF'tE:L.E:,.
THE DEI::'TH OF FI TREI'.,tF.]:H OR F'IT IS THE DISTR1`.,ICE E:ETHEE1`.,I THE ~.'q_IF.'FFIE:E OF I"HE
GF::I3UND I::11`.,1[:, THE BO'FTOPt OF THE E::-::E:R',,,'FITION ,:: I I'.,l FEET).
qF' Il-ii IEC T' E;;: EE II"-.l] C: F.4t l]..-..l] :E E::, 'T 11.4 Z :D.: ~S .. ,.7_:, ~J, ,;-Z", F' E: E~_' 'T' ..
I"HE L~B.H,E:.L. DEP1-H I'.'5 THE MIiq]:MIJM E:,EPTH OF Ei'F.:R',,,'EL E:EI"HEE1`.,I I"I'4E CII_ITFRLL. F:'IF'E
FINE:, THE E',IEIT]"OM IZIF' 'H-iE E::.::CR',,,'F:ITIOI'4 ,::I1`.,I FEET.':,.
F'ERM I l" F:IPPL I CRN'T' HRS THE REL--.,P01`.,IS I E~ I L I T"r' "FO I i'-,IFORM l"H I L=; DEPFIRTME1`..IT DUR I i'.41] THE
INSTI::ILL. FIT IOI",I I i",I'.'.'5, PEE:I':[CH".IS OF FtN"r' HEL. LS RDJRCE1`'41" TO ]'HIS F:'R. OPERT'¢ FI1`',tD THE
1`'~IJME:ER OF' F-:E:E;IDE1`'tCEL--;., THRT THE HELL HILL SEF.:'v'E.
................. "-IF' li-,qt ":., ':: ;2 ::" I tis. Il Si; F' IE:J C: 'T X ".E, ~"".i 5:-; FIt Fi;: lEE
BRCI':::F:'iL.L.:[1`',IG OF RI",I'¢ :E;"r'STEM HITHOUT FIi",IRL. I1`',IL:;.,PEIE:TII]I1`',I FtlqD FIF'PRI]'v'RL B'T' THI.B
[:'EF'FIR'H"IEI",tT HILL DIE SUEL.IEC:T TO PRO::-;ECUTI01`',I.
MII",tlt'IIJM DIS. TFI1`',ICE 1'3ETHEEI",! R HELL RN[:' RN'T' ON-:SI"FE SEHRGE I.':,ISF'OSRL S'¢STEM IS
::LOEi FEET FOF:: FI F'F::IVRTE HELL OR :LSO l"O 2E~E~ FEET FROM Ft F'UBLIC HELL DEPE1`.,IDIhI(:~
L.II='Cd'.,t THE 'F'T'PE OF F:'UBLZC HELL.
MINIt'IIJM [:,i.E,TFthtCE I--'ROM FI PRI'v'RTE P.IELL ]'0 FI F'RI',,,'FITE :SEI.qER LINE IL--; 25 FEET FIND
TO FI COMMUNI"F'T' SEHER L. II'.,IE IS 75 FEEl".
HEL. L LOI.EiS FIRE F..:E6:!UIF::ED FIND MUST BE RETUR1`.,IED 1-O 'THE DEF'FIRTMEt'.,I'I" HII"HII'.,t ].::6:1 L':'FI'T'L'-';
OF THE HELl._ COMPLETIOI'.,I.
OTI4E:R REQUIREi'"IEI'.,ITS I"lR"r' FIF'F'L'¢. SF'EI]:IFIIZ:RTII]I",IS FIND CONS;I'RUCTIIEIN DIFIGRFIMS RRE
FI'v'F:IILRBLE TI3 INL:i;URE F:'ROPER ItqC;TFILLFITION.
F' E F.:: ["."l] ]E 'HT ~] ;~'=,~ F' :[ F--': EE: S [:' E C: E: ~'"l E: E ~-;-: 2~: :::~ .... ::L 9:5: L3:
I CERT I F"r' TI'iFil"
::L: I FIt"i FFIMII._IFIR FIITFI THE REE4UIRE]'"IENTS FOF:: ON-SITE ~SE!-qERS FINE:' HELLS FIS SET
FOI(:TH B"r' THE MUNIE:IPFILIT'¢ 17.IF' FINC:HORFIGE.
2: I 1.4ZLL. IN:F.';TFIL. L 'THE S'¢STEM ]:1''4 FiC:CORDFINI]:E HITH THE CODES.
3: I L.INE:'ERSI'Iat",ID THI":I'F THE I_-IIq-SITE SEI-,.IER S"r'S]"EI~"t MFI"r' REL::.!UIF;'.E EI",tL. FIRI]iEI'IENT IF T,LiE
REJ.;, I E:,ENIE:E ~ I:;::EMO[:,ELED TO INCL. UDE HORE; THRN '4.
~Permit ~: 820067
January 31., 11.983
TO: Permit Applicant
Subject: l,ot ]9 Block 5 Rabbik Creek Ileights Subdtvis,on
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/0S7
_ i;I E:i::i'T J; !')
t, .l:~:Z (}i!::¢!
LOG
MUNICIPALITY OF ANCHORAGE
DEPARTM[-'NT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
~PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
2
3
4
5
6
7
8
9
10-
11
12
13
14
15
16
17
18
19
20-
COMMENTS
SLOPE
DATE PERFORMED:
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
O
P
IF YES, AT WHAT / E
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
¢~1 ,:t-~,~.,~ 3:0~' ~ ~.,o¢" ~
PERCOLATION RATE '~7 (minutes/inch)
CERTI FI ED BY~~-~'//'''~ '~'/~// //~/
72-008 (6/79)
CONTROL SERVff'-$,SuiteINC.
1220 West 25th Avel ....
B
ANCHORAGE, ALASKA 99503
276-:1.361 279-2917
oF -~
SCALE
ALASKA ENVIF-NlVlENTAL
CONTROL SEE CES, INC.
1220 West 25th Avenue Suite B
,ANCHORAGE, ALASKA 99503
276-].361 279-2917
C~ECK6E BY DATE
SCALE
//[./' f
/
ALASKA ENVIRONMENTAL
CONTROL SERVICES, I~
1220 West 25th Avenue Su~ B
ANCHORAGE, ALASKA 99503
276-1361 279-2917
SHEET NO, OF
CHECKED BY--
DATE
SCALE
- ' i
MUNICIPALITY OF ANCHORAeE {3
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744 ~
,.¢ic tion
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (i0clude lot block, subdivision, section, township, range) /
~/~
(b) ;.~rgpedy Owner ~¢~ Telephone: Home
~~ Business
~'Mail[n~A~dr~s '/~0'~.'~?~ ~ ~. /~ .
(c) ~en~i;'~ inst~tu;ion,,~' "~)~ ~~ Telephone ~ ~"
Mailing Addre~s~,' ~0, ~
(d) RealEstate'c'ompanyandAgent ~A/~ ~Jl'~ ' ~
Telephone ~ ~' ?~
(o) Mail tho ~AA to tho foHowino ad~ress: or: Check horo if hold for pick up.
kist contact porson and day phono number bolow. ·
2, TYPE OF RESIDENCE
Sin gle-Family~i~
Number of Bedrooms ~-=.--.-
WATER SUPPLY
Individual Well)~. Community I-]
Public [] .
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status. '
SI:WAGE DISPOSAL
Onsite,,.~ Public [] Community [] Holding Tank []
·. : - . . . ~ :. . ~ ; :: :
Note: If community well system, must have written Confirmation from the state Dep~rtment of Environmental Conservation
'~tiesting to the legality and status.
Page 1 of 2 72-025 fRev 8/86~ 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 verity 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 verity 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
Address //,~'0 /~ .,~"~ /~,¢. ~/~ ~ ~
Date
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 (Rev 8/86) Back
WELL DATA
£NVi,,~ONMEN.fAL Sh~:.A~t'i 'AfJTHORITY APPROVAL (HAA)
' cHECKLIST- FEBRUARY 1984
r~(~) ~ 0 ~.~7 264-4744
~, ~- ~ t ~, ~ ~ ~ Legal Description: ~
Well Classification
Well Log Present (Y~/~
Total Depth(~ ~'/ /
Static Water Level
Casing Height Above Ground
E--lectrical Wiring in ConduitON)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line Cleanout/Manhole
Water Sample Collected by ,,~""~
Water Sample Test Results /~,4¢.¢-"T"-
Comments ~ ~;'~ ~
,/,
~'~/V'/)b-¢''~ If A, B, C, D.E.C. Approved (Y/N) _ '~)/'~
Date Completed b/'d",4'z'/~'~O'~ Yield _f'~
Cased to _~ ~' /
/ -/
Depth of Grouting .,~)//4
Pump Set At ,~','~ /
Sanitary Seal on Casing~'4)
Depression Around Wellhead (Y(~)~
'/O?:)/''/'' ; On Adjoining Lots
/~-O -7~ On Adjoining Lots _
-~-~ Nearest Public Sewer
To Nearest Sewer Service Line on Lot
Date .//~ ~'' -oCr' ~
-F-g:¢7~ //-/?-,f ¢.
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes(~N)
Depression over Tank (Y~
Size /~5"~ No. of Compartments ~
Air-tight Caps~',l) Foundation Cleanout~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 /x.d
/
To Property Line /O
To Water Main/Service Line
Course /dC
Date Last Pumped
;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72 026tRey 886~ Front
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
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 /
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
Comments
Type of System Design
Length of Field
Depth of Field
/
Gravel Bed Thickness ~..
Standpipes Present~N)
Date of Last Adequacy Test
To Property Line %->
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present) .,'~-)/'/~
D. LIFT STATION
Da ed / z/ Dimensions
in Gallons ~-~..~ Manhole/Access (Y/N)
"Pump On" Level at "'""'~?~ "Pump Off" Level at
High Water Alarm Level at "~"~"~"'~---, Vent (Y/N)
Tested for ~ ~.unng Adequacy Test. Meets MOA
Electrical Codes (Y/N)
Comments
** 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
Page 2 of 2
72 026 fRev 8'861 Back
Company /'~"-~---~ MOA No. ¢~"1-~"¢r-'¢ ~'"~¢ OF A~*,
Date of Payment ~ // ~ ~- ~ 7 ~ ~¢ ~'¢~ %¢?' ¢
Dotten Drilling Co.
8537 Hartzell Road Anchorage, Alaska 99507
PHONE 344-1952
Alaska Environmental Control Services
1200 W. 33rd
Anchorage, Alaska
561-5040
Attn.: Allan
re.: well test for Mr. K.C. Mueller. Residential property Lot 18
Block 5 Rabbit Creek Hts. Subd.
On tuesday, Now. 17 1987 well test and certification check was performed
at the above location. The following results were accomplished after lowering
the submersible well pump 21' to a final pump depth of 52 ft.
Total Well Depth: ~.~_[~ ,
Static Water Level: well flows marginally over top of casing.
Pump Depth: 52 ft.
Casing Depth: well is cased to bottom ( no perforations)
Flow Rate: 2+ GPM
Signed, ~2.~[
Earl Dotten; Ptnr.
Date:
CHEMICAL & GEOLOGICAL lABORATORIES OF AL ,AS_KA, INC.
FEDERAL TAX ID O 92-0040440
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
TELEPHONE (907) 562-2343 5633 B Street
Anchorage, Alaska 99518
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
[] PUBLIC WATER SYSTEM i.D.#
~¢ PRIVATE WATER SYSTEM
Phone No.
City State
Mo. Day Year
Zip Code
SAMPLE TYPE:
~ Routine
Check Sample (for routine sample
with lab reft no.
FJ Special Purpose
) [] Treated Water
[] Untreated Water
SAMPLE
NO.
3 [ J
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
saSiS shows this Water SAMPLE to be:
tisfactory
,~ Unsatisfactory
~ Sample too long in transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
Date Received /("' ¢ ~__.,,~' ¢0/7
Time Received ,/.~ ,,¢Z(~9
Analytical Method: Membrane Filter
* No. of colonies/100 mi.
Lab Ret. No, Result*
I I FTq
I I
Analyst
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS Membrane Filter: Direct Count
Coilform/lOOml
BEFORE
COLLECTING SAMPLE
Verification: LTD BGB
Final Membrane Filter.Re~lts --, ,¢2 ~ Coilform/100ml
Reported By ,. Date .
Time: /'/
TNTC = Too Numberous To Count
OB = Other Bacteria
i'~ART I OF 2 R~.MAIN. DER TO FOLLOW