HomeMy WebLinkAboutPRATOR BLK 9 LT 4
., Municipality of Anch0rage Page 1 of
· ' DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Numbe~: 930201. PID Number: 017091.35
Name:
Will Friar Wastewater System: [] New F~ Upgrade
Address:
14500 Prator Street, Anchoraqe, AK ABSORPTION FIELD
Phone: No. of Bedrooms:
345-5762 (H)4 [] Deep Trench [~Shallow Trench [] Bed [] Mound [] Other
LEGAL DESCRIPTION Soil Rating: 0.8 ' Total Depth from origina~ grade:
GPD/Sq. Ft. 8 · 0 i
Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe
4 9 Prator 3 · 5 Ft. 4.0 Ft.
Township: Range: Section: Fill added above original grade: Gravel length:
',m 0 Ft. 72 Ft.
WELL: N/A [] New [] Upgrade Gravelwidth: Numberoflines: Distanc~bet;veenlines:
2.0 Et. 2 Pt.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Ft. Ft. 576 SQ. Ft.
Driller: Date Drilled: Static Water Level:Installer: Date installed:
Ft. ~hitters LandscaDinq 7/12/93
Yield: Pump Set at: Casing Height Above Ground:
GPM Ft, Ft, TAN K
SEPARATION DISTANCES [] Septic "[] Holding [] S.T.E.P.
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines
Material: Number of Compartments:
Well 91' 135.5 N/A N/A N/A
Surface
Water 200+ 200+ N/A N/A N/A LIFT STATION
Lot Size in gallons: Manufacturer:
Line 76 ' 16.5 ' N/A N/A N/A
Foundation 2.7' 72.5' N/A N/A N/A "Pump on" level at: "Pump off" level at: High water alarm at:
Curtain Pump Make & Model Electrical Inspections performed by:
Drain N/A N/A N/A N/A N/A
Remarks: BENCH MARK
Location and Description:
SW corner of qaraqe entrance stoop
J Assumed Elevation:
100.00"
_ · -
· _
, _ -..7
Inspections performed by: Dates: 1st { ~_~~~"
2nO ~ '_~0~ ~.~,~,°'
Department of He, al~and Humcl~ervices approval/ ~;a;,,:.. .'
Reviewed and approved by Date:
72-013 (Rev. 9/91) MOA 25
undeveloped lot
· /~-cleanouts
16.5' to lot line ~_,~ ~shed
x~~X~ooi~o~
c.o.2
c,o. 0 ~ x ~d. ,/ ~ ' .
· . '~~~ cle~u~
~diver~e~ valve~ ~
. (D.V.)
..-
~!1 o,~'se
"'
¢ , ,,, ~, ks ~4.0' ~.7' ~4.7%0.2' /
, b c a~ e: _~~ u. ~ . /
TEL ~07 ~49-1003
/~ .~. cleanouts (4) cleanouts ~
., Test hole
· ':~ top , '
84.7_ . _ - .... ' septic tar
~~_T~-, ~ ,7~-i ~ ulverter valve outlet
: ~ · 943' - 951'
5.5 I,~ '~ ~~ fabric ~~ '
I.." ~ >o< , '1250 ga Ion~
~ -77.7 trench bottom existing septic
2' . tank.
"'~ ~. 71.7' '
test hole ~ottom' '
~ O~ ~- '~-
'" ': ~:~ ~ ~ .... son . ~
JOB
DATE:
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES ~,~.~
P.O. BOX 196650, 825 "n" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBE~':SW930201
DESIGN ENGINEER:TED JOHNSON, P.E., L.S.
OWNER NAME:FRIAR WILLIAM L &
OWNER ADDRESS:14500 PRATOR ST
ANCHORAGE, AK 99516
DATE iSSUED: 7/07/93
EXPIRATION DATE: 7/07/94
PARCEL ID:01709135
LEGAL DESCRIPTION: PRATOR BLK 9 LT 4
LOT SIZE: 48811 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
THE ATTACHED APPROVED DESIGN.
ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0).
THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS
FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
Bo COVERED, SEALED AND HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THE TOTAL DE,PTH ~OF THE TREN~~ NOT EXCEED 8.0 FEET.
P.O. BOX 111790
ANCHORAGE AK 99511-1790
TEL 907 349-1003
IN AK 800 478-1003
FAX 997 344-9936
June 17, 1993
Municipality of Anchorage
Departraent of Health and Haman Services
On-Site Program, P.O. Box 196650
Anchorage, AK 99519-6650
Reference: 14500 Prator Street, Anchorage, AK, Job # 93386
Enclosed is a design for modifications to the on-site sewage disposal system of the referenced property.
These modifications were deemed necessary after performing an adequacy test on the subject site. We
excavated around the septic rank and found it intact an usable. On excavation of th¢~SeePage 'pit? we
found that it was overflowing at the top and determined that a new disposal system would be appropriate.
We investigated the soils to the west of the existing seepage pit. (The:site§lopeS to the west at about 4%.
We performed a soils test near the center of a likely drain field location and found it to be silty sand3'
gravel material (GM). The Water table was inot encountered, nor Was there evidence of a seasonal water
table in the test pit. We determined the most economical system would be to install a deep trench under
four feet of native material. This determination was based on the uniformity of the soils encountered in
that location (GM).
We believe this is the most desirable location for a disposal system on this parcel where it will operate
most effectively and efficiently. The system as designed complies with all Municipal and State
regulations in effect at this time. If you have any questions about this system, please feel free to call us for
clarificati~ol~,a[e available for further phone consultations. Should an additional visit to the site be
nece~a~'~e~_F ~e ~at visit to meet yo~ ne~s.
REGISTERED
PROFESSIONAL
ENGINEERS
BUILDING INSPECTIONS
INVESTIGATIVE ENGINEERING
LiTiGATION SUPPORT
CONSTRUCTION MANAGEMENT
SM
· Municipality of Anchorage
DEPARTMENT OF HEALTH'& HUMAN SERVICES
825 "L'.' Street, Anchorage, Alaska 99502-0650
SOILS LOG ~-- PERCOLATION TEST
6
7
9'
10
11--
12
13
15-
16
17
'18
19
20,
COMMENTS '
WAS GROUND WATER
ENCOUNTERED?
SLOPE SITE PLAN
IF YES, AT WHAT
DEPTH?
· .~ - ,~ ~-~,~,: .e.,,.,,.~,. '
Dep~ to Water After
Reading Date
~" PERCO].ATION RATE __
TEST RUN BETWEEN _
(~ro$$
Net Depth ;to
Time Water
(minutes/inch} PERC HOLE DIAMETER
FT
Net '
Drop
PERFORMED BY: ' ' "1 ', CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNiCiPAL GUIDELINES iN EFFECT ON THiS DATE, DATE:
72.008 ~Rev
· Permit No.
Page of
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:
2'
Th,~oc . Johnson
E 5191 o°., .~'
"...
undeveloped lot
/cleanou~s shed
5' to lot line
proposed '~/"~- monitor tubes
droinfield I~o-iH#1 new c!eanouts
'
-' ~ ' ~,ell house
Scale: 1"= 50'. ~ ' .' ///
No~e: {Existing seepage to be abandoned ~/~r~~
Connect dra nfeld to exlsfl~9 sepfic ~an~~~~
JOB DATE :
;
General Purpose Worksheet
Subject
Fide
No. Of
J~ate
RECEIVE
:JUL 1 1993
Municipality of AnchOrage
Dept. Health & Human Services
AR3B-6287
TRANSMISSION
From: ~ // - ~ ZZ~, J
RECEIVED
'JUL 1 1993
Municipality of Anchorage
Depl-, Health & Human ServiCes
Hun,,
FROH : NEWTON
RECEIVED
dUL 1 1993
Munioipality of Anohorege
Dept. Health & Human Servic$~
undeveloped Io(
, x' cleanou(s (5)
.10' to lot line /_~~shed J
~rai~field ('~fTS~l new cleanouts (5}
~ x.'. CE5191 Z~'
. I~ ~0~.o ~
GrEA~.~.r ANCHORAGE AREA BOR~.~GH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASka 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO,
PHONE --
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
SEEPAGE PIT
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
DRAIN FIELD , OTHER
TO BE INSTALLED BY
NOTE: THIS PERMIT iS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
TYPE ./~/~:)/~J ~ f~ SEEPAGE AREA SIZE
MINIMUM DISTANCES, REQUIREMENTS
SEPTIC TANK TO SEEPAGE PIT WALL /,~,~
SEPTIC TANK L~ I SEEPAGE PIT
TO~EAREST LOT LINE.
DRAIN FIELD
uRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT /~?'/
I0/
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIS CROSSING GAP Of
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIt
FITTED WITH AIRTIGHT REMOVABLE GAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
i CERTIFY THAT IAM FAMiliar WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCe NO. 28-68 AND THAT THE ABOVE
DAT APPLICANT'S SIGNATURE
LQ-016{3-75)
Parcel I.D. # 01 7Nc)1~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
HAA #
1. GENERAL INFORMATION
Complete legal description Lot 4 Block 9 Prator Subdivision
Lgcatio~(~ite address or directions)
- ' ,14~0B .: Pra~;, Street, Anchorage, AK
Prop~¢ty~ owner ':'Will Friar
Mailing'address 't;~500 Prator Street, Anchorage,
Lending agency'
Day phone ~-~
Day phone
Mailing address
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 4 '~
TYPE OF WATER SUPPLY:
Individual well x
Community well
NOTE:
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
X
72-025 {Rev. 1/91) Front MOA #21
o
STATEMENT OF INSPECTION BY ENGINEER
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 application 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 inves_tLgation 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 Criteri~ Alaska Engineers Phone 349-1003
Address P.O. Bo~790, /~Qhorage, AK 99511-1790
Engineer's signature Date 7/] 4/93
' TheoriZe A. Johnson, P.E., L.S.
D~IGNATURE
· Approved for ~L
DisapprOved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By: Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in pa~ragraph 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.
72-O25 (Rev, 1;91) Back MOA #21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
L4 B9 Prator
Legal Description:
ParcelI.D. 01709135
A. Well Data
Well type ~__
Log present (Y/N)
Total depth 160
Sanitary seal (Y/N)
Y
FROM WELL LOG
Date of test
Static water level
Well flow
Pump level1
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed 1968 Driller
Cased to 40 Casing height
Wires properly protected (Y/N) ¥
ATINSPECTION
7/13/93
110.6'
g.p.m. 3.2 g.p.m.
150'
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot 91'
Absorption field on lot 135.5 '
Public sewer main
Sewer service line N/A
; On adjacent lots 100+
; On adjacent lots 100+
Public sewer manhole/cleanout N?A
Petroleum tank N/A
WATER SAMPLE RESULTS:
Coliform
Date of sample:
Nitrate Other bacteria
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed 197-~. - Tank size 1,250 Compartments 2
Cleanout$ {WN) ¥ "~ Foundation cleanout (Y/N) N Depression (Y/N)
High water alarm (WN) 1,1 ~ Alarm tested (Y/N) _
, ., :: ~ Pumoer-
Date of pumping , , ~;
SEPARATION DISTANCES FR~M SEPTIC/HOLDING TANK TO:
N
Well(s) on lot
To property line 76 '
On adjacent lots 100+ Foundation 2.7 '
Absorption field 72' Water main/service line 79'
Surface water/drainage 200+
72-026 (3/93)* Front
CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N) N,/A
High water alarm level
"Pump on" level at
Manufacturer f~/A
Manhole/Access (Y/N) N/A
N/A "Pump off" Level at N/A
Cycles tested N/A
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot N/A On adjacent lots
D. ABSORPTION FIELD DATA
Date installed 7/]_2/93
Length 72~ Width 2 '
Total absorption area ~76 ¢~2 Cleanout present (Y/N)
Date of adequacy test New System ¢93020]Ftesults (pass/fail)
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N) N
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
135.5'
Well on lot
To building foundation 72.5 '
On adjacent lots 200+
Surface water 200+
Curtain drain
E. ENGINEER'S CERTIFICATION
Surface water
HAA Fee $ / 7
Date of Payment
Receipt Number
72-026 (3/93)* Back
Waiver Fee $
Date of Payment
Receipt Number
Signature/~.~ /~ --'
Enginec(r's Name Theodore A. ,7ohnson, P.B., L.S.
Date 7/]_4/93
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
On adjacent lots 200+ Property line ]_6.5 '
To existing or abandoned system on lot 60 '
Cutbank [~/A Water main/service line ] 22'
Driveway, parking/vehicle storage area ~05'
Soil rating (GPD/Ft2) 0. &GPD/ft2 System type Shallow drainfield
Gravel thickness 4 ' Total depth 8.0'
y Depression over field (Y/N) N
Pass for 4 Bedrooms
After test
. If yes, give date
09:17 CT&E ENUIRONHENTAL LAB SERUICES ~ 9073449~36 N0.751 Q02
COMMBRCIALTBSTING & ENGINEERING CO.
ENVIRONMI.~NTAL LABORATORY ~ERVICE$
Chemlab Ref.~
Client Gample ID
Matrix :WA~R
Client Name :CRITERIUM AK EN~R
Ordered By :
R~PORT of ANALYSIS
,6633 B STREET
ANCHORAGE, AK 995~8
]'EL: (907) 592-F343
FAX; (907) 561-530~
WORK Order :68281
Report Completed :07/19/93
Collected :07/13/93 @ 22:50 hrs.
Received ~07/14/9B @ 10t25 hfs.
Technical Director~S~PH_F±N/C. FJ~[
Project Name
ProJect~
PWSID
Sample Remarks: ROL~INE SAt~PL~ COLLECTED BY: E~J0 ~[%~NESSF. J3 BY TAJ.
parameter
Allowable Ext. Anal
Results Qual units Method Limits Date Date Init
Nitrate-N
0
m~/L EPA 353.2/300.0 i0
07/15 LLH
.......................................... UA = Unavailable
* Gee ~pecial ~nstructlons ;~Dove NA = Not Analyzed
** See Sample Remark~ A~ve '
U = Undetected, Reported value is the practical ~antification limit. ~T = Less Than
ET = Greater ~han
D = Secondary dilution.
INSPECTION APPOINTMENTS TiM~;~.~~, ~
TiME TIME
DATE DATE DATE
! INSPECTOR
INSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~T. OF HEALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL pRoTECTiON
ENVIRONMENTAL SANITATION DIVISION ~'~,f 2 6 ~981
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND S~~'~
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing,
1. PROPERTY OWNER '~ ~ PHONE
MAILING ADDR~S
PROPERTY R ESI DE~T (I} d~fferent from above) ~ PHONE
2. BUYER PHONE
MAILING ADDRESS
3, LENDING INSTITUTION ] PHONE
MAILING ADDRESS
4. REALTOR/AGENT ~ PHONE
MAI LING ADDRESS
5. LEGAL DESCRIPTION
STREET LOOAT,ON
6. TYPE OF RESIDENCE
SINGLE FAMILY
MULTIPLE FAMILY
NUMBER OF~B EDROOMS
[] One ~ Four
[] Two [] Five
[] Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* 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.)
8. SEWAGE DISPOSAL SYSTEM
~/ INDIVIDUAL/ON-SITE** ~i~ YEAR ON-SITE SYSTEM
WAS
INSTALLED,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH ~EOUEST BEFORE P~OCESSING CA~ BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
~SINGLE FAMILY E~] ONE [~] THREE [~ FIVE BI OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
/' INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
~/NDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] HoIding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION~,R EA MATERIAL
4. DISTANCES Septic/Holdin§ Tank Absorption Area Sewer Line I Neares"t'~ot Line
I
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
~/~APPROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
DATE BY . -~
72-O10 (Rev. 6/79)
825 "L" STR!:~:?
i',NCii()RAOF, /\l ASi<A 99501
(907} 76.", fii'ii
~/:O,q't;/~ .':. /R/!_L/VA>/
,%1.4 Y O R
June 2, 198i.
!)av±d G~ Doscher
Star Rout_e A Box 445
'~,1 -~ "~-a 507
Subject: Lot 4 Block 9 Prater Suod]_v!sLon
Approtra. 1 for the individ%;.al sewer and water
cannot be granted until '[:he following items have been
completed:
(1)
~.h_: water -~ '~ : z~-' ' ~
~r.,a:~l~.: .... reporL needs to be submitted to
' ~ ~0:~ '~ C ' ~ '' ~'
th:s o.~f .....(..~rom the Chem Lab, 5633 B ,.,t~ee~., for
cur review,
{2) ~h.: septic tank pumped wi'th a receipt submitted to
hl:, is office.
3 )
An adequacy test needs to be performed on the e×isting
leaching area_ This tesh will determ:[ne if t. he system
is adequate according to Nat. iona! Standards~ A listing
ef private firms performJ.ng hhe test is enclosed. This
.>U_~.~I ...... ~O tfll. S c)f~iee 'for our
~et:,),. ,~ needs to be ~-,--~-,r, :~/~ ' '
r e :L ve¥/.
..h., .... office
If hhere are any further questions~ please cal.].
at 264-4720~
Sincerely,
Rober'h C. Praht~ R~S,
_~ssoc..a he
RCP/1 j w
iiomt.-' Federal ,Savings and Lea_ri
535 D Stree{: 99501
MATERIALS T~TI~
~ILS E~INEERI~ _
2204 Cleveland Ave. " 710 Third Ave.
RO. Box IO-IIZ6 P.O. Box 2540
An~ornge~AK. 99511 Foirbanks~AK.99707
277-02~1 452-1Z 67 - 456-5155
S[._jT I C SYSTEM
ADEQUACY REPORT
JOB NO. 81-1567
DATE OF REPORT June 17, 1981
DATE OF TEST
LEGAL DESCRIPTION ' LOT 4 . .., BLOCK 9 , Prattor
OR. .SECTION , T__N, R__W, S.M.
SUBDIVISION
~ ALASKA
PERFORMED FOR'
David Doscher
SRA Box 445
Anchorage, Alaska 99507
266-5269
PHONE NO.
REQUESTED BY:
PHONE NO.
TYPE OF SYSTEM ' [] SEPTIC TANK - SIZE 1250
[] CRIB OR SEEPAGE PIT
[] LEACH FIELD
NUMBER OF BEDROOMS
SEPTIC TANK WAS PUMPED [] YES [] NO
ABSORPTION RATE: AVERAGE 2-4 HOURS 600 GALLONS.
SURGE RATE.' 480 GALLONS IN 48 MINUTES.
NOTES a OBSERVATIONS'
DAY 1 DAY 2 DAY 3
TANK CRIB TANK CRIB TANK CRIB
init, 54 3/4" 88 3/4" 55 3/4" 82 1/4,, 55 7/8,, 74 7/8!!
48Q gal.54 3/4" 82 3/8" 54 1/4,, 75 1/4"
120 g~l. ,~.rgP-
54 3/4" 73 1/2"
TEST PERFORMED BY:.
REPORT PREPARED BY:
MoB.
APPROVED BY: Kinney R. Bmxrar
''- I /~' '"--J "--...:,d,~IICIPALITY OF ANCHORAG '~,' /~
. . . ~
MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION
, : ~~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
L s...., - A.o.o.a.e.A. sk H 0V 1 5 1979
ENVIRONMENTAL ENGINEERING DIVISION
~EQUEST FO~ APPROVAL OF INDIVIDUAL ~ATEfl AND SE~ER FACILITIES
DIRECTIONS: Complete ell p~rts on pege ], Incomplete requests will not be processed. Please ellow ten (]0) devs for processing.
1. PROPERTY OWNER, ~ PHONE
MAILING ADDRES~
P~OPE~TY ~ESIDENT (If differ~ from above)
L) ~ PHONE
PHONE
MAI~G ADDB[SS
3, LE~DI~G INSTITUTION ~ ~ I PHONE
MAILING ADDRESS
4. REA~OR/AGENT PHONE
MAI LING ADDRESS
5, LEGAL DESCRIPTION
STREET LOCATIO
6. TYPE OF RESIDENCE
~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One ~ Four
[] Two [] Five
[] Three [] Six
[] Other
7. WATER SUPPLY
(~ INDIVI DUAL* ~ I,~C~_~ ~'¢~¥~ ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.}
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
by this Department,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
-- ' ~7~ ":;7~ [ :'~ [ ,(~.0~¢~-, t~/'~''' ....
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NU~IBER
2, WATER SUPPLY
E3 INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVl DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tank or []HoldingTank
Size: . If Tank is homemade ~ SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line'
WELL TO:
Absorption Area to i~earest Lot Line
~]----APP ROV E D FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
DATE BY
LEGAL DESCRIPTION
72-010 (Rev, 3/78)
'L_.x ')
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M, SULLIVAN,
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
November 20, 1979
Barbara B. Jenson
4611 Business Park Boulevard
Anchorage, Alaska 99503
Subject: Lot 4 Block 9 Prator Subdivision
David Vladimiroff Property
Approval for the individual sewer and water facilities
can not be granted until the following items have been
completed:
(1) The water analysis report be delivered to this office
from Chem Lab, 5633 B Street, for our review.
(2) The septic tank pumped with a receipt submitted to this
office. '
(3) Locate the standpipe to the septic'tank for our
inspection.
(4)
The standpipes to the neighboring sewer systems
must be exposed so that the distance between the
well and sewer systems can be verified.
In the event the sewer system on the neighboring lot
is to close to the semi-public well, an approval
can not be sent to the lending agency.
Please notify this department for a re-inspection when the
above has been located. If there are any further questions,
please contact this office at 264-4270.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
-::~:.:::'-- '-, ,I. ,:~" ,.~- ¢~-'~>:'. ..... ,1UN [ C I PAL I TY OF ANCHORAGL.~2~ZUNiOPALiTF ~p >,V,C~,OP~:GE::. , .:
: ~~ "~ ~:De~ar:Emen:t~:': bf::H.e'a~l.th and g~vir°nmental P'~Ot~-e~i~:',?,:~'~ ~i:':: i:::::~ · : :. ~: :.
~'/'~,~/ :- : 82S 'L S~et, Anchorage, Alaska ~I~'~'MF*"]"I'~:~')F~CT!ON"~..
~l.l~j)}/. : :~ 279--2511, ext. 224, 225 · · i . :
'~ ~equest for Approval of Individual Sewer and Water Facilities
1. Property Owner
Mailing Address:
Phone:
Mailing Address: Phone:
4. Realtor/Agent: ~/~ ~T~' ~, OU~/~A3~
Mailing Address:
Legal Description:
Street Location:
/
Phone:
e
Single Family Residence:
Multiple Family Residence:
Number of Bedrooms: _
Number of Bedrooms:
7. Water Supply: *Individual Well ~
If Individual Well, well depth /~
If community system, name of system
sewage Disposal System: On-site System
If On-site System, date of installation:'
pUblic/Community System ( )
Public System ( )
*NOTE:
A well log is required on ALL wells drilled since 6/75.
;DEPARTMENT~;~dH HEA~'FH'-AND ENV~IRO'NMEN~A~ -,;~OTEC~I~~
825 L street, ~ochorage, Alaska 995;0].¢~% ~'~
Date Received: Ma~g.h 31, 1977
l~~i~. 10:00 a.m. 2nd Inspectzon: Tzme 10.00 a.m~
Date 4-4-77 MOnday Date 4-5-77 Tuesd
Inspector Kennedy Inspec%or KennedY
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. i,ending Institution Request: Alaska Mutual SaviD&LS Bank
Mailing Address: Post Office Box 1120 99510 Phone: 274-3561
o
Property Owner: William L. Hubbard
Mailing Address; Star Route A Box 445 99507
Legal Description: Lot 4 Block 9 Prator Subdivision
Phone: 344-2016
Single Family Residence: (x) Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
Well Data: Type~ ~"~ :
Construction Bacterial"'knalysis
6. Sewage Disposal System: On-site system
Well Log Filed ( )
Public Utility ( )
Permit ~ Installed 1968
Septic Tank Size
Installer
Manufacturer
Absorption Area Soils Rate
Distances: Well to Septic Tank / /~ /
to Sewer Lines NeareSt: Lot Line
Material
to Absorption Area
Absorption Area to Nearest Lot Line
~P'ag~ TWO m-'-'
Department of Health and Environmental Protection
. Request for Approval of Individual Sewer~and Water Facilities
Legal Description: Lot 4 Block 9 ~rator Subdivision
Letter Attached: ( )
Date:
Af fadavit Attached
Approved:
Disapproved:
Department worksheet:
April 11, 1977
Alaska Mutual Savings Bank
Mortgage Loan Section
Post office Box 1120
Anchorage, Alaska 99510
Subject: Lot 4 Block 9 Prator Subdivision
The Municipality require~lent for wells is that the oasing
be extended a minimum of twelve (12) inches above grou3~d
level and be closed with a sanitary seal of a type approved
by this department~
The existing pit must be filled with earth by a non-porous
type and the ground sloped to drain away from the well
casing°
This department can not grant final approvel until the
well is upgraded, and a 1,250 gallon septic tank is installed.
However~ temporary approval will be granted i~ funds are
escrowed for the upgrades.
If there are any furthere questions, plesse contact this
office at 279-2511, extension 224 or 225.
Sincerely,
John Kennedy
Principal Environmental Control officer
JK/ljh
cc: Mr. William L. Hubbard
Star Route A Box 445 99507