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HomeMy WebLinkAboutDENALI VIEW BLK 2 LT 3 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 NAME E~EW MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ULT ~J ~ DISTANCE TO: Well L ~.~.p~n gall ohs ~'~- IF HOMEMADE: DISTANCE TO: Well = ~,~ i Manufacturer /~//Z]r I DtSTANCE TO: Well I No. of ~ines~ Len~ych line I T°P °' ti'~ t° "n"h ~d~,d,~ [Length Cribdia~r /~ ] DISTANCE TO: Well ~ /Class Depth . i IAbsorption are~ ! Inside I e ~,~j h/A Dwelling JPHONE5'~Z.- ,~o~ IDwelling Id lIN Materi~.. Width NO'OFB~i~.ROOMS No. of comp,~ents Liquid depth PERMIT NO. Material Liquid capacity in gallons [] UPGRADE OTHER PIPE MATERIALS REMARKS Fou n~,ion~ Depth tile EAST Nearest lot I~) / w~en lines Total effective absor PERMIT NO Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line Sewer line Septic tank DATE LEGAL 72-013 (Rev. 3/78) DEPARTMENT OF HEALTH AND ENVIRONME"NTAL PROTECTION 8~25 L STREET, ANCHORAGE., AK 99501 264-4'720 F:'ERMI T NE]: I)ATE ISSUED: APF'L I CANT: ADDRESS: CONTACT PHONE: 84077.4 08/2'.28/84 C/O BOWEN CONSTR. ANNE L BROWN 3605 ARCTIC ~15'71 ANCHORAGE, AK 99503 26::;-5515 LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: SUBDIVISION: DENALI VIEW SECTION: 24 TOWNSHIP: 12N 405.1.2 (SQ. FT. OR ACRES) 4 LOT: :.T.. BLOCK: 2 RANGE: 3W L. isted below are the options available to you. in designing yOLW' septic · system. Choose the option that best ~its your site. DEPTH TO PIF'E BOTTOM (FT.) GRAVEL DEPTH (FT.) 'T'OTAL DEPT'H (FT.) GRAVEL. WIDTH (F'¥.) GRAVEL LENGTH (FT.) GRAVEL VOLUME (CU. YDS. ) TANK SIZE (GALS) SOIL RATING (SQ. FT./BR) IF;". ItE~ N E'~ ~,-II :~:~ E::, .'iL~ ~1,~{~ .. :113, ~,". ~ ::.[. tNI 3.0 0.5 2.0 6.5 4.5 5 ,, 5 2.5 32,,0 5.0 2S8.0 -~.. 61.0 :2z.t.2.0 .*.~. 93.4 72.3 :I. :1.,~?. 1 1 .,, 250. () ** , 1 .,, 250.0 ** 1..,, ,?.50.0 ..~.* · 431 324 431 ** DEI-':'TH TO PIPE BOTTOM < 4.0 Frl". MAY REQUIRE A LIFT' STATIGN ** GRAVEL. LENGTH > '75 FT. REQUIRES MULTIPI_E RUNS (NOT EXCEEDING 75 FT. EACH) ** TAI)IK MUST HAVE AT I_L=~AST TWO COMPARTMENTS I certi£y that: 1.. I am ~'ami],iar with the requirements ~or on-site sewers and wells as set [o~th by the Municipality o[ Anchorage (MOA) and the State o~' Alaska. 2. I will install the system in accordance with all MOA c:ode~ and ~egulations, and in comp].iance with the design cr'ite~ia o[ tills pePmit. 3. I will adher'e to all MOA and State of Alaska ~equi~ements for' the set back distances i'r'om any existing well, wastewate~ disposal, system or' public sewerage system on this or any adjacent, o~ near, by tot.. 4. I undepstand that this per-mit is valid ~o~ a maximum o{ 4 bedr, ooms and .any enlar'gement will ~equice an additional pe~mi'L. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUlL. DING CODES, ]"HEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED,,; (2) A!..]-BU]]LTS WIL. L. NOT BE AF'F'ROVED WITHOUT AN ELECTRICAL INSPECTION REF'ORT; AND (3) THE EL. ECTRICAI_ WORk I IUST BE DONE BY A LICEN.~ED LLECTRIE, IA~. AF:'F'LICANT: C/O BOWEN CONSTR. ~AN~ L BROWN ~ .... ~. ISSUED BY~ DATE: Department of'~Health~and EnVironmental Protection ....... ' .... ~ 8"~ L Street, Anchorage, AY 99501 --~"~ 264-4720 ,..--. "it" WELL AND/OR ON-S~TE SEWER PERMIT {'t w~ ocation: Phone Nu er: 3 Legal Description: ~ ~ ~ ~~ ~~ Lot Size: / Typ~ of Soil ~sor~tion System Is: .'Trench: Drainfield: ~ Seepag~ Bed~ Holding Tank:;/~ Maximum N~ber of Bedrooms: ~ So~l Rating(sq.ft/br) ~/~ The Required Size of the Soil ~sorption System Is: DEPTH F LENGTH __/7C GRAVEL DEPTH ~ WIDTH The iength dimension is 'the Iength(in feet) of the trench or drainfieid. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravei depth is the minim~ depth of gravei between the outfai1 pipe and the bottom of the excavation(in feet). ~ ~ REQUIRED SEPTIC(~~ TANK SIZE = ' ~' /~OGALLONS ' ~ermit appIicant has the responsibiIity to info~ this department during the Lnstaiiation inspections of any weils adjacent to this property and the number )f residences that the weii wiII serve. ~ ~ ~ TWO(2) INSPECTIONS ARE REQUIRED ~" ' ,]a~kfiiiing of any system without finai inspection and approval, by this departm~ wilI be subject to prosecution. ~inimum distance between a well and any on-site sewage disposal system is 100 f~ for a private well or 150 to 200 feet from a public well depending upon the typ~ Df public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. 3ther requirements may apply. Specifications and construction diagrams are ~vailable to insure proper installation. " ' ' PERMIT EXPIRES DECEMBER 1 9 I certify that: (1) I am familiar with the requirements fo.'on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. I understand that the on-site system may require enlargement if remodeled to include more that ~-b~,drooms. . (3) th~--eside"~ ~a sewer ApplicantDate: SWP/024(1/81) [~/' SOl LS LOG PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~' PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SLOPE SITE PLAN .~_ c/y.l il' ! WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? , q 0 P E Gross Net Depth to Net Reading Date Time Time Water Drop i i '/ .~,'~ ~ /~ , ~ ~:~,7 ID +H~_O ..~: . q-_~ / , ~D PERCOLATION RATE ~...~--~ (minutes/inch) PERFORMED BY: 72-008 (6/79) ]~OX ~I~,...~TAR ]~OUTP- A A~CHORAGE, ALASKA SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF DrillED at the rate of ~22o 00 PEr fOOt. 225 Fee~ PrOPErTY owner LOCATION OF WELL SITE DRILLER WELL LOG: ' 0 .... 16' 16---~0' ConqJ..o~e.. 30---Z25' Be.d~oc.!c. A ,~ed.L,a.¢/~¢~ ,took. 7hX.,. ,:~.e.a~ o..~ ~a,te,,t, ~oa~,c,OW. g.,rana,t.~ ~ ~ ~. B~ 200 ~ ~~~ ~ 162-1~8 ~. ~o 189-193 ~. 7~ ¢ood [ao~z ¢ood ~o~ ~ ~o= 210 ~ 218 boLL f,P~. To.t. ad. ~a,O~ p, ro~n. o.~ 3.5 f~'~. 7h~ ~.ou~ ~zzv~ Za.c~ea~e ta~.22~ u~a¢. To,ta,L Co4,t, o,f, ,tAe 9ad. Ld.~q; ope, ta,t~n,: $22.00 pet ,f.,t, X 225 ~,t.: (14950.00 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PaYablE TO RAMPART DRILLING WORKS For THE SUM Of ~4950.00 THANK YOU VERY MUCH. ////JJ~ ///~)'J~ BERNIE CLAUS Of rampart DRILLING WORKS SERVICE CHARGEO-= 1Va% PER MONTH WILL BE ASSESSED ON PAST MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 3 Block 2 Denali View Subdivision Location (address or directions) (b) Applicant Name Peter Brown Telephone: Home Business Applicant Address . 200 West 34 Avenue; Suite 547, Anchorage, Ala.~l~m 9950'~ (c) Applicant is (check one): Lending Institution [] ' Owner/builder F~X Buyer []; Other [] (expiain): (d) Lending Institution Address Alaska Mutual Bank Telephone 338-7890 (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: Geol__ab 1131 East 76th Avenue #101 Anchorage, Alaska 99507 TYPE OF RESIDENCE Single-Family J~ Multi-Family [] Number of Bedrooms four(4) Other WATER SUPPLY Individual Well [~[]~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department o! Environmental attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ~[~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental attesting to the legality and status. Page 1 of 2 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 Telephone Address Date Engineer's Seal This Department has received written confirmation from the engineer(Geolab) regarding the conditional of November 11, 1984. This property now meets with MOA requirements and ordinances and is approved. DHEP APPROVAL . ) Approved for -.~--txA~ (¢.~_ 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) 6EOLAB,Inc I 1 31 EAST 76TH AVENUE SUITE ~ 101 ANCHORAGE, ALASKA 99502 August 27, ! 985 ~07-344-6042 rluni cipa ! i ty of Anchorage Department of Health and Environmental Protection 825 "L" Street Anchorage, Alaska Reference: Denali View Subdivision Lot 3 Block 2 Gentlemen: A conditional Health Authority Approval was submitted to DHEP on November 19, 1984 for the subject property. The HAA was submitted pending approval of the well by DEC/DHEP, since it was encased in a concrete utility box with a sealed lid, and was below ground. The well casing has now been extended to 18" above ground, and the concrete utility box has been filled with soil, mounded above grade. The sanitary seal is in place and the well pump wires are encased in conduit. The well now meets the requirements of the DHEP and DEC. We request that you grant the final approval. Please contact Dave Stanley at~/. 344-8042 when the approval is ready. . ,,.,~~ Thank You, ~, ,fi., ' / ' ,,~,~/ ,.,,, David A, Stanley, P.G. President Oeololllcal Consulting * Testing Laboratorg · Qualttg Control · Septic Sgstern Design & Inspection 6EOLAB,Inc 1151 EAST ?6TH AYENUE SUITE # 10 I ANCHORAGE. ALASKA 99502 g07-344-§042 August 19, 1 Plunicipelity of Anchorage Department of Health and Environmental Protection 825 "L" Street Anchorage, Alaska ~lOI.L,~3/Otdd 1VIN3WNOalAN~ ~ HLIV3H .40 'Ia:K] JJi~KJH~H¥ =lC) ,M41VdDINnW Reference: Denalt View Subd Lot 3 Block 2 - Conditional Health Authority Approval Oentlemen: On November 26, 1984, an application for a Health Authority Approval was submitted to your office for the subject property. A conditional approval was recommended pending approval of the well casing installation. The well casing is located in the parking/driveway area of the lot, and was installed slightly below ground, with the well hsad/sanitary eeo1 enclosed in e concrete utility box with a sealed steel lid. The area is graded, and is to be paved soon, so that all surface drainage is directed away from the well. The property is one of the highest 1ets on Upper Huffmn Reed. There ere only four houses uphill from the subject lot, and they are hundreds of feet from the property. In the unlikely event that an overflow would occur from one of the four houses uphill, the effluent would have to cross several topegraphic barriers to reach tho property. We feel that there is eeeentially no likelihood of contamination. In our opinion the well meets the intent of the regulation, if not the actual letter of the law. Please issue the final Health Authority Approval. Should you have any questions regarding this matter, please do not hesitate to contact us at 344-8042. Sincerely, David A. Stanley, P.O. President Geological Consultin~ · Testin~ LaboratorqJ · Oualit~ Control · SeDtte s~jstem I)esign & lnsj)ection ~~?-~:~!~'- HUNICIPALII"f OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH D~-HART~NT OF HEALTH AND ENVIRONMENTAL PROTECTION 1. General Information Application Date. ~ ~dV ~ (a) Lesal Description (include lot, block, subdivision, section, township, range) Location (address ~r~ilrecttons) . (b) Applicants Name_ .i9¢'~¢'~z- ~r~9~: Telephone- Home Business (c) Applicant is (check one) Lending Institution r--~ ; Owner/builde~ [5~ ; Buyer ~ ; Other F--~ (explain); ' ' Lending Institution Address (e) Real Estate Co. & Agent Address Telephone (f)"Mail the HAA to the following address:' 2...T..~pe of Residence Single-Family,~, Multi-Family~--~ Number of Bedrooms ~ Other (describe) 3. 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 0nsite .~. 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. [Page 1 of 2] 5. En~ineerin5 Firm Providin~ 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 M~nicipality of A~nchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and Sta~e codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm ~ ~._ (2_3 ~.-~-/';.~ Telephone__.) ~/.~' (~ () lc,. Address //~ / ~ ~157~' ~/~-~/. ,-y~c_~-~>~l~?, ---- ~ /~ ~ ~ ~ ~ I ~ I '~ -- , , Approved __ Disapproved __ Condition~ /erms of Conditional Approval CAUT ION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH 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. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. ~ MUNICIPALITY OF ANCHORAGE IS NOT RESPOS'SIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE D~PT, OF HEALTH & ENVIRONMENTAL PROTECTION ae MUNICIPALITY OF ~%NCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Well Classification Well Log P~esent (Y/N) Total Dspth '~ ~.A~'-/~/ caSed to Static Water Level L~ D ' Pump Set At Casing Height Above Ground ~/~cO .c;~~c{ Etect=ical Wiring in Conduit (y/N) Separation Distancss f~cm Well: To Septic/Holding Tank on Lot ~'% ~. / To Nearest Edge of Absorption Field on Lot To Nearest Public Se~r Line Cleancut/Manhole , A~ Water Sample Collected By Water Sample Test Bssults Cum=nts NOV '19 " RECEIVED If A, B, c~ C, D.E.C. Approved(Y/N) Date C~mple~d ~ '- ~~'~9'~ Yield Depth of G~outing Sanitary Seal on Casing (Y/N,),~S Deu~ression A~ound Wellhead (Y/N) ; On Adjoining Lots ,'~,10~9 I .~ / ; On Adjoining Lots ),J OO/ To Nearest Public Sewer To Nearest Sewer Service Line on LOt ~/~ Date B. SEPTIC/HOLDING TANK DATA Date 'Installed ~ 5~/- ~ size l~,,b'"~) NO. Cf Compartments Standpipes (Y/N) ~/~% Air-tight Caps (Y/N) \~ Foundation Cleanout Dep=ession over Tank (Y/N) ~ Date Last Pumped ~/'~ Pumping/Maintenanos Contract on File (Y/N)/O/~; fc~ Holding Tank High-Water ala=m (Y/N) t9/~ Temporary Holding Tank Permit {Y/N) ~/~ Separation Distances f=cm Septic/Holding Tank: To Water-Supply Well % % ~ To P=operty Line ~O ! TO Water Main/Service Line co Se To Building Foundation ~ ~1 To Disposal Field ~ ' To Stream, Pond, Lake, c~ Major D~ainage I Comments ABSORPTION FIELD DATA Soils Rating in Absorption Strata ,_~ Date Installed ~ 5~-~ ~ Square Feet of Absorption A~ea Depression over Field (Y/N) ~0 ~~ Type of System Design ~en'g~f Field ~ Z! Depth of Field .~.' Gravel Bed Thickness ,1 ',(8"/5~20~j ~//~'.) / ,,~-~ Standpipes P~esent ,.(..Y/N), Date of Last Adequacy Test Results of Last Adequacy Test ~7~ ~-~ ~7~c-~ ......... ... Separation Distance f~cm Absc~ption Field: To Water-Supply Wall .. I~ ! To P~operty Line > ~) ! To Building Foundation Z5t To Existing or Abandoned System cn 5ot~ ; On Adjoining Lots ~ I~)O ! To Water Main/Se=vice Line ../~,/~ To Cutbamk(if presg..nt)' .~,/~ To Stream/Pond/Lake/c~ Major D~ainage Course To D~iveway, Pa~king A~ea, o~ Vehicle Stc~age A~ea ~ ~ ! Comments Date Installed Size in Gallons "Pump On" Level at High Water Alarm Ievel at Tested for Electrical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (..Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA Cc~ments ** Check Permitted Bed~ocra Rating A~ainst HAA Request I certify that I have checked, verified, o~ confc~med to all MOA HAA Guidelines Signed %,/\/~'{ ~ Date //~/~ ~ KB1/dL/s [Page 2 of 2] in effect 2-15-84 HEMICAL & GrJOLOGICAL LABORATORIES OF ALASKA, INC. , 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER/~/t:ttr 1> WATER SYSTEM: (*) See h on back I.D. NO. Water System Name Phone No. Mailin .~ldress City State Zip Code SAMPLE DATE: ~ .I-~ [~l+l Mo. Day Year SAMPLE TYPE: ~Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose ! r-1 Treated Water [] Untreated Water TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory [] 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. ..,.,.c...., Time Received /~:~ ~ Analytical Method: 1-] Fermentation Tube /{~ Membrane Filter SAMPLE NO. 1 2 LOCATION Time Collected Collected By Lab Ref. No. Result* Analyst I r-T-] I I · No of COlOme$/lO0 rnl or No of POSitive Dorbons oe-122o (b) Rev. 1983 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAM PLE Membrane Filter:. Direct Count Verification: LTB Final Membrane Filter Results Reported By , ~~~'--/' BGB. Coilformll00ml TNTC = Too Numerous To Count CoilformllOOml Date ((~r-~~ '- %'~"'~ Time: ) ~d'~ ~,: a.m.