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Home My WebLink AboutEKLUND LT A2 OF TR ANAME LEGAL DESCRIPTION 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 R[~PORT Nell Absorp~on area ] [)welling ~-~ PERMIT NO. ,,~, · · [Lq. capacty nga onsl F HOMEMADE ,' Manufacturer N ~ ~ -- ~ .... Well Foundation ~ ~Nearestlo~-- No. of lines ~ Length of each line Total length of Ijn~s ] Trenct~ width Distance betw,en Ii ..~ .. -- Total effective a~ea TOp of tile to finish grade ~ ~ ~ ~ Length Width Depth PERMIT NO. Type of crib ~ ~ ~ ~rib diameter Crib depth Total effective absorption area Well Building foundation Nearest ~ DISTANCE TO: ~ass ~ Depth Driller Distance to lot line ' DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(si OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS D .~,~:~ DATE LEGAL 72-013~'~R ~. ~/78) 1 2 3 4 5 6 7 8 9 lO- 11- 12 13 14 15- 16 17 18 19 2o MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch ~-650, Anchorage, Alaska 99502 276-222'~ SOILS LOG - PERCOLATION TEST ~ SO,LS LOG ~ '~ [] PERCOLATION TEST WAS GROUND WATER ENCOUNTERED? DATE PERFORMED: SITE PLAN IF YES. AT WHAT DEPTH? PERCOLATION RATE WALLACt~ EN~IE~EERINGT~'~'O~,uN BETWEEN FT AND COMMENTS 4839 TAMPA CIRCLE O 333-4787 ANCHORAGE, ALASKA 99504 PERFORMED BY 72 008 7/76) Gross Net Depth to Net Reading Date Time Time Water Drop CERTIFIED~ ~minutes/inch) __ FT M:i:NIh'iLtPi D:[!:;TI:::INCE DETNEEN fl NELL 21;-~EI FEET F:ROH [::t PUDL,:[C NELL NELL. COHF:'LET): .... ,, ................... '~"*~.';":.. ~:F'"", :::. ...... ,, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ ~ ~ ,.~ ~ ~ ~ ~ ~ ~ ,-4 ~ 0 0 0 0 0 0 0 0 0 0 0 0 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 Parcel I.D.# 050-531-24 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING NAA# 1. GENERAL INFORMATION Complete legal description Eklund, Lot A-2, 'Tract A T14N R1W Section 32 Location (site address or directions) NHN Eklund Drive, Eagle River Property owner Keith Jones Mailing address tic 83, Box:2295. Eagle River, AK Lending agency Lynn Houser/City Mortqaqe Day phone 552-3124 99577 Day phone 696-0701 Mailing address 11401 old~:Glenn Hwy., Eaqle River, AK 99577 Agent N/A Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOIVtS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: x Public water If community well system, provide written confirmation from State ADEO attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEG attesting to the legality and status of system. 72-025(Rev 1/91) From MOA#2i s~uewwoo leUO!l!ppv :suo[lelnd!ls I~U[MOIIOj aqj ql!M 'sLuooJpeq Jo,t leAoJdde leUO!~!puoo 'p@AoJddes!(] ~' LL~66 · scuooJpeq ~¢~ Jo~ peAoJddV /~ . 31:ln.LYNglS SHHa }lq 'J_aA.[H alL'--baH "¢6E~ZLL xuH 'C)'d ssaJpp¥ §6~-~69 auoqd S~OTZ~Z~S bUT:ZeeUTbU2 ZeAT;~ eTbe2 uJJL--t ~o aLUeN 'uo!~aadsu! s!ql jo e~ep aq~ uo ~aejja u! suo!~eln6eJ pue 's{~c)ueuipJo 'sepoo e),e~,S pue led!o!unR lie ql!t~ eoue!ldLUo3 u! s! LUe~SXS lesodsip ~e~eA~e~seM Jo/pue Xlddns ]a~eA~ e)js-uo eq~, 'uop, oedsu! pue uoReb!~sa^u! XLU CUO]J pue sal!J eSe]oqouv jo X~!led!.o!unlA1 cuojj peu!elqo uOF, eLU]OJU! eq~ uo paseq ~eq~ XJpe^ Jeq~Jnj I 'u!e]eq pm, eo!pu! eJ n),onJ~s jo ed/~, pue scuoo]paq jo ]aqLunu aq~ Joj a~enbape pue leUO!~ounj 'ejes s! LUe~,S/~S lesods!p Ja~e~Aa~seA~ ~o/pue Xlddns Je~,eA~ e~!s-uo aq~ ~,eq~ sA~oqs uo!]ea!ldde le^o]dd¥/~poq~nv q]leeH s!q~ ~o uo!leaRse^u! ,~LU ~li~q:~/~JiJBA I 'Moleq u~oqs elep uollep!le^ eql jo se pue o:~eJeq paxlite leas XLU Xq palj!:He9 s¥ '9 1:I~t3NIE)N3 &El NOI.LO=IdSNI 40 .LN~IIN=I.LV.I.S '~; Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA If A, B, or C, attach ADEC letter. YL~ ~ Date completed Well type Log present (Y/N) Total depth Sanitary seal (Y/N) ~£'~ ADEC water system number t¢> ~1 ¢ ¢ Driller Cased to / ¢7~ Casing height Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow -~ (-~ Pump level g.p.m. SEPARATION DISTANCES FROM WELL TO: / Septic/l~ tank on lot /' '~ ~ Absorption field on lot '/- J~) / Public sewer main Sewer service line AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank ./V/.)/1/£- / /DO/ /¢ p l>/C /~L:> l J' WATER SAMPLE RESULTS: Coliform ,~ Nitrate ~/'~t b~ ~ ~ Date of sample: {) ('//¢2 /// ¢} ~- (:)~-~¢~ ZCollected by: Other bacteria B. SEPTIC/HOL-'B~-NG TANK DATA / Date installed ~ Y//¢' ~' Cleanouts (Y/N) ~'~-~ High water alarm (Y/N) Date of pumping Tank size /Oo(~ Compartments Foundation cleanout (Y/N) ~//~% Depression (Y/N) ,/'J//~ Alarm tested (Y/N) /~/J"~ ~£/:~O/'~'Z-- Pumper SEPARATION DISTANCES FROM SEPTIC/N~bBtNG TANK TO: ! Well(s) on lot / ~ ~' On adjacent lots ;/ To property line ] j g) ~ Absorption field Surface water/drainage '¢'/¢¢ / Foundation Water ma~Yservice line 1' -'~ (~ / 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level ~-~' Meets MOA electrical codes (Y~/~-~' ~ SEPARATION DI.Sfl'-AI~CE FROM LIFT STATION TO: Well on, et''''~'~ On adjacent lots D. ABSORPTION FIELD DATA Date installed ,///// Length Total absorption area Depression over field (Y/N) _ /~ Results (pass/fail) /;/I ~ ~ Peroxide treatment (past 12 months) (Y/N) ___ Manufacturer M a n h ole/Acc~esC(~N'~- "Pump off" level at Cycles tested Surface water Soil rating /~¢ Gravel thickness System type. Total depth Cleanouts present (Y/N) .... Date of adequacy test_ for ~ bedrooms If yes, give date /'1/,4_ . SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot_ / /_/'~(~ / 'Fo building foundation /~ / On adjacent lots_ 7' '~ ~ / Surface water 'f-',¢¢O/ Onadjacentlots_ / / ('2~)~ ..... Propertyline To existing or abandoned system on lot Cutbank ,/~'//~ _Waterm~i~/serviceline_ Driveway, parldng/vehicle storage area. Curtain drain E. [ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to ali.MOA and HAA guidelines in effect on the date, of this inspection. Engineer's Name ~¢*'-,,] ~:,/~'"~ '?; ' ' ' HAA Fee $ Date of Payment Receipt Number 72-026 (Rev, 3/91) Back MOA Waiver Fee: $ Date of Payment Receipt Number NORTHEliN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 4563116 · FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 · FAX 274-9645 Eagle River Engineering P.O. Box 773294 Eagle River AK 99577 Attn: Louis Butera Report Date: 06/29/92 Date Arrived: 06/25/92 Date Sampled: 06/24/92 Time Sampled: 1040 Collected By~ MD Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: Al18424 Eklund Lot A2 Tract A Water MDL = Method Detection Limit Flag Definitions B = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Date Method Parameter Units . Result Flag MDL Analyzed 'EPA 353.3 Nitrate-N mg/1 <MDL 0.1 06/26/92 Reported By: Susan C. Tifental Microbiology Supervisor Tom Fink, Mayor Municit ality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 10, 1992 Lou Butera, P. E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot A-2 Tract A Ekl~nd S/D Waiver Request #WR920044, PID ~050-531-24 Dear Mr. Butera: Your request for a waiver(s) of the required 100 foot horizontal separation of a septic system to the surface water has been approved. The approved separation distance(s) are: surface water to the leachfield of 70 feet and surface water to the septic tank of 65 feet. This waiver approval applies to the existing septic system to surface water separation only. Any future upgrade to the septic system will require all separation distances be met or another approval from this department. Should the operation of the subject wastewater disposal system cause any contamination or degradation of the subject surface water, this waiver will become void. Daniel J. Roth Civil Engineer On-site Services Concur: -- , J,d~n Smit~, P.E. PJogram Manager On-site Services ljm:~5 / A/ .~~ 't-)~ ~ L £29 /ax Louis Butera, ?.E. Registered Civil Engineer August 12, 1992 John Smith Municipality of Anchorage Dept. of Health & Human Services 825 L Street Anchorage, AK 999502 Re: Eklund, Lot A-2, Tract A Dear Mr. Smith: At the request of our client, Mr. Keith Jones, we are requesting a waiver of the surface water to leachfield separation distance to 70', and septic tank to surface water of 65'. The original leachfield was installed in 1978 and inspected by the Municipality at that time. Attached is our topographic map, with spot elevations, showing that should effluent overflow occur, drainage would be away from the surface water drainage located to the north of the leachfield, and down the developed roadway ditch. The creek is set in a small depression. The subsurface soil is a sandy gravel as per record soil log with no ground water table detected. Our adequacy test showed the system to easily accept 450 GPD. The owner is scheduled to place protective covers over the septic leachfield monitor pipes. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. P.O. Box 773294 o Eagle River, Alaska 99577 o Telephone (907) 694-5195 o Fax (907) 694-3297 S 0°i8'0''' E I 137,74 z ~ I I ~'~ ~~ ~ ~c¢ B~MCHMA~: TOP OF - ~ ~o~ ]SHEDI N ~N /~' CONCEDTE FLOOE ~ ~Aq~ I I s o*i2'o" E , ELEVATION 13/,74 B - TEST HOLE · - MONITOR TUBE o - SEWER CL~NOUT ~ - WELL IIII:$:[HI - LEACHFIELD EASEMENT SEPTIC S TE PLAN LEGAL: EKLUND lOT A 2 TRACT A . ,, OWNER: KEITH JONES -CONTRACTOR: N/A ~" JOB ~ 92 10~I DATE: 08/11/92~ SCALE 1" = 50' EAGLE RIVER ENGINEERING SERWCES .....,., P.O. Box 77~4 (907) 694 5195 FAX: (907) 694-3297 EAGLE RIVE. '~ ENGINEERING SERVICES SHEET"O, P.O, Box 773294 EAGLE RIVER, AK 99577 694-5195 OF CALCULATED BY CHECKED BY DATE DATE SCALE