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Home My WebLink AboutEKLUTNA HEIGHTS #1 BLK 4 LT 5 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 LEGAL DESCRI[STION LOCATION Well DISTANCE TO: ~/~' PHONE J [] NEW I UP "ADE NO. OF BEDROOMS ~ Absorption~ *area/ Dwelling /~] / PE~MITNO. Material ~ No. of eomp~t~ep~, ~ / W IF HOMEMADE: Manufacturer DISTANCE TO: Well No. oflines / Length,~gc~lne of tile to finish grade 4L~- Crib diameter DISTANCE TO: Crass DISTANCE TO: Inside length Dwelling Foundation, z / I Material Nearest lot line I~es Tr~h~ dth inches Material beneath tile~ ~!_ ~_~/~,~ //g inches Depth ~ / Liquid capacity in gallons D'stance b2y"? ~s Total effective ab~rp, tion area PERMIT NO. Crib depth Building foundation Total effective absorption area Nearest lot line Depth Driller Distance to lot line PERMIT NO, Building foundation Sewer line Septic tank Absorption area(s) OTHER PiPE MATERIALS p z/ " SOIL TEST RATING INSTALLER REMARKS 72-01 ~v. 3~78) DATE LEGAL l/ e c 72' ON----'~ I TE PERMIT NO. 8PPLIORNT LOCATION LEGRL I"'IUN I C ?I::IL I TV mcT_.mF I=:=tNC ~---mRm=4GE DEP~RRTMENT OF HERLTH AND ENVIRONMENTRL PROTECTION 825 'L'" STREET~ RNCHORAGE~, AK. 9_~501 284-4?20 SE~JER UPGRRDE PERF1 I T JRCK HEIDEMRN L5 B4 EKLUTNA HTS PO BOX 504A LOT SIZE 288 ~8~ 4~5~0 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MA>~IMUM NUMBER OF BEDROOMS = ~ SOIL RATING (SQ FT?BR>= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH== 9 LEr~GTH= 16 GRA',/EL. DEPTi:I= '~ THE LENGTH ~I~ENSION I~ THE LENGTH (IN ~EET) OF THE TRENCH OR DRRIN~IELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND 8ND THE BOTTOM OF THE EXCRVRTION ,~IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION <IN FEET>. PERMIT 8PPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF 8N~ WELLS 8DJRCENT TO THIS PROPERTY 8ND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TWO ,~ ~ ~ INSPECT I OFJS PRE REL~U IRE[) BRCKFILLING OF 8NY S~STEM WITHOUT FINRL INSPECTION 8ND 8PPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNOE BETWEEN ~ WELL 8ND 8NY ON-SITE SEWRGE DISPOSRL SYSTEM IS i00 FEET FOR 8 PRIVRTE WELL~ OR 150 TO 200 FEET FROM 8 PUBLIC W~LL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MRY 8PPLV. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS 8RE ~VRILRBLE TO INSURE PROPER INSTRLLRTION. PERM I T EXP I RES DECEMBER ~l~ 19~8 I CERTIFY THAT l: I AM FRMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES~ S: I UNDERSTAND~HAT THE ON-SITE SEWER S¥STE~ MAY REQUIRE ENLARGEMENT IF THE RESIDENC~~/~ INCLUDE MORE THRN ~ BEDROOMS. ~PP~CANT ,T~C~ HEIDEMRN ISSUED BY~_~s_l~ ~~ .... ~STE. ...... V~.2 SOILS LOG LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST Pouch 6-650, Anchorage, Alaska 99502 276-222tj SOILS LOG - PERCOLATION TEST SLOPE SITE PLAN 10 11 12 13 14' 15 16 17 18 19 2O WAS GROUND WATER ENCOUNTERED? ,E YES. ATWHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop / PERCOLATION RATE /~//~F (minutes/inch) ~ / ~,~T RUN BETWEEN FT AND __ FT CO~N, ENTS,,~'?~¢z/,"vd ,¢-~ r ~<'~,.,~-' ~ z' ~/~ ~ ~~ 72-008 (7~76) 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 June 17, 1986 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 5 Block 4 Eklutna HeiAhts #1 T15N R1W Section 3 Location (address or directions) (b) Applicant Name Mike Conner Telephone: Home 688-5001 Business Applicant Address P.O. BOx 670217 (c) Applicant is (check one): Lending Institution []; Owner/builder I~; Buyer []; Other [] (explain); (d) Lending Institution Alaska USA Fmdera] C.U. Telephone 694-5_~90 Address P,O_ Rnw 196613 Annhnra~e; Ala,qka 99519-66'13 (e) Real Estate Company and'Agent N/A Address Telephone (f) Mail the HAA to the following address: picku? hy ¢,nginPc, f' TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms 2 Other WATER SUPPLY Individual Well [] Community ~2~ 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 Onsite.~ 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. 72-025 (11/84) Page 1 of 2 ENGINEERING FIRM PROVIDh','G INSPECTIONS, TESTS, FILE SEARCH, D~ fA AND INFORMATION ,~'s 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 c~.~ ,- o~zc, ,-,,,,, Telephone ............. ,,~,NE~tNG-~E~ViCE$ Address EAGLE RIVER, AK 99577 Date ~',~ 7/f~ P. 0..~.BOX..~. 773294 ineer's Seal Approved for '7~"'¢ (/~',) bedrooms by /:~.~.~_~.,,..., (.0.,,_4.~-4.~" Date Approved 2~ DisapProved Conditional cr-l..,- 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) MUNICIPALITY OF ANCHORAGE (MO~) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: MUNICIPALITY OF ANCNO,~AGJ~ DEPT, O~. H~ALTH ENVIRONMENTAL :UL 0 2, 1986 WELL DATA Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) 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 .'~ I B, C, D.E.C. Approved (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Comments B. SEPTIC/HOLDING TANK DATA Date Installed '/)?~'~ Standpipes (Y/N) Depression over Tank (Y/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 ;~ oo TO Property Line t-l° ~ To Water Main/Service Line //~ Course Size 7,3'-~ ~/ NO. of Compartments Air-tight Caps (Y/N) ~' Foundation Cleanout (Y/N) 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 I of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata //o~ 5- Date Installed /,~ ~.A///~ ,~ Width of Field ~ "/.7,~ t~ Type of System Design Length of Field ¢'~ ~/'J~ Depth of Field ~ '~ ~,,//.~ ' Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~-,~o~P ' To Building Foundation ¢,~c~ ~ Lot ~ / To Water Main/Service Line Gravel Bed Thickness ,~' ~.~,'./-.) /~" ~(~-) ~o"'3-".Standpipes Present (Y/N) Date of Last Adequacy Test To Stream/Pond/Lake/or Major Drainage Course To Property Line ¢-/4P ~ To Existing or Abandoned System on ; On Adjoining Lots ~-~'%-' / To Cutbank (if present) ,/Z/,,/¢¢ To Driveway, Parking Area. or Vehicle Storage Area¢ ~'~','~ ,~'¢'¢~"-,¢~ .,*¢~,/- ,~'-',,~J -~/ ~f LIFT STATION/VA Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** 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 Company ~,,/4F,~ _~ MOA No. Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) Engineer's Seal DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E"'STREET, SUITE 303 ANCHORAGE, ALASKA g9501 i BILL SHEFFIELD, GOVERNOR Telephone: (907) Address: 274-~533 DATE: June 24, 1986 PWS I.D.# 211431 To Whom it May Concern: According to records on file in this office the Water Regulations DAWN WATER COMPANY Water System is in compliance with the State Drinking Sincerely, Michael P. Lewis Environmental Engineer MUNICIP~,I_ITY O? ANCHORAge: MUNICIPALITY OF ANCHORAGE DEPT. ~///~--~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONFNVIRONM~. ql, ,~. , :'.CTION ~ ~) 825 L Str.,- Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all ga~s on page 1. Incomplete r~u~ will n~ N proc~d. Plea~ allow ten (10) days for pr~essing. 1. ~RTY OWNER -- ~ , PHONE PROP~T~E8 DE~T Iii different from above) ~ '[ PHONE MAIL~G ADDRESS ~ ' E~ING INSTITUTION . MAI [IN~ ~DRE$~ -- MAILING AD O~S~' ~ ~ SINGLE FAMILY ~ [] ' MULTIPLE FAMILY - ~ ........ :: ....... [] : BEDROOMS 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 I~og if available.) ~ 8. SEWAGE DISPOSAL SYSTEM ...... **If individual/on-site, give installation date ~ ,/~ I NDIVI DUAL/O N-SITE*' If system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department. , NOTE: THE INSPECTION FEE MUST ACCOMI~ANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3~78) MECHANICAL ENGINEER DAV. ID SLENKAMP 694-9055 S&S ENGIIIEERIIIG · SRB 196X EAGLE RIVER, ALASKA 99577 CIVIL ENGINEER ROBERT A. SHAFER. 694-2979 12 December 1978 Mr. Heideman P.O. Box 504A Chugiak, AK 99567 Dear Mr. Heideman: On 11 De~& 78, I inspected the upgrading of your sewer system in accordance with permit No. 781157. (copy attached) ~. It can be concluded from the adequancy test conducted on 1 and 2 Dec 78, and the system upgraded completed on 11 Dec 78.that your system (septic tank seepage pit and trench) is now adequate. I thank you'.: for letting us serve you and if we can be of any further service, please let us know. CF: Alaska USA Credit Union '/ "///~"' Health and Environmental Office Totem Realth ATTN: Nancy Peters