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Home My WebLink AboutCHRISTOPHER HEIGHTS LT 1 I 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 NAMEPHONE F tCer?T jj NEW e ;(' L` v,-vre - "�i 1 ❑UPGRADE MAILING ADDRESS 11t o LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS _ r Well Absorption area Dwelling PER T NO. U Y DISTANCE TO: �{- r—yte,� i 4 1 1_ Z Manufacturer Material 1reCI No. ofc WF ('��r-C'C 9mpartments y Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth G Y DISTANCE TO: Well 77 Dwelling PERMIT NO. Jaz O Z F Manufacturer Material Liquid capacity in gallons DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. j = tNc)w i J LL Z No. of lines Length of ea5h line Total lenith of lines Trench width Distance between lines r Z w 1 51 51 ,,(finches < F Top of tile to finish grade Material beneath tile Total effective absorption area p t' t- 11 t � inches 61 ;L - Length Width Depth PERMIT NO. W a Q 1– Type of crib Crib diameter Crib depth Total effective absorption area as W W Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER r PIPE MATERIALS v,. t.a SOIL TEST RATING i It 5' T-7, INSTALLER An c-kICl- C�'; e *,C i.Vi"Ai/-):, REM ARKS y� J 14,?� APPROVED DATE LEGAL Lt.t i 72-013 (Rev. 3/78) �I -1 jr-4 I iZ-- I -F '-e ID F:� F: -i r-4 1::7 FR n 1:3 F:7 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, HK. 99501 264-4720 W E-= L_ I 1=1 " C:)i Ci "_:F. I -r F= :F. F= W F= F;ZP- F=F=- Fz M I _F PERMIT NO. ( 821141 ) APPLICANT FEJES DEVELOPMENT 6917 OLD SEWHRD HIWY 99502 349-6691 LOCATION LEGAL L1B1 CHRISTOPHER `l~ 6h4S LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (5Q FT/BR)= 195 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: �F:7 F::" -F "= :lL C0 ��N (3 _F "= �:E_4 �%e* F: --'L- ��-F "= CF. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF H 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 GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ��U I I:;.>- E: E -v F= F=' -r I I::- �" " F-__ �I ---*;' E:= -1 10 C21 ID �" L_ L_ Cl ":F. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ___ -rW"- < 2- > I I 01":=- nF;;-'I= ��U I F<F=L--s BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ��F;R! M I _T_ FE F=" I F -e_ F=!F. �F= K_- F= M 0 F= FZ �::L , -1�� I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS SIGNED: _____ ISSUED ~^y 1�i (__DHTE____/�� - • , .- �, SOILS LOG �, r Net Drop MUNICIPALITY OF ANCHORAGE PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION II TEST -; 825 L. Street, Anchorage, Alaska 99501 264-4720 _ - '2_ 62F 30:3 fv^ 0 SOILS LOG - PERCOLATION TEST PERFORMED FOR: C 1" r [ e- DATE PERFORMED: IFF- ��.rI rv. t%?,- P 1_ X:- 13 L LEGAL DESCRIPTION: L:c /0 SI C)Ppf SITF PI AN 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 COMMENTS / 6- WAS GROUND WATER S ENCOUNTERED? A41 L O P IF YES, AT WHAT E DEPTH? n S4A.nvAL C�Ouf?Y Reading Date Gross Time Net Time Depth to+ Water � l Net Drop --- !(: C' 0 :3 6G 62F 30:3 fv^ 0 ? l' F IFF- /0 3 ; != PERCOLATION RATE (minutes/inch) .0 d TEST RUN BETWEEN S" /- FT AND FT , PERFORMED BY: -MA( FR• t_AN[ CAN/VOR.. CERTIFIED BY 72-008 (6/79) DATE: Ir - 72 -008 r 0 WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either lo, lb or Ic.) A.D. L. No. :E-1 Borough Suboiv),!io Lot Block "Ib. qt,.. Section No. Township N Range EEJ Meridian f— of S❑ WCJ Cl DISTANCE ANDMIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: Address: Street Address and Area of Well Location Feet Below 2. WELL LOG 4. WELL DEPTH: (final) 5. DATE OF COMPLETION Surface f' c ft. Material Type Top Bottom 6. (3,Cable tool ❑ Rotary ❑ Driven ❑ Dug El Auger ❑Jetted ❑ Bored ❑ Other: 7. USE:Domestic C] Public Supply E] Industry 0 irrigation C:] Recharge E] commerical ❑ Test Well E3 Other: S. CASING: E] Threaded Ey Welded '7* diam. 1"-, 1n. to ft. Depth Weight 1 b../ ft. diam. in. to ft. Depth Stickup_ ft. 9. FINISH OF WELL: Type: Diameter: S I a t / Me s h Size: Length Set between ft. and ft. Backfiliing Gravel pack ` 10. STATIC WATER LEVEL: , -,t ft. , / � -, Ej Above or Q Below I land surface Date Equipment used: 11 . PUMPING LEVEL below land surface and YIELD ft. after hrs. pumping g.P.m. ft after —hrs. pumping 9-P M- 12.GROUTING Well Grouted: E] Yes 3 No Material: 0 Neat Cement 0 Other: 13, Pump: (if available) HP Length of Drop Pipe _ft. capacity g. p. rn [] Subm. E] jet ❑ Centrifical ❑ Other 14. REMARKS: 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Water Temperature ❑F ❑ C This well was drilled,,undqr my, jurisdiction and }his report is true to the best of my knowledge and belief; Registered Business Ndma 7 Contract License Number � Address k' _.i Signed Date: Authorized Repretentotive Form 02-WWR (11/81) Copy Distribution: WHITE -State DGGS, PINK - Driller, CANARY- Customer 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 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 1 Block 1 Christopher Heights Subdivision Location (address or directions) 6801 Samuel Court (b) Applicant Name Oscar Trono Telephone: Home 345-3844 Business _ Applicant Address 6801 Samuel Court (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family EYxMulti-Family ❑ Other Number of Bedrooms three (3) Telephone 3. WATER SUPPLY Individual WeIDQx Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. l 4. SEWAGE DISPOSAL Onsite F&kx Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the Stat of En o tall 6Lation attesting to the legality and status. Page 1 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date August 13, 1985 (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 1. Block 1, Christopher Heights Location (address or directions) 6801 Samuel Court (b) Applicants Name Oscar Trono Telephone - Home45-3844 Business Applicants Address 6801 Samuel Court (c) Applicant is (check one) Lending Institution Owner/builder ; Buyer [:::I ; Other E -::l (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Single -Family '^ Multi -Family = Number of Bedrooms three 3. Water Supply Individual Well EM Community Other (describe) Public M 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 E:�j Community F_:1 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 21 5. 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 regula- tions in effect on the date of this inspection. Name of Firm A. W. Murfitt Company Telephone 349-7531 Address Date 8/13/85 rOf ACl� cr ; ANon W. Mur 6. DHEP Approval �� J,' No. 4977 Approved for bedrooms =a�'''••• Approved Disapproved Conditional e 2 93— Terms of Conditio CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMEc7TAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE XEPRESENT- 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. THE MUNLCIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4:'e7�GIRUHR,@ [Page Z A1S1 2 81985 E. W. MUSE117T, CCF,- 7-19-84 N1UN►C►PAL►F� Of ANCHORAGE DEPT. Of HEATH & ENVIRONMENTAL PROTECTION �1F RECE1v ED A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Lot 1 , Block 1 , Christopher Heights Well Classification single family If A, B, or C, Well Log Present (Y/N) yes Date Cm pleted Total Depth 78 feet Cased to 78 feet D.E.C. Approved(Y/N) N/A 12-7-82 Yield 5.89gpm Depth of Grouting N/A Static Water Level 3 fppt Pump Set At 40 feet Casing Height Above Ground 5 feet Sanitary Seal on Casing (Y/N)Yes Electrical Wiring in Conduit (Y/N) yes Depression Around Wellhead (Y Separation Distances from Well: To Septic/Holding Tank on Lot 104 feet On Adjoining Lots none To Nearest Edge of Absorption Field on Lot +130 feet ; On Adjoining Lots none To Nearest Public Sewer Line N/A To Nearest Public Sewer Cleanout/Manhole N/A To Nearest Sewer Service Line on Lot +100 feet water Sample Collected By Allan Murfitt Date August 9, 1985 Water Sample Test Results Satisfactory Ccmmnts 20 foot depression around well site but graded up to well head B. SEPTIC/HOLDING TANK DATA Date Installed 11/82 Size 1000 gallon No. of Carpartments 2 Standpipes (Y/N) yes Air -tight Caps (Y/N) YeS Foundation Cleanout (Y/N)yes Depression over Tank (Y/N) no Date Last Pumped August 12, 1985 Pumping/Maintenance Contract on File (Y/N) no ; for N/A Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Wall _104 feet To Building Foundation 10 feet To Property Line 35 feet To Disposal Field 15 feet To Water Main/Service Line N/A To Stream, Pond, Lake, cr Major Drainage Course +100 feet Comments 450 gallons introduced into system, water levels within 1 inch. [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata. ft2/bdrm Type of System Design TrPnrh Date Installed I I .JR2 - Length of Field 49 feet Width of Field 60 inches Depth of Field In fee Gravel Bed Thickness 6 feet Square Feet of Absorption Area 612 Standpipes Present (Y/N) yes Depression over Field (Y/N) no Date of Last Adequacy Zest Results of Last Adequacy Zest n, Separation Distance from Absorption Field: To Water -Supply Wb ll +100 feet To Property Line 12 feet To Building Foundation 6 feet To Existing or Abandoned System cn Lot N/A ; On Adjoining Lots N/A To Water Main/Service Line N/A To Cutbank(if present) N/A To Stream/Pond/Lake/cr Major Drainage Course +100 feet To Driveway, Parking Area, cr Vehicle Storage Area 25 feet Comments D. LIFT STATION N/A Date Installed Dimensions Sipe in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Zest. Meets MDA Electrical Codes(Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. ,� Signed Allan W. Murfitt, P.E. Date 8/13/85 �• Company A. W. Murfitt Company MOA No. ST85-015 KB1/d5/s 15G1,41it `b- is- $5 [Page 2 of 21 A5 . vo Alvan W. Muef' No. 4977-E n�'••...•..r!k �. 2-15-84 - A.U. 1VIurfitt Company_ CONSULTING ENGINEERS & TESTING 8010 King Street ■ Anchorage, Alaska 99518 • (907) 349-7531 April 11, 1986 Dynamic Realty, Inc_ 501 West Northern Lights Blvd_ Anchorage, AK 99503 Attention= Ms_ Petie Strange RE= Well Grading Inspection Lot 1, Block 1, Christopher Heights Anchorage, Alaska Dear Ms- Strange MUNICIPALITY OF ANCHORAGE DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION r R 14 1986 RECEIVED Pursuant t:u your requesi of April 10, 19H6, I visited the above referenced well site on April 11, 1986_ Grading at the well site appears to be satisfactory_ We understand that the site was regraded after our HAA report of August 13, 19$5_ Thank you for the opportunity to be of assistance_ Please feel free to call if you have any questions or if we can be of additional service_ Yours truly, Allan W_ Murfitt, P_E_ Civil Engineer 4977—E u',"° No. 4977-E o► APPLIC"` NT FILLS OUT UPPER HAL' -ONLY Property Owner ,� Cl��l j��✓ j Phone Mailing Address Zip Code�FV9-66 91 Buyer OSC,7.R_ T vn/r 41VO Z,c R,UA1A R Lc) Address tJ Z 7�At Zip Code Lending Institution c Ile Phone Address Zip Code C > Date �fle Realty Co. & Agent &7,111/`R /f AG7 y i� C " 1 rN / t1/e6/iAf Phone Zip Code �-0-2„ Address �%7 ozo -won/ A yr Legal Description 4o ,i . s'toeC k G'AR l Snf7& K, V 7 S Street Location e4j, AP Type of Residence W Single Family ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply c^ j R Individual 4c71 �) L) - C� '((' C Lid. ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility MUNICIPALITY Sewer Disposal Individual Year Individual Installed: Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE? THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector MUNICIPALITY Field Notes: 41. ENVIE . 7; f..:.. ._. __TION RECEIVES ( APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL PPRQV�' DATE BY: L SoilsRatingDate Sewer Installed Well To Absorption Area /Q ® ' + Well Log Received Septic Tank Size/0--0 5 - v Well to Tank jt- !- 72-029 (3182)