HomeMy WebLinkAboutCOLONIAL PARK BLK 4 LT 10A-2rll
i~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVlRONMENI'AL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
IPHONE J ~"NEW
MAILING ADDRESS
LEGAL DESCRIPTION
Liq. capacity~ gallons Inside length Width Liquid depth
/~ IF HOMEMADE:
~ Well Dwelling PERMIT NO.
DISTANCE
TO:
~ ~ ~ Manufacturer Material Liquid capacity in gallons
Q Foundation--
Well _ ~ :PERMITNO.
~ DISTANCE TO: ~ ~'~'.~ lengt~f~nes Trenc~d~ Distance between lines
~ ~ Z No. of lines Length of ea~ Total
~ ~ / /~nches
; ~ Top of tilo to finish ~rade Material benea~ tile -- Total effective ~~a
inches
~en~th ~idth Deoth ~EBMIT ~0.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption urea
~ Well Building foundation Nearest lot line
¢ DISTANCE TO:
Class/~ ~ ~¢-u~J Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS ~
SOIL TEST RATING ~ -
i
INSTALLE ~~ ~
REMARKS ,- .~ ~~-
AP~~ DATE LEGAL
-
72~013 (Rev. 3/78)
PER. MI'T NO. , ..... '~'
AF'F'L I CANT
LOC:PT I ON
LEGAL
LHF..F.. T HI TH :,_.HE~
F I F.:ST ST.
E:,EPRRTMEN'F u. HERLTH RND ENVIRONMENTRL , .,:OTECTION
825 "L" STREET., RNCHORRGE., PK. 264-4720
SEI..IE !~-: F"ERI".I I T'
.16~;B BLUE SPRUCE
LOT iOR-2 B-4 COLONIRL PFIRK SLI
LOT =,I,' E
TYF'E OF-'Erg- I L. r~L,;.,'~="-I-Ir"'r"'T_ ,.... I ON '-'=. T"--_,TEM I S ' TRENCH
MRXIMUM NUMBE:F.: OF E:EE:,ROOMS = 4
SOIL RRTING ,::St;! FT,.'BR',= ~1._
'= '-'°~Fl:'"'T I ON SYSTEM I S '
'THE REQLIIRED =,IZE OF THE SOIL ,,,-,=,-,-..--
[~EF"TH= 12 LEf-~ISTH= 54 13 F.: ~',.~ E L [:,EF"TH= "-"
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF 'THE TRENCH OR DRRINFIELD.
'THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF 'THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS TFIE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
F..' E ~'::! I_l I Fz E g, S E F" T I r': T R [-I F::: S I Z E = 1 2 5 ~_-.Zi i_] R [_ L l'l [-,t S;
F'ERMIT RPF'LICRNT HRS THE RESF'ON$IE:ILITY TO INFORM THIS [:,EPRRTMENT DURING THE
INz, THLLHTION INSPEC:TION'~_ OF RN'T' WELLS H[.,JRCENT TO THIS r'"'"rlr~..rr-r,..."~ RND THE
NLIMBER OF RESIDENCES THRT THE WELL WILL SERVE.
T l,.~! ~:~ ,:'. ~"-:" ) I I'-~ $ F' E ~2 t I ri I'-~1 S R F-: E R-. E I ,';:'_.. LI I Fi.: E [::,
", ........ ,-~ sm , ' '1-1~'J ' EIY
E, HL.F..FILLING nF RN'T' _-,T:,TEfl WITHOLIT FINRL INSF'Er:TION fiND RPFR._,HL THIS
DEF'RRTMENT WILL BE --,I.IE, JEL.] 'fEi F'ROSECUTI
MINIMUM DISTRNCE BETWEEN R WELL RND tiNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
~00 FEET FOR R PRIVRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELt_.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRS' RPPL¥. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS PRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
F'EF'~q I l' E:=-=:P I RES [:.EC;Er. IE:EF."
I CERTIFY THRT
t: I tiM FflMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS fiND WELLS RS SET
FORTH BY THE MUNICIPRLIT'¢ OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CO[:,ES.
]:: I UN[:,ERSTRN[:, THRT THE ON-SITE SEWER SYSTEM Mfl'¢ REQUIRE ENLflRGEMENT IF THE
RESI[:,EN,Z:E IS REM,D[:,ELE[:, T,D INCLLIDE MORE THRN
flPPL I C:flNT LflRRY W I TflSCHER
ISSUE[, __DRT .... /-J~. Z7 .~ --'
r-lLIl'-,t ] C: .1. F'J~.L ! T"-r' L-tF FINE.:FJL"'IF.~FiE.~E
~lo~z-~
:' TNO ( ~ > M~PEIZ:T I Cm~lS ~RE RE~LI I
"O 8' E GEOTECHNICAL e DEVELOPMENT CO.
Bo. 90, Dava St., Ea9~ Rivet Alaska
~-2774 o,
594-2774
~erformed for: Nm.~: Mr. ?.,avid ~oyG,~,~ki ,
Tel. No, 694-9803
Natllng Address: t~oo ~..~,le ~dver Road., Eag!e .~lver, ~aska 99577
Legal Oescrtptlon: Lot IOA - 2. Blqck 4, ~oloni&l Park. Subdiv~,.s.!gn ,
ML - Silt topsoil with roots and organics
SM - Silty sand with gravels ar~ cobbles to 8 inches
Percolation rate = 21 minutes/inch.
= 215 square feet/bedroom
Percolation Test;
275 sq. ~t./~
215 sq. ft./B
Occasianal small pocket of clean, very dense sand.from
8 to 11 feet,,
10__
11__
L2_~
16
GM - Silty Sandy Gravel with cobbles to 8 inches.
Materials same as above except more gravels.
Bottom of pit..
Ground Water Encountered:
Yes.._ No xx
Proprsed Installation: Seepage
Drttn Fteld ~
Convnents'.
Performed by:
Oete: t?~ ,,~u!v. t978 ._
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 August 27, 1986
GENERAL INFORMATION
(a)
LegalDescription(includelot, block, subdivision, section, township, range)
Lot 10A-2 Block 4 Colonial Park T14N
Location(addressordirections)
gable River
1W Sec.7
(b) Applicant Name E.E. Richards Telephone: Home 694-4'~17 Business N/A
Applicant Address SR Bo:( 1'~98 W,A~]_e Rlver; AlASkA 99577
(c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain);
(d) Lending lnstitution A'l. aRka Pat-i fie Mr~rtga~e Telephone
Address P .O_ Ro~ 1 00/420 Anc. hn~a~e; A'I a~ka 9951_0
(e) Real Estate Company and Agent N'./A
Address N',/A
(f)
Telephone N/A
Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family [] Multi-Family []
Number Of Bedrooms '~
Other
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
Onsite [] Public r-] 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.
:":!i[ Page 1 of 2 '-"' 72-025 (11/84)
~:' '.
ENGINEERING FIRM PROVIDINg..,dSPECTIONS, TESTS, FILE SEARCH, DA ,.~ 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 EAGLE RIVER ENGINEERING SERVICES
,=:~/..2 ?/E EAGLE RIVER, AK 99577
Date
694-5195
DHEP APPROVAL
Approved for ~ bedrooms by
Approved t~ 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)
Ao
WELL DATA _ ~,
Well Classificat~c~ ~'/~',~ ~'
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY '1984
264-4720
Lo y-
Legal Description:
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/Manhote
Water Sample Collected by
Water Sample Test Results
Comments ,,~/--) ~
If A, B, C, D.E.C. Approved (Y/N) /V
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
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes (Y/N) ,Y ' Air-tight Caps (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 ~..~o~ '
To Property Line 5o"
To Water Main/Service Line
Course ,/~,/'~
. ./~ ~?'/~ Size /.,2 $-~' No. of Compartments
,,V 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 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed /zq~P/
Width of Field ~- /
Type of System Desig. g/n
Length of Field ~,--,--¢- /
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation /;~
Lot
TO Water Main/Service Line ~'/u ~ To Cutbank (if present)
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
To Property Line ] ~"
To Existing or Abandoned System on
· On Adjoining Lots '¢' ~ /
Comments
Do
LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** 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 ~~'/tc'/~'' J'' MOA No.
Receipt No. ~)0 /
Date of Payment ~7 ~ / ~ ~
Amount: $ ~j ~
Page 2 of 2
72-026 (11/84)
Eagle River Engineering Services
P. O, lex 773294
Eagle River, AK 99577
6~4-5195
;er's Seal
BILL SHEFFIELD, GOVERNOR
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA Q9501
Telephone: (907)
Address:
274-P_533
DATE: August 22, 1986
PWS I.D.~ 211562
To Whom it May Concern:
According to records on file in this office the Colonial Park Subdivision
Water System is in compliance with the State Drinking
Water Regulations
Sincerely,
': DATERECEIVED
,NSPECT,ON APPO,NTM, TSi
DATE DATE ~ ,'~ ~ I~)-- J~ DATE /
I NSPECTO~ INSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHOEAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT~TIO~DPT' OF HEALTH &
825 L Street - Anchora~, Alaska 99501 ~ON~E~TAL
ENVIRONMENTAL SANITATION DIVISION JUL 9 1981
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proceed. Please allow ten (10) days for processing.
1. PROPERTY OWNER ~ PHONE
MAI LING ADDRESS
PROPERTY RESIDENT (If diffe~nt from above) O / PHONE
2. BUYER PHONE
MAILIN~ ADDRE88 J
3, LEN~I~ I~STITUTION I' PHONE
I
4, REALTOR/AGENT ~ ~ ~ I PHONE
I
MAI LING AD DR ESS
5. 'LEGAL DESCRIPTION
J-o lo -
STREET LOCATION
/~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY [] INDIVIDUAL*
COMMUNITY
[] PUBLIC UTI LITY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
~[~ Three [] Six
[] Other
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give wel
depth (attach .log if available.)
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
[] ONE [] THREE .~ [] FIVE
[] TWO ' [] FOUR [] SlX
[] OTHER
2. WATER SUPPLY
[] INDIVIDUAL
~ COMMUNITY
[] PUBLIC UTILITY
Connection Verified
E DISPOSAL SYSTEM
DUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
r-]Septic Tank or I--IHolding Tank
Size: t 3- ~ If Tank is homemade
give dimensions:
TYPE OF T~NK~
TOTAL ABSO(~.~ON AREA
PERMIT NUMBER
DEPTH OF WEL~
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED ~) ,- Z~ ~/
SOILS RATING ,,).~. f, ..,~
MANUFACTURER
MATERIAL
Absorption Area to nearest Lot Line
I~~APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE
-/,,¢_
72-010 (Rev. 6/79)
Anchorage
IVAN,
()I'U~AI"I'I M{i NT OF I-t[-!A L~I H AN[) E:NVtROI',~MEN FA[. F'!4(.)T! (?~ I()IY
July 9, 1981
Leonard Thom Kelley
Attorney a.t Law
700 H Street, Suite 4
Anchorage, Alaska 99501
Subject:
Lot 61 Tract. A Eagle Crest SubdivJ. sion
Gatos Property
In response to your letter of July 8, 1981, concerning the
above property and the public well radii, please find copies
of tile sewer inspection in question and the nearest public
well radius.
Lot 10A-2 Block 4 has an area available for an on-site sewer
construction, which is outside the public well radius,
contrary to your letter.
The Municipality of Anchorage does not waiver the 200 foot
protective radius on the large Class A wells. This radius
is also a State of Alaska regulation and is enforced by them
and the Municipality of Anchorage. The matter of other
neighboring wells and the Gatos well protective distance
requirements is also of concern.
Therefore, this department is unable to find the property in.
compliance with local and State health codes necessary for a
health certificate.
If there are any further questions, pi. ease call this office
at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
LI~B/ljw
LEONARD THOM ELLEY
ATTORNEY AT LAW
700 H STREET, SUITE 4
ANCHORAGE:, ALASKA 995OI
TELEPHONE (907) 276-8185
July 8, 1981
EAGLE RIVER OFFICE
P. O, BOX 818
E:AGL.I:' RIVE;R; ALASKA
TELEPHONE [907] 694'99'98
MUNICIPALITY OF ANCHORAGE
DEPT, OF HEAL-rH &
ENVIRONMENTAL P~io'rEcTION
,,,,/ JUl.. 9 1981
Municipality of Anchorage
Department of Health and
Environmental Protection
Pouch 6-650
Anchorage, Alaska 99502
Attention:
Rolf Strickland, R.S.
Environmental Health
Division
Re:
Jim Gatos Property
Lot 61, Tract A, Eagle Crest Subdivision
Dear Mr. Strickland:
Mr. Gatos has, in the past, asked that a health certificate
be issued on his property, notwithstanding the City's reluc-
tance to do so.
One of the reasons for denying Mr. Gatos a health certificate
was because his septic system was closer than 200 feet to the
Colonial Park well. Since my last letter, the lots backing
the Colonial Park well have been subdivided, and a house with
a septic constructed thereon. The septic is within 200 feet
of the Colonial Park well.
Mr. Gatos' requests that the Municipality issue a health cer-
tificate on his present system, or in the alternative, permit
Mr. Gatos to construct an approved leaching field closer than
200 feet to the Colonial Park well, and issue a health certi-
ficate thereon.
Sincerely, . .......... /.,
LTK: j m
Jim Gatos
J. O'Connor