HomeMy WebLinkAboutCOLONIAL PARK BLK 4 LT 17A
% 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
UPGRADELEGAl DESCRIPTION
LOCATION Fp
/ o.o
Absorp~re~
~ DISTANCE TO:
~ ~ Manufacture~r~
Li~~n gallons IF HOMEMA DE: Inside I~ngth Width Liquid depth
~ DISTANCE TO: Well t,7 g PERMIT NO.
~ - ~ Manufacturer Material Liquid capacity in gallons
¢ = DISTANCE TO:
~ ~ No. of lines// Length ~a~ne Total le~ ~nes Trenc~h { inches Distance bet~n~
~ Top of tile to finish g~e/ Material beneath tile
Length ' Width Depth PERMIT NO.
Type of crib Crib diameter p Total effective absorption area
~ Well Building foundation Nearest tot line
m DISTANCE TO:
J~ Clas~ ~ Depth~ Driller Distance to lot line PERMIT NO.
~STANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
so:c T~ST¢~T:.~
INST~
REMARKS /
'¢ FNVI~ONMENTAL FROTI 3TICN
72-013 (Rev. 3/78)
~E.~MIT NO:
DATE ISSUED:
AP ~,L I C ANT:
AD)RESS:
CONTACT
LEGAL OESCRIP:
LOT SIZE:
,~AX ~EDROOMS:
09 ! 07/54
S ~ S ENG'G ~OUTH FORK CONSTRUCT~/~-
SRT3 19~X
~A~LE 2IVER, AK 9'9577
69 4- 2979
SU3DIV.ISION: COLONIALPAR~ LOT: 17A BLOCK: NA
SECTION: 7 TOWNSHIP: 14N RANGE: 1W
11719 (~Q.FT. O~ ~CRES)
LISTED BELOW ARE TH~ O~TIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC
SYSTE~. CHOOSE TH~ ~PTION THAT /JEST FITS YOUR S~T~.
TR E N C H L,,(,~F
DEATH TO PIPE ~30'TTOM T.)
GRAVEL DEPTH (FT.)
TOTAL DEPTH (FT.)
GRAVEL WIDTH
GRAVEL LENGTH (FT.)
GRAVEL VOLUME (CU.YDS.)
TANK SIZE (GALS)
SOIL RATING (S~.FT.t~R)
** TAN~ ~,!UST H,~VE AT LEAST T',~O CDM;~AqT'qENTS
i CE:~TIFY THAT:
1. I AM FAMI'-IAR WITH THE qEGUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH E~Y THE ~UNICTPALITY O~ ANCHORAG~ (MOA) ~,NO THE STATE OF ALASKA. ,
~. I WILL INSTALL TH~ SYST'E~ tN ACCORDANCE '~iTM ALL qOA CODES AND REGULATIONS,
AND IN CO~PLIANC= WITH THE D~SIGN CqIT~IA DF THIS
3. I WILL ADHERE TO AL~ MOA AND STATE OF ALASKA REcDU!~EMENTS FOR THE SET
DISTANCES FROm! .ANY EXiSTIN~ WELL, WASTEWAT%~ DISPOSAL SYSTEM OR PUBLIC
SEWERAGE SYSTE~ ON THIS OR ANY ~DJACENT O~ NE~R~Y LOT.
e A'
~ i UNDERSTAND THAT THIS PE2P~IT IS V ~ID FO~ A ~!AXI'qU~.i OF 4 ?EDROOMS AND
ANY ENLARSE~qENT WILL RE~UZR'E AN ADDITIONAL DEQMIT.
IF A LIFT STATION IS INSTALLED IN AN ARE:~ COVERED BY ~OA EU]'LDING CODES,
THEN (1) AN ELECTRIC=AL PERqIT ~ND !NSPECTI'JN ~UST '~E; O~TAI'NED; (2) AS-DUILTS
~ILL NOT ~E APPR~ WITHOUT AN ELECTRICAL INSPECT'iON DEPORT; AND (3) THE
.
EL;=CTRICAL ~ ' F , F~ "A LICE~IS~D ELECT~IC[AN
S I ,SNED D ~TC:
APPLICANT: ~ ~ S ENG'G SOUTH FOR< CONSTRUCT
ISSUED BY
Permit ~
Applicant: /i'T~,,~--- ~/14/~
Location:
Legal Description: ,'~.~F / 7~
Type of Soil Absorption System Is:
Trench: .~-'-~rainfield:
Maximum Number of Bedrooms:
MUNICIPALITY OF ANCHORAGE
Department ~f Health and Environments Protection
825 .. Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * *
ON-SITE SEWER PERMIT
~ ~-~ Mailing Address:/ Phone Number: . ,_..j,.> ~7
Seepage Bed: Holding Tank:
Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
LENGTH~~/'
GRAVEL DEPTH ~> ~ WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the ~xcavation(in feet). There is no set width for trenches.
The gravel depth i~the minimum de--ravel between the outfall Pipe and
the bottom of the e~cavation(in~,~et).
* * REQUIRED PTIC(HO _TANK S!ZE = /~ GALLONS
Permit applicant has ~e respg~sibility to inform this department during the
installation inspectiO~s of ~ny well~ent to this property and the number
of residences that thelwell/will ser~9<. I '
o/
(2) IN CTI ARE REQUIRED
Backfilling of any sys~e~w.ithout/fih~/~nspecti_~on ~nd a~p~roval by ~his department
will be subject to
prT?ution. (
Minimum distance bet~~~age_~i~~.system is 100 feet
for a private well or/~50 to 200 feet from a public wel~a~pending upon the type
of public well. Min,~um distance from a private ~~o a private sewer line
is 25 feet and to a community sewer line is 75 feet. W~i logs are required
and must be returned to this department within 30 days off,he well completion.
Other requirements may apply. Specifications and co~structio~diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 94iib' * * *
I certify that:
(1) I am 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 codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include mor~dro, oms. -
Si gne~: /, ~_~.-~, -F~ Isa u e d b y:
Applicant Date:
SWP/024 (1/81)
DATE:
TO:
FROM:
SUBJECT:
Qcipality of Anch¢ . .ge
January 12, 1984
MEMORANDUM
Laura Crow
Environmental Health Division
Request for Refund - Account #2460
Please make arrangements for the following refunds. The
permit and inspections were completely canceled and permit
voided.
L & S Construction
8341 Sandy Place
Anchorage, Alaska
99057
Receipt 9 274896
Amount: $150.00
Account 9 2460
Lot 17A Block 4 Colonial Park Subdivision
On-site Sewer Permit with Inspections
Coldwell Banker Jack White Company
3201 C Street, Suite 100
Anchorage, Alaska 99503
Receipt # 274893
Amount $20.00
Account #2460
They decided to go through a private engineering firm for
the water sample and inspections. However, $45.00 fee is
retained for certification only as per the new fee schedule.
Thank you.
Laura J. Ward
Office Associate
attachements
91-010 (4/76)
GREK, t:R ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME Bud Schul~
LOCATION F~gle River
MAILING ADDRESS BOX 93:1 PHONE
LEGAL DESCRIPTION ~o~ 17 A Colnn~.l p~.~-k Subd!v!~!on
SEPTIC TANK:
DISTANCE
FROM WELL. ?ubllc
INSIDE LENGTH_ 8
NUMBER OF
MANUFACTURER Greet MATERIAL Steel COMPARTMENTS ~
INSIDE WIDTH 5 LIQUID DEPTH 4 LIQUID CAPACITY~000 GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL Public FOUNDATION
TOTAL LENGTH
8' NEAREST LOT LINE 16'+ OF LINES '~0
NUMBER OF LINES 1
DISTANCE BETWEEN LINES .... TRENCH WIDTH _~6 IN. TOTAL EFFECTIVE
ABSORPTION AREA 540
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
4' MATERIAL BENEATH TILE__
30'
WELL:
TYPE Public
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE_
, OTHER SOURCES
__ DISAPPROVED
NEAREST
SEWER LINE__
REMARKS
SEPTIC
, TANK
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY: Bud Schulz
SEWER LINE DEPTH: 4'
PIPE MATERIAL: CEase5 Iron
LOT SLOPE: Gentle
REMARKS:
E
DATE
APPROVED
G.A.A.B.
Form LQ-032
PERMIT NO.
MUN I ¢ I' %L I TV OF FtNCF RFtOE
DEPARTMENT c.. HEALTH AND ENVIRONMENTAL . ,~OTECTION
2510 E. TUDOR RD., ANCHORAGE, AK. 99587
ON--S I TE SEWER PERM I T
76122 )
APPLICANT
LOCATION
LEGAL
FOREMOST SERVICES,
E.R. RD
Li?R B4 COLONIAL PK SUBD
2523 BROOKWOOD
LOT SIZE
278-~644
ii?iS SQUARE FEET
TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH
MflXlMUM NUMAR OF BEDROOMS = ~ SOIL RflTING (SQ FT?BR)= 125
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 12 LENOTH= 24 ORRVEL DEPTH= 8
THE LENGTH DIMENSION IS THE LENGTH (IN-FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R 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 OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
REQU I RED SEPT I ¢ TANK S I ZE= 1000 GRLLO~4S
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUMDISTRNCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL.
SPECIFICATIONS AND CONSTRUCTION DIAORRMS ARE AVAILABLE TO INSURE PROPER
INSTALLATION.
PERM I T VRL I D FOR ONE YERR FRO~I ISSUE
I CERTIFY THAT
l: IRM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SE~R SYSTEM MAY REQUIRE ENLARGEMENT IF THE
SIGNED:_~-~~-~-~-./.~--~ APPLICANT 'FOREMOST ~ERVICES
2204 CZevela~d Anchorage~ ~las~a 99503'
Performed For~ ._ ~ore. most Construct±on
t.e~al r)escri~tion: Lot 17~lock
This ~orm Renorts Soils Loq
Date Performed 4/21/76 _
4 Subdivision Colonial Park Subd. Eagl_e River
" Percolation Test
Oeoth
~ Feet
4----
6 "
8 "
10
12 -
16 ~
Tops,oil SOil Characteristics ,
,,
Gravelly Sand
(SP-SW)
Bottom of test hole
18 ..No ground water or bedrock
encountered
20 ...... ~.
Was Ground Water Encountered? No _
I¢ Yes, At what Depth?
i
Date
Gross Time
- i
.
Net Ti me
Net Dron
Percolation Rate Minute
Prnoosed Insta'l'lati~: SeenaQe Pit Drain Field
Depth of Inlet Depth"To Bottom Of Pit Or Trench
COM!~ENTS: 125s~fe_~.etdra'na ' '
- ---- Date: 4/23/'76 LAB
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL..
OF ON-SITE SEWER AND WATER FACILITY
264-4744
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
JUN ]. 0 198B
ECE V D
Application Date May 31, 1988
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 17A; Block 4; Colonial Parr Subdivision
Location (address or directions)
(b) Property Owner
Mailing Address
Telephone: Home
Business
(c) Lending Institution First National Bank Telephone
Mailing Address · .
(d) Real Estate Company and Agent RE/MAX OF EAGLE RIVER - A1 RomaSz~Z,~ski
Address 16~'00 C~nt&rfi~ld Drive, Suit6 201, Eaglz Riv~.r, Alaska 99577
Telephone
694-4200
(e)
Mail the HAA to the followina address: or: Check here [~, if hold for pick up.
List contact person and day phone number below.
S ~ S ENGINEERING/694-2979
17034 Eagl~ River Loop Roadt Su~t~ 204
Eagl~ River, Alaska 99577
TYPE OF RESIDENCE
Single-Family, S.
Number of Bedrooms
~ord~.d by A1
WATER SUPPLY
Individual Well [] Community [] Public J~
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite J~ 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 I of 2 72-025 CRev 8/863 Front
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iGUNICIPAUTY OF ANCHORAGE
DEPT. OF HEALTH &
ENviRONMENTAL PROTECTION
1. 0
WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4744
Legal Description: ~ ¥"7tt~' ~.~(~
Well Classification
Well Log Present (Y/N)
Total Depth
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
Cased to
If A, B, C, D.E.C. Approved~-'-'~N)
Date Completed Yield
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
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
· 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~N) y Air-tight Capsd~,~N)
Depression over Tank (Y~)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septi~ank:
To Water-Supply Well ~
To Property Line ~, ~
To Water Main/Service Line \ ' -.~
Course t. ~
Comments
Size ~ ~ No. of Compartments
y Foundation Cleanout ?)y
~Dajte Last Pumped (~--'
/A-- ; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page I of 2
72-026 (Rev 8/86~ Front
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~¢~' i~ ~' ~
Width of Field "'~ 0 I!
Square Feet of Absorption Area
Depression over Field (Y~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation ~
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
~7-"~=~'~'" Type of System Design '~'~~'~l
Length of Field '~-~
Depth of Field ["~l ·
Gravel Bed Thickness
~ Standpipes Present~N) y
Date of Last Adequacy Test ~-- (C ~-~
To Property Line
To Existin~l or Abandoned System on
; On Adjoining Lots ~ ~
To Cutbank (if plresent)
Comments
D. LIFT STATION
"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)
** Check Permitted Bedroom Rating Against HAA Request **
I certif~tj[a~lLl~Nli!lE~l~verified, or conformed t'o all MO~ and I-)AA guidelines in effect on
Signed17034 Eagle Ri,vet Loop Road NO. 21~ate
~ Eagle River, Alaska 99577 '"*,~
L;ompany MOA No. ¢'-~-~
Receipt No. /<:~"-~ /
Date of Payment /~0 '~0
Amount: $
Page 2 of 2
72-026 (Rev 8/86~ Back
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
,, ! 0 1988
RECEIVED
the date of this inspection.
DE~. OF ENVIRONMENTAL CONSERVATION
ANCHORaGE/WESTERN DISTRICT OFFICE
3~0~ C STREET, SUITE 1334
ANCHORAGE, AL~SK~ 99503
STEVE COWPER, GOVERNOR
Telephone: (907)
Address:
563-6775
DATE: June 10, 1988
PWSID: 211562
To Whom It May Concern:
According to the records on File in this office, the Colonial
Park Subdivision Water System is in compliance with the State of
Alaska Drinking Water Regulations.
Please note that departmental records indicate that the public
water system was installed prior to the 1978 implementation of
the Alaska Brinking Water Plan Review regulations. No as-built
plans have been reviewed or approved by the department, nor are
any necessary. Since the system has submitted acceptable water
samples on a regular basis and received a satisfactory sanitary
survey evaluation by the department, the system is acceptable
under the standards in effect at the time of installation. An
official "Certificate to Operate" may be issued upon receiving a
complete set of as-built plans, Any expansion of the water
system after 1978 will require plan review and the issuance of a
"Certificate of Operation" permit,
Fop
Sincerely,
Ronald S. Klein
Environmental Field OFFicer
RSK/MPL:pkk
cc: Mike Lewis, ADEC. Anchorage
4-: ~ngte Family Residence: ~ )-- Numbs, cf : ~rooms:
-~-m~t%-iple Family Residence,: ( ) - Number o~ BedrOoms:
§.. - System: Public/cOmmunity System: ~ ~al
Construction
Septic Tank Size
to. Nearest Lot Line
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTI~/IL
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
CMRO VA FHA CONV. xx
2. Property Owner:Charles Schulz
Mailing Address: Box c)3fl Eagle River: AkJ3ay Phone:
3. Name of Buyer: Blalr: Thomas F. & Pet~a G.
Mailing Address: 7002 ,~t~l ey l~r. AnahA; Ak. Day Phone:
4. Name of Lending Institution: Al a,~k~
272-6~22
Mailing Address:Pmmh 70!
5. Name of Realtor or Agent:
Mailing Address: % Totem Re~3tv
6. Legal Description:Lot 17A¢ Block ~¢ Colonlal
Location:~st Street Eagle
Phone: ?79-SF, b.! ~_',x-I-. _~'~ 7
Phone: 272-057~
Park Subd.
River,. Ak. 99577
7. Type of Facility to be Inspected: SFT~
8. Water Supply
Type of Supply: Public Public Utility xx
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Public Utility ~
If Individual, date of installation
No. Bdrms,
Individual
Individual (on-site)
2
72-003(3/76)
:- -- - Department of ._Health-and_ EnvirOnmental protection '
~ .r ~- ,Request for Approvat of Individual Sewer and Water Facilities
Legal 'Description: LOt 17A Bl°Ck 4 Coi°nial -park SUbdivision -. ' r
comments: . ~ · _. ; _ - : '- .~ -. ~
--' AffadaVit Attached: '(~ ) ' ' ' Letter AttaChed:
Date
d: ' - · ' Dat
~Partment Worksheet: