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Home My WebLink AboutCOLONIAL PARK BLK 1 LT 7 *~tt~ ~ MUNICIPALITYOFANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION , ENVIRONMEN'rAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~ 1PHONE ,~NEW LEGAL DESCRIPTION LOCATION ~ Q .W/ ¢~ /U/ ~ NO. OFBEDROOMS ~ ~-- DISTANCE TO= ~¢,~+ I Abso~ea Dwellin¢o l ~ Manufacturer ' ~¢__~ M~e /' No. ofco~tments ~Liq.~lt~ ~ltons IF HOMEM~E: Inside length ~idth Liquid depth ~ Well Dwelling PERMIT NO. DISTANCE TO: ~ Manufacturer ~( ~ Material Ciquid ca.acitg in ~allons S Well F ou~3o n ' NeareZ~ine ( ~ DISTANCE TO: ¢~¢~/d ~'Z~ No. oflines / ' ken.tho~l,~ ITot. I Ion~o~l,n. Tr..ch~th~o '~nches ~,stance~~ ~ ~ Material b.neath tile ~0 t~ *ora on area inches ken.th ~idth Depth ~ Typeofcrib Cribdiamete¢ /~,bdepth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class ~ Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) SOILIESIRAII¢iNSTALLER /Z~ ¢/~ ~/' REMARKS 72-013 (Rev. 3/78) DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTE:'CTION 825 L STREET, ANCHORAGES9501 ~64-47~:t O~--S I TE SEWER F'ERMI T PERMIT NO: 840688 APPL I CANT: PAUL M I'LLER ADDRESS: % S&S ENGINEERING EAGLE RIVER, AK 99577 CONTACT PHONE: 694-2979 LEGAL DESCRIP: SUBDIVISION: COLONIAL PARK LOT: 7 BLOCK]: 1 SECTION: 7 TOWNSHIP: 14N ~/ RANGE: 1W LOT SIZE: , (SQ. FT. OR ACRES) LOT LOCATION: .828A ~ ~ ~c%,./,~Lc~ Listed below are the options available to yOu in designing your septic system. Choose the option that best ~its your site. DEPTH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (FT.) TOTAL DEPTH (FT.) GRAVEL WIDTH (FT.) GRAVEL.LENGTH (FT.) GRAVEL VOLUME (CU. YDS.) TANK SIZE (GALS) SOIL RATING (SQ.FT./BR) TRENCH [--~ED W. DF,:A I N 4.0 4.0 4.0 6.0 0.5 3.5 10.0 4.5 7.5 2.5 20.0 5.0 46.0 38.0 65.0 27.6 28. i 29. 1 1,250.0 ** 1,250.0 ** 1,250.0 ** , 137 1~,.~ 150 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS .I certi£y that: i. I am ~amiliar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State o£ Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances £rom any existing well~ wastewater disposal ~ystem or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES., THEN (I) AN ELECTRICAL. PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BLJILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL. INSPECTION REPORT; AND (3) THE ELECTRICAL WORK?~T BE DONE B~ LIC~.o.~/ECTRICIAN. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST j,~-~ SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCR,PT,ON: 1 2 3 4 5 6 7 8 9 10 11 12 13 16 17 18 19 2O / ~'~ l;;~//~_ WAS GROUND WATER ENCOUNTERED? DATE PERFORMED: 8/? SLOPE Ho SITE PLAN P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop RATE TEST RUN BETWEEN COMMENTS -- SRB 196X, PERFORMED B¥:.~'~_II= I=11%11::~_ AL~,SK~ '~ CERTIFIE PH, 694-2~79 72-008 (6/79} (minutes/inch) FT DATE: ~/~/~,~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION ENV,.ONMENT^L.E^LT. CERTIfiCATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL 26~4720 Application Date /~~i 1. GENERAL INFORMATION (a) LegaljDescription (include lot, block, subdivision, section, township, range) Location (address or. ~;~tions) (b) Applicant Name ~~'_... /. Telephone: Home Applicant Address Business (c) Applicant is (check one): Lending Institution []; Owner/builder/I~]r'; Buyer []; Other [] (explain); (d) (e) Lending Institution ~-"/~_ ~ Telephone Address ~--'~'~-'--~. '/""~ - Comnanvand A ent ~ .~---~<.~,.~,2/ ~ ~/~_~ Real Estate r . g / / - . / - ~- Telephone / ~ ?~ ~? ? ~ (f) Mail the HAA to the following address: 5 & S ENGINEERING 17034 =~gl. Eagle River, Alaska 99577 TYPE OF RESIDENCE Single-FamilyA Multi-Family r-I F¢ Number of Bedrooms 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 [] 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 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 regulations in effect on the date of this inspection. Name of Firm ,~ & ,~ =;;,~,";-=ER!HG Telephone (,~ ~/Z._~._~ ~ ~' Address 17034 Eagle River Loop Roac{ No. 204 Eagle River, Alaska 99577 Date 2 ~-~'~ ~:~' "~ Approved for .~'~.~' bedrooms by r - - Approved ,~ Disapproved Conditional Terms of Conditional Approval 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) ~ MUNICIPALITY OF ANCHORAGE (MO~-r .~G~EALTH AUTHORITY APPROVAL (HAA) . .~,1~,~O~,'~'%~O~-~ """-,.,,.,_ CHECKLIST-FEBRUARY 1984 ~ ~- ~O~ 264-4720 ~~ ~1 Legal Description: ~ ~ 7 B~ Well Classification~ ~~~ ,, A, B, C, D.E.C. Approved ~N) Well Log Present (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ~.. c~C) /-/- · On Adjoining Lots ,~ ~ ~"'/- · On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot · Date 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 Comments '~, ~', S. //'~ ~ ~./[..~':.,/,~_ ~ B. SEPTIC/HOLDING TANK DATA Date Installed ~A ~'//~ ~/ Standpipes~N) Depression over Tank (Y,~ Pumping/Maintenance Contract on File (Y/N) .,/ Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course Size /~_5'c:, No. of Compartments Air-tight Caps ~) Foundation Cleanout (~N) Date Last Pumped ~_.//4~/~..~ ; for Temporary Holding Tank Permit (Y/N) /"J//-,~ / To Building Foundation To Disposal Field ,5' 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 G/ Width of Field 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 r~/A Type of System Design Length of Field /"/'~ / Depth of Field Gravel Bed Thickness ,/"' Standpipes Present (~;~N) Date of Last Adequacy Test' To Water Main/Service Line 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 ~o/'~' To Cutbank (if present) ~0t ~. Comments D. 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. Signe~ & ~.. =_HC-!HEERING Comp~ _i~. Eagle Rid'er L~OO~e.~RO4d NO. 2~ate E~le Ri~er, Aia¢~a ..... MOA No. Receipt No. / ~ ~ / ~ ~ ~ Date of Payment '~//~h~ Amount: $ ~ ' /~0~ Page 2 of 2 72-026 (11/84) v DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA gg501 b'TE~ COWPEIt, GOVE~NOIt Telephone: (907) Address: 274-~533 DATE: February 9, 1987 PWS I.D.#211562 To Whom it May Concern: According to records on file in this office the COLONIAL PARK S/D Water System is in compliance with the State Drinking Water Regul ations Sincerely, Michael P. Lewis Environmental Engineer MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date //~.//~c/, (a) Legal_Description (include_lot, block, subdiv~sion, section, township, range) Location (address or d~tr~tions) _. h t . _ / (b) Applicants Na~f~///~//~f Telephone-~ome~~ustn~ness (c) Applic~ant _is (check one) Lending Institution ~--~ ; Owner/builder ~ ; (d) Lending Institution ~,-~ ~ ~ Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) ~b~he HAA to the following address: 2. Type of Residence Single-Famlly..~. Number of Bedrooms 3. Water Supply Individual Well~ Multi-Family ~--~ Ot her ,(desc rib e) 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 ~--~ 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 1 of 2] e 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 Fir~.~:/~ Address Date DHEP Approval Approved fortune'bedrooms Approved., ~ Disapproved Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-~ 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 MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. RR4/ej/D18 [Page 2 of 2] (DHEP SEAL) 7-19-84 Be MUNICIPALITY OF ANCHORAGE (MOA) HEALTH ADA/4ORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUN[CIP,Z, LITY OF ANCHORAGE 1?::TPT. OF HEALTH & ENVI~ONM2747AL PROTECTION fqOV 2 Well Classification RECEIVED Leg~Description: Z7 ~ / Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances frcm Well: To Septic~ Tank on Lot To Nearest Edge of Absorption Field on Lot~ To Nearest Public Se~er Line C leanout/Manhole Water Sample Collected By Water Sample Test Results SEPTIC/~O~G TANK DATA If A, B, cr C, D.E.C. Approve~(Y~N9 Date Completed Yield Depth of Grouting Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) Pump Set At ; On Adjoining Lots /'~ ; On Adjoining Lots To Nearest Public Se~er To Nearest Sewer service Line on-Lot ; Date Date Installed ~//6~ Size Depression over Tank ( Date Last Pumped Pumping/Maintenance Contract on File (Y/N)/~/~¢4~ ; for Holding Tank High-Water Alarm (Y/N~/&~ Temporary Holding Tank Permit Separation Distances frcm Septic~ Tank: To Water-Supply Well ~O ' ~-- To Building Foundation /6) ' To Property Line /O ~ To Disposal Field To Water Mm~W~ervice Lir~ ~ No. ~ Compartments ~ Foun~tion C~anout~"~) course TO Stream, Pond, Lake, or Major Drainage Comuents Receipt Date Paid: Amount: [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Abso~10tion Strata Date .Installed ~ Width of Field Square Feet of Absorption A~ea Depression over Field Results of Last Adequacy Test ~ngth of Field Depth of Field Zravel Bed Thickness StandpiDes P~esent Date of Last Adequacy Test Separation Distance f~cm Absc~ption Field: , To Water-Supply Well Z~ t~ To P~operty Line 2 To Building Foundation ~--~) ' To Existing or Abandoned System cn Lot /~J~ ~J'~ ; On Adjoining Lots To Wate~ ~Service Line ~ ~ To Cutbank(if p~esent) To St~eam/Pond/Lake/or Major Drainage Cou~ To D~iveway, Pa~king A~ea, or Vehicle Stc~age A~ea Ccmzents /O m ~J t~ LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Meets MOA Cc~aoents #* Check Permitted Bedrocm Rating Against HAA Request certify that I have checked, verified, or confc~med to all MOA HAA Guidelines in effect on the date of this ir-~ection. Cc~pany ~ ~''° 2-15-84 DATE: TO: FROM: SUBJECT: M nicipality of Ancho rage MEMORANDUM October 2, 1984 Laura Crow Environmental Health Division Request for Refunds - Account 92460 Please make arrangements for the following refunds - individuals chose to have private engineers perform the inspections in Receipt # 288156 Amount: $115.00 Account # 2460 lieu of this Department. Timothy Spernak Star Route A Box 442 Anchorage, Alaska 99507 Lot 1 Block 9 Prator Subdivision - Sewer Permit # 840414 99503 Receipt # 275455 Amount: $145.00 Account # 2460 Daniel Warnock 3605 Arctix #1810 Anchorage, Alaska Lot 3 Block B Pollock Homestead Subdivision Sewer and Well Permit - no permit number issued S & S Engineering Star Route B 196-X Eagle River. Alaska 99577 Receipt # 298134 Amount: $10.00 Account # 2460 Lot 7 Block 1 Colonial Park Subdivision Sewer and Well Permit #840688 - refund of well permit only Colonial Park Subdivision is served by community water. Laura J. Ward Office Associate LJW attachments 91-010 (4/76)