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HomeMy WebLinkAboutCOLONIAL PARK BLK 2 LT 7GAAB-HD-I G""~TER ANCHORAGE AREA BOROI'~,H HEALTH DEPARTMENT 327 EA~LE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~ . MAILING LOCATION ,,,~'~. ~,,,~'_.,,,~" ~/,~. ~.~c~, LEGAL DESCRIPTION,,,~.~""'.~'.~'~_.~ _/?~/~.~,,,',,~/..-'~,,~.~.,~' SEPTIC TANK: DISTANCE FROM WELLd'-~~'~' ~-~'"~, ~ LIQUID CAPACITY ..//O ~ (--.,2 GALLONS. _ NUMBER OF MATERIAL ~.~"-~--- COMPARTMENTS INSIDE LENGTH. ~ INSIDE WIDTH --'"---- LIQUID DEPTH ---"-"- SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: / OUTS,DE D,AMETER ------ OR W,OTH ' ,ENOTH-'q- DEPTH ,2" ./_ o ~..r D,S~ANCE ~ROM WE"C~/~'~ ~'~' '~ . BU,LD,NO FOUNDAT,O,'~'~ '~ ~ ~" TOTAL E,FECT,VE ABSORPT,ON AREA <WALL AREAl ~ ?.~'(' SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELl ~ "~OUNDATION NEAREST LOT LINE DISTANCE[BETWEEN LINES ~ SQ. ~~ DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH OF LINES VE DEPTH OF FILTER MATERIAL BENEATH TILE. IN. ABOVE TILE NEAREST LOT LINE / ~ SEWER LINE DEPTH ~ ~ SEPTIC ,, TANK DISTANCE FROM ~ WATER BUILDING FOUNDATION SAMPLE 1'"'""-' NEAREST / SEEPAGE ~ OTHER SYSTEM CESSPOOL r'"'"'"~, SO URC ES __ DISTANCES: DIAGRAM OF SYSTEM HEALTH AUTHORITY HEALTh u..,~',.-r .... ANCHORAGE, Tt. Ls Form Reports a: So~.~ 7--- 9--- Ground Water Encountered? t%0 Yes, At ~'~"* ~,- ~r~-'.J,~ ~ ..: ,, /, t ])e?tn '~'o Bet tom GAAB-HD-2 GREATEL ANCHORAGE AREA HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 _ bROUGH 279-2511 Case No. ~-'~ ~.,/' SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT /'),q,',' , // 'x"~'-o ~,~..,,~,,/ R ESl DEN CE AD D R ESS /,':/....)/, *~ .... ~ X~.)I, B,,/ LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY MAILING ADDRESS/?eX ~ ~/ PHONE NO. LOCATION OF INSTALLATION TO BE INSTALLED FINANCED THROUGH PER C0 LATION TEST R ESU LTS /,_~'~//t f ~'/ ANTICIPATED DATE OF COMPLETION BELOW TO'BE FILLED OUT BY HEALTH DEPARTMENT ,OTHER A? THIS IS TO SERVE AS .... AS DESCRIBED BELOW. SEPTIC TANK / ,PERMIT TO INSTALL A "{y ~'/~ ~'' ~/"J"/~--? SIZE OF UNIT TO BE SERVED . . , ,A, c-.-,,-', ' /,~ TYPE-X~,~/, /.SEEPAGE/~ ~ 7 . ~,- TYPE 1J' DISTANCES: /%-., .~ ..¢ r?., .-.,.-. ¢/.,: Health Authority ! certify that ! am familiar with the requirements o£ Great¢~ A~chora aboYe described system is in accordance with said code. DATE ~ ~ 1,,/ .~..~ f??o APPLICANTS SIGNATURE / Borough Ordinance No. 28-68 and that the MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 6"~.~:~ - ~(~'-~ - 1'-~"~ GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner CAT~y ~ ~c.~-c,~ 6,~--/~,-,,-~ Day ph0ne~''~/~') Mailing address 3f/f(-o /~.~,d ~4;¢2 i ~.4c~_,~e,.,-~ ,~,~;~=. ~ ~'~'Z. / Lending agency Day phone Mailing address Agent ~'-=/]%t~_ o, E,~*,..~ ~vm'z. [~t.~-',~'--~,~~'''~ Day phone Address 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well ~, Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER 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 application 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 effec_t o.n.the date of this inspection. David R. Damon r.=. 20210 Donalar St. Phone ~'~' --'~¢Z/7 Name of Firm Address Engineer's signature £hugiak, Alaska 99567 DHHS SIGNATURE .,~_ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments / - // By: ..... Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-025 (Rev. 1/91) Back MOA #21 Legal Description: A. WELL DATA Well type Log present (Y/N) Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. Parcel I.D. /').~'-/'~-34~Z -x~ 7 ADEC water system number Date completed /~0~-,.,~¢-- Driller Cased to ~ ~ Casing height ~. t Wires properly protected (Y/N) ~/' FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line g.p.m. AT INSPECTION ~ / / ENVIkGNM[,',D.L~ER' I,..J5 )IVISION ,,L_ /oo/..~ EAR 9 1993 /~ 7.,, g.p.m. RECEIVED ; On adjacent lots ; On adjacent lots ! co/- Public sewer manhole/cleanout x.)/,~- Petroleum tank ~-o~ WATER SAMPLE RESULTS: Coliforrr~(I.~,~ Date of sample: Nitrate Z,o~_./////?~,~,) ~ ~/3/',,'/~) .,~////~1 Collected by: O~ther.b. acteria ~/,/~?~-~ ) B. SEPTIC/HOLDING TANK DATA / Date installed ?/~. ! / , Cleanouts (Y/N) ~ High water alarm (Y/N) Date of pumping Tank size /~2~)~ Compartments Foundation cleanout (Y/N) ~ Depression (Y/N) Alarm teSted (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot On adjacent lots To property line Foundation __ I(.~, Surface water/drainage /~ ~ Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Manufacturer Manhole/Access (Y/N) Vent (Y/N) High water alarm level "Pump on" level at "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~,~T'~u,/ ~.~/f'~) Length I (" Width Total absorption area Depression over field (Y/N) Results (pass/fail) .,~,~ .5 fo r Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Soil rating /~'~/~F~/~ Gravel thickness 7 Cleanouts present (Y/N) Date of adequacy test System type Total depth bedrooms If yes, give date Well on lot //(2 On adjacent lots /00 -/"- Property line To building foundation ~ 7 To existing or abandoned system on lot On adjacent lots (~ Cutbank A//. ~ Water main/service line ~h~:) f- Surface water ! ~-r Driveway, parking/vehicle storage area ~" Curtain drain '/~¢>~i~ /~'A,l~) E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Sianature ChuolMt":~l..l~.ee_~' /~ ~-' ~ ~ EngineersName / / ~, ~~ ~*~~~ ~ , HAA Fee $ ) ~ Waiver Fee: $ Date of Payment. ~ ~ Date of Payment Receipt Number ~~ ~~ Receipt Number 72-026 (Rev. 3/911 Back MOA 21 D. R. DAYTON, P.E., R.L.S. ~~~ Chugiak, Alaska 99567 20210 Donalar (907) ~~ 696-2417 January 2, 1993 WELL FLOW TEST Legal Description: Lot 7, Blk 2, Colonial Park Sub. Date of Test: December 23, & 24, !992 Well Depth: 120 ft. Static Water Level 100 ft. Requirements: 3 bedroom - 450 gallons per day Test: The well was pumped for 2 hr 15 minutes at varying rates,~.producing 380 gallons, at which time the water level was drawn down to the pump at ll0 ft. ? The well was allowed to recover for 40 min., and pumping was restarted for 1 hr. 15 min. varying the rate around 1 gallon per min. to determine the rate at which the water level would remain constant. 68 gallons were pumped, total water pumped was 498 gallons. The well was allowed to recover for 20 hours and pumping restarted, adjusting the rate until the constant water level was found at a rate of 1.2 gallons per minute. Results: The well is currently producing adequately to meet the Municipal Standards for a 3 bedroomhR~e. D. R. DAYTON, P.E., R.L.S. ~:~~~ Chugiak, Alaska 99567 20210 Donalar St. [907] ~~'~ 696-2417 March 6, 1993 ADEQUACY TEST Legal Description: Lot 7, Block 2, Colonial Park Subd. Date of Test: March 5, 1993 Septic Tank: 1000 gallon, 2 compartment, steel tank Absorbtion System: 16' x 20' x 7'fseepage pit Soils Rating: 150 sq. ft. per bedroom Requirements: 3 bedroom - 450 gallons per day Test: 600 gallons of water were injected into the absorbtion pit resulting in a 0.4' rise in the liqiud level. The 0.4' rise was completely seeped away in slightly less than 5 hrs. Results: The seepage pit is currently functioning adequately for'a 3 bedroom home. CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 Chemlab Rei.t :93.0271-1 Client Sample ID :L7 B2 COLONIAL PARK S/D ' Matrix : WATER REPORT of ANALYSIS FAX: (907) 561-5301 Client Name :DAVID DAYTON, P.E. Collected :01/19/93 Ordered By :DAVID DAYTON Received :01/20/93 Project Name : WORK Order :62501 PzoJect~ : Report Completed :01/25/93 PWSID :UA Technical Director :STEPHEN C, EDE Sample ROUTINE SAMPLE COLLECTED BX: D.R.D. QC Allowable Extract Analysls Parameter Results Qual. Units Method Limit~ Date Date Init NITRATE-N 2.00 mE/1 EPA 353.2/300.0 10 01/25/93 01/25/93 LLH ~e~: Special Instructions Above U~ = Unavailable See Sample Remarks Above NA - Not Analyzed Undetected. Reported value ie the practical quant!f~catlon limit, LT - ~ese Than Secondar~ dilution, GT - Greater Than 9 ~1~ ~em~e~ o,,,e ~S ~ou~ (Soo,~,~ ~n~a,e ~e ~u~e,,,~oe) CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Chonlab Ref,l :93.0879-1 REPORT of ANALYSIS CZient $omple ID :L7 B2 COLONIAL PA~E Matrix : #ATER Client Name :DAVID DAYTON, ?.E, Collected :03/04/93 ~ 14:00 hxs. Ordered By : Received :03/05/93 e 09:45 hxs. ?roJect Name : ~Og[ Order :6374? ProJect$ : Report Completed : PWSID :UA TochnlcalRol.a.edDi,.ct O,By:~~:~~E~ 3ample ROUTINE SAMPLE COLLECTED BY: D.R. DAYTON, ~C Allowable Extract Analysis Parameter Results ~al. Units Nsthod Limits Date Date ImLt HI~ITE-N 3.30 ~g/1 EPA 353.2/300.0 10 03/09/93 LLH · See Special Instructions Above ** See Sample Remmks Above U - Undetected, Reported value is the practical quantl£ication limit. D - Secondary dilution. UA - Unavailable NA - Not Analyzed LT - Less Than CT - Creater Than Member of the SCS Group (Soci6t~ G6n~rale de Surveillance) ·~ ~_~,~x~X~'-- ~'IN[CIPALITY OF ANCHORAG" ROTECTION'~-~'-'--~%"~ //.~lb.~?i! ~. '~ DEPARTM[_ _ HEALTH AND ENVIRONMEN --9950~.~i\ ~ ' 25 L Street, Anchoraa~.. Alas~ .~,~. C'I Date Received: March 22, 1978 ~1: Time ~',,~.~ #2: Time ~,~ ~ #3: Time Date L%_~/~%~,,~ Date ~-~ 7~ ~L~f Date Insp ~~ Insp ~ ~ ~c~ Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska National Bank of the North Mailing Address: 3301 C Street, Calais Ii 2. ~Pr~o~pe~Darrell M/Rena Johnson Phone: ~...__._Mailin~gAddress~:~.~HN 2nd Avenue 99577 3. L~~egal Description: Lot 7 Block 2 Colonial Park Subdivision 4: .~n~e Family Residence: ~ of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Phone: 278-4581 278-4581/Mrs. Well System: ual well Community/Public System ( ) Well Log on File ( ) Permit # Depth of Well 120' e Construction Bacterial Analysis Sewage Disposal System: QOn-site System (~_,-~ Public Utility ( ) Permit # Installed 1974 Installer Septic Tank Size Manufacturer Absorption Area Soils Rate Material Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Area Absorption Area GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ...._~.,' Anchorage, Alaska 99503 - 274-4561 'REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 4. Name of Lending Institution: Mailing Address: ~_~! 5. Name of Realtor or Agent: Mailing Address: 3~ ~.l Type of Inspection: CMRO VA 'FHA Property Owner: ~)~ ~'~' w'// Mailing Address : . Da~ Phone Name of Buyer: .~~ Mailing Address: Legal Description: Location: e Type of Facility to be inspected:~wcZ ~/~ ~,No. Bdrms. ~ Water Supply Type of Supply: Public Utility Individual ~ If Individual, number of dwellings presently served ~ If Individual, depth of well _~ Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) _~_ EQ-037 (1/74) gage Department of Health and Environmental Protection RequeSt for Approval of Individual Sewer and Water Facilities Legal Description: Lot 7 Block 2 Colonial Park Subdivision Comments: Affadavit Atta. ched: ~ Approved: ~ /~ Disapproved: · Letter Attached: ( ) Date: ' 7'-(~-~ ~ Date: ~-~_~f ~ ~ Department NorkS~t: RECEIPT FOR CERTIFIED MAIL--30~ (plus postage) SENT TO POSTMARK OR DATE STREET AND NO. P.O., STATE AND ZIP CODE OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN k~ 1. Shows to whom aed date dolivorod ........... 15¢ With delivery to addressee only ............ 65¢ RECEIPT 2. Shows to whom, dato and whore doliverod .. 35¢ SERVICES With delivery to addressee only ............ 85¢ DELIVER TO ADDRESSEE ONLY ...................................................... SPECIAL DELIVERY (oxtro ~cee required) .................................... PS Form NO INSURANCE COVERAGE PROVIDED-- (So, other Apr. 1971 3800 NOT FOR INTERNATIONAL MAIL * o~o: ~o~ o- 4eo-7¢a June 29, 1978 Debbie Donahue Ale~ka National Bank of the North 3301 C Street Anch~l~age, Alaska 99503 Subject~ Lot 7 Block 2 Colonial Park Sub~ivision The tests performe~ by R & M Engineering is onaof the three (3) items that is needed to be completed. The last two(2) being (1) re-seal the sanitary seal on the well casing, (2) pump the tank to verify its size. If there are any furt~ber questions, please ~)ntact thXs office at 264-4720. Sincerely, Robert C. Pratt, Sanitarian June 30, 1978 R&M No. 851541 Alaska Bank of the North Calais Bldg. Pouch 7-010 Anchorage, Alaska Attn: Claudia JoRas Re: Adequacy Test of Existing Sanitary Sewer System; Lot 7, Block 2, Colonial Park Subdivision, Eagle River, Alaska Dear Ms. Jonas: Per your request of June 16, 1978 we conducted a test of the sanitary sewer system on the above described property. The septic tank was pumped prior to the performance of the test on the crib. During the test the liquid level in the crib was measured, before and after the addition of 1000 gallons of water. The total depth of the crib was 8.4' All liquid levels were measured below the top of the standpipe and are summarized in the following table. Liquid Level Before Water Added Liquid Level After Water Added Total Rise. in Liquid Level 7.4' 5.9' 1.5' The water level rose 18" with the addition of 1000 gallons of water, indicaging an acceptance rate of 55.6 gallons per inch in the crib. Twenty-four hours later the liquid level was again measured and found to be 6.8'. It had dropped 0.9 feet or 10.8 inches. This indicates an average effluent acceptance rate of 600.5 gallons per day for the surrounding soils. If the 2 bedroom residence on the property is to house 4 people the average load on the system can be expected to be 300 gallons per day. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 2 bedroom residence. MUNICIPALITY OF ANCHORAGe. DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION J U N 2, 8 1978 ~une 30, 1978 Alaska Bank of the North Page 2 We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service . Very truly yours, R&M CONSULTANTS, INC. Lynne Kos±kowsk± Staff Geologist Pro~] ect Manager nK/OS/kky April 6, 1978 3201 C Street Anchoraqe, ~aska 99503 Subjects Lot 7 BLDck 2 Colon~aI Park Parrel Johnson Property The reguest for a~roval of the sewer and water facilities can not be approved at ~-his time for the following reasons t The ~eal on the w~ll ~asing needs ~o be re-~ealed so that it is air tight. (2) The standpi~ to the seepago area was not £oun~. It ne~ds t~ be ~o that a percolation test san be perfomed on the existing system. Sss the attached handout. (3) The tank size can be deters/ned while the percolation test is run. If it is not at least 1,000 gallons, it will need ~O be upgraded so that it iS a m~imum of a 1,000 gallon · eptic tank. ~hen the standpipe to the seepage pit As located, please contact this offiae so we can make a ~econd inspection to deter~Ane what type percolation test will be required. If either the percolation test fails or the tank retattrements need to be enlarged or both an upgrade of the system will be necessary, Monies may be escrowed to cover the cost of the upgrade with a ~ompletion date of auly 1, 1978. T~ WOUJ~I include the upgrade of the well. If there are any further questions, please ~ntact this office at 264-4720. SLucerely, l~bert C. Pratt, R.S. Sanitarian Alaska ~attonal Bank of the North 3301 C Street, Calais I! 99503 ''"-~ate 6/23/78 Mr, Robert Pratt Branch Sanitarian - Municipality of Anchorage From Debbie Donahue Branch Alaska National Bank Subject HECTOR GAYTON WATER & SEPTIC APPROVAL alaska tnational Dank of the north INTERNAL CORRESPONDENCE Dear Mr. Pratt: Enclosed please find the copy of the letter I recieved on 6/23. This letter was from R&M Consultants and I would like to know if this meets the standards and conditions which you have asked for in your letter dated April 6, 1978, addressed to Jack White Company. The legal being LT, Blk 2, Colonial Park SD Darrel Johnson Property A speedy reply would be greatly appreciated. Thank-you for yo~ur help!! Oebbte Donahue Alaska National Bank Mortgage Loan Processor ANB 282-A 8-77