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