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Home My WebLink AboutBIRCH TREE ESTATES BLK 1 LT 29OI'T Iql Oq ~ ~ ~'''~ ~ ~ ('~'' :"~'' :'~ ': 't; i:':}'j~l~ ~'TER ANCHORAGE AREA BOROL' --H Depc~-d.r~e~ o.~ I:',i}v~'o)-:,.~;;~ c:: . :.' ~: :'-.~ ~.~i ~HEA~TH~DEPARTMENT ~0C ~do~'~o~ .... ~o~.~ S"63~327 EA~LE ~. ANCHORAGE,'A~S~ 9-950!: 279-2511 Rnc~orcge, A~as~ca ~SPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM N? 949 SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY GALLONS. MATERIAL (~/,/~:~g~'5~/-~' COMPARTMENTsNUMBER OF / LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH~ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIA~L-~' NEAREST LOT LINE SEEPAGE PIT: / OUTSIDE DIAMETER / ORWIDTH /;'~ /- LENGTH/~.,; /'~/'~ DEPTH DISTANCE FROM WELL /~ BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /~" ~ / SQ. FT. NEAREST LOT LINE TRENCH WIDTH SQ. FT. ~'TJt'E'--D~N FIELD: DISTANCE FROM WELL ~ FOUNDATION. DISTANCE BETWEEN NUMBER OF LINES ~.,~,~ ~ ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE WELL: TYPE/~/~2///''''~,~Zzv DEPTH LOT LINE //~ /j LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES. NEAREST SEWER LINE /~'~/'/~: SEPTIC ., TANK .IN. TOTAL EFFECTIVE IN. A B 0'~ DISTANCE FROM WATER ., BUILDING FOUNDATION /~'/~4:'/ SAMPLE / SEEPAGE ( **~/,,,4~/~ SYSTEM z/g?~/ , CESSPOOL NEAREST OTHER SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE 7-~ ~) ~'~ 7~x HEALTH AUTHORITY ANCHORAGE AREA BOROUGH DE.ARTMENT OF ENV,RONMENTAL QUAL,TY PERMIT NO. ~ooT~o~ ~o~ ~O~h ~-~*o ~ '~ ANCHORAGE, ALASKA 99502 2150 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK ~' SEEPAGE PIT ~/--' D~AIN FIELD OTHER FINANCED THROUGH TO BE INSTALLED BY . SOIL TEST RESULTS ~X'/ '~~'~'¢ '~¢)':'/¢~-~% NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED SYSTEM WITHOUT FINAL INSPECTION BY THE FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /;:/ MiN,MUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK /* ¢? / DRAIN FIELD // DRAIN fIELD //5 , DRAIN FIELD SEEPAGE Pit / /]~'~'~'~':* / ALSO CONSiDEr AREA WELLS, //_/-5 / SEEPAGE PIT ., DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CrIB CROSSING GAP Of EXCAVATION 5 FEET INTO UNDISTURSED SOil. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REC~LATIONS REGARDING INSTALLATION. % HEALTN ACHOR,T',' ~ OR LICENSED DESIGNER DIAGRAM OF SYSTEM i CERTIFY THAT I AM FAMILIAR WiTH THE REQUIREMENTS OF GREAT,CC ~ICHORAGE. AREA BOROUGH OrDINANCE...~ NO. 28-68 AND THAT THE ABOVE .... .:. ...... ::./:' ,:- GREATER ANCHORAGE AREA BOROUGH DEPAR' ~ZNT OF ENVIRONMENTAL QUALi 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For Hills Excavating Date Performed 7/26/72 Legal Description: Lot29 Block 1, Subdivision Birch Tree Estates This Form Reports Soils--1]-~-g .... × Ib'e6'cola'tion Test Depth Feet Soil Characteristics 3~ 4.-..--- 7-- 8--- 9-- Brown Clayey Silt (ML) Gray Sandy Gravel (GW) Was Ground Water Encountered? Yes If Yes, At What Depth? 8°0 Reading Date Gross Time Net Time Depth to H20 Net Drop yest Performed By. Cnrlisio_ ' Data Certified BY:National Testing Services, Inc. Date: ate Minute Proposed Insta'l'latiOn: Seepage Pit Drain Field Depth Of Inlet Depth To Bottom Of Pit or TrenCh" COMMENTS: 85 sq. R.d~l'drainage areaisrequiredper bedroom, keeping minimum Of 4''' abovethe watertable., Drilling Co. Driller W^TER .iLL DRILLI/RS LOG Jones a~,Youn~ Rewvmond J~nes Well Owner ,Gregory Location (address of: JO NOT FILL IN ~SGS No. Area Use of Well .... ~omestie Township, Range, & Section (if known); distance from road: Lot 29, Blk. 1 Birch Tree S/D Size of Casing 6" Depth of Hole 317 feet. Cased to llT.Ft,. Static water level 50 feet (~]~x~) (below) land surface. (check one) Open end ( x): Screen ( ): Perforated feet. Finish of ~ell Describe screen or perforations: Well pumping test at gallons pe~ (hr) '(rain)' for feet of drawdown from static level. "h0u~s wi'th Remarks Bail test 7 to 10 GPM Date completed ~Z)epth in feet from ground surface ~LL LO~ Give details of formations penetrated, size of ~aterial, color, and hardness. , . 0 to 56. Hard P~n '"''~~56 Jto 57 Fine Gravel 57 to 107 Hard Pan ...... 107 to 108 Fine Gravel ,,, ?O?M 109 to 110'6" Medium ~ravel 4 GPM 110'6'%o 115 Hard Pan 115 tO 117 Med. Gravel 7 ~o 10 GPM to ~o tO to MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) ,z~'/'-~-'7 d.z,.,:'~' / ~/,'c,-/~','-~ z~-~,.~/-~,".~' -/~z~,4 ~'3~~ Location (address or directions) (b) Applicants Name ~A~£~ ~'~'c'~ Telephone - Home Business _3~-/M ?? Applicants Address ,~-~. 25,-,A' //lo ~- / /~m/~zP&~ ,~i ~.~1 (c) Applic~ant~is (check one) Lending Institution ~ ; Owner/builder.~; Buyer ~ ; Other ~-~ (explain); (d) Lending Institution (f) Mail the HAA to the following address: (e) Real Estate Co. & Agent Address Telephone 2. Type of Residence Single-Family.. Number of Bedrooms 3. Wa. terSupply Individual Well~l~, Multi-Family~--~ Other (describe) Community ~ Public ~-~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and $tatu$. 4. Sewase, 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] 5. En~ineerin~ Firm Providin8 Inspectionp~ 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 Address Date DHEP Approval Approved for~_~ . bedrooms Approved V'"~ Disapproved 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. (DHEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHOP, AGB DEPT. OF HEALTH & EN¥11~N~ENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: WELL DATA If A, B, C, D.E.C. Approved (Y/N) / ¢ 7Z~ Yield ('~ Depth of Grouting Pump Set At Sanitary Seal on Casin~) Depression Around Wellhead (Y~ / Date Completed Cased to. Well Classification Well Log Present~N) Total Depth Static Water Level (~ ,~="0 Casing Height.Above ,Ground ' Electrical Wiring in Conduit6N) Separation Distances from Well: To Septic/Holding Tank on Lot To Ne..~re~t Edge of Absorption Field on Lot To Nearest Public Sewer Line ,'U// Cleanout/Manhole A/'/ Water Sample Collected b.y ; On Adjoining Lots /o'/' "'~' ; On Adjoining Lots / To Nearest Public Sewer ,/_ ,cpc To Nearest Sewer Service Line on Lot /I¢,//~/I~--4/ 'Date Water Sample Test Results Comments G /~u/~/"¢ /~/'J B. SEPTIC/HOLDING TANK DATA Size t,¢-¢0 ~'/¢'/- '"' No. of Compartments / ~ Foundation Cleanout (Y(~ Date Last Pu roped ~!~'-/~'-~-~' ;for Temporary Holding Tank Permit (Y/N) Date Installed Standpipes6N) Air-tight Caps 6N) 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 ¢ To Property Line To Water Main/Service Line Course Comments ~ ~7~4~'~P'~ To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ Width of Field / Square Feet of Absorption Area Depression over Field (Y~/'~ Results of Last Adequacy Test ~/~/~'/"/""Type of System Design Length of Field /~ ~'! Depth of Field /~.~' 2~ Gravel Bed Thickness Standpipes Present,N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /~'~f To Building Foundation Lot /'//'~ To Water Main/Service Line To Property Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Existing or Abandoned System on / ; On Adjoining Lots To Cutbank (if present) /V'/,~ Comments LIFT STATION ' Dimensions -- M a :~ 'me/pACo~;s:~vY~ Na)t High Water Alarm Level at ~ent (Y(N) Tested for Pum~Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that~c~!e.d, ~e. rJ.fied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed 4'¢-~--~ -- Date ~"- ~ "'17'5'"' Company /~c"~'_ ~ MOA No. ~-~Z~ Receipt No. ~ ~ ~ ~ Date of Payment ~' ~ ~' ~ Amount: $ g.~ ~ Page 2 of 2 72-026 (11/84) ALASKA FIuii oFIm FITAL COFITROL IFIC. ~nqin¢¢rinq $ ~nuironmental Studies GREG GORE P.O. BOX 112051 ANCHORAGE AK 99511 SELLER-GREG GORE GREG GORE P.O. BOX 112051 ANCHORAGE AK 99511 8/21/85 50535 LEGAL:BIRCHTREE ESTATES BLOCK 1 LOT 29 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-8/19/85 THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 168 SQFT, THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 442 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME, OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 8/19/85 .~ FLOW TEST ON WELL WELL FLOW DATE-8/19/85 A FLOW TEST WAS PERFORMED ON THE WELL. 442 PUMPED AT A RATE OF 1.8 GPM OVER A DURATION OF THE DRAWDOWN WAS 17.6 ' WITH A RECOVERY TIME OF AND THE STATIC WATER LEVEL WAS 80.5 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. r ,,, ~: .,~' -; ;',", ," GALLONS OF WATER WAS 5 HOURS. 60 MINUTES 1200 W¢sI 33rd Aucnu¢, Suite ~). Anchoro§¢, Alaska 99503,.[907) 561-5040 ALASKA ENVIRON NTAL CONTROL SERVICE~, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. CALCULATED BY OF ,l. /.d,,-'.. ,/ DATE CHECKED BY SCALE ~'~ ~ '~ O DATE PRODUCT20~I~fnc., GIoton, Ma~ 01471. HEMICAL TELEPH~)NE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO, water System Name Phone No. Mailing Address City State Zi~ Code MO. Day Year (*) See h on back SAMPLE TYPE: ~ Routine · I:] Check Sample (for routine sample with lab ref. no. E:] Special Purpose ) 1:3 Treated Water ~.,Untreated Water SAMPLE NO. LOCATION 1 I/___~-~ ,5 / 4;. '/"-~"...: :' 3 I 4 I , I Time Collected Collected ~ /C~ INC. TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: /~Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail, ' Time Received Analytical Method: Fermentation Tube ~'~Membrane Filter Lab Ref. No. Result* Analyst Fl-1 F'["I r-r'] r-Tn o~122o (b) Rev. BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAM PLE TNTC -- Membrane Filter:. Direct Count Collformll00ml Verification: LTB BGB Final Membrane Filter Results ./(~ Collformll00ml Reported By z'~ ...-~=--~"'---'~' ~ Time: _/.5'-~ E)a.m. D.m. Too Numerous To Count APPLIC 'NT FILLS OUT UPPER HA[ ONLY Property Owner /,i:./?: /~' (ii;~: ...... Phone Mailing Address ' ,. ,, ,...,,.,.:..,>. ;a~:,.,. / / / ....... / .., ..., ./!",'. ..... / j/ >., Z~pCode Buyer Address Zip Code Lending Institution /~ (:. ~,, ~ ~-," /~...~.. ~". ,~-~ .... '"~ ~/.-, ~,. ~)~:), ' ~.: ~,.~'i, ~ Phone Address Zip Code Realty Co. & Agent Phone Address Zip Code Street Locati~ ' _, : ~C~_~: ~:Single Family > : Multiple Family No. of Bedrooms : Other Water Supply ~ndividual A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975. ~ COmmunity For wells drilled prior to that date, give well depth (attach Icg if available). : Public Utility ~ '~ : Sewer Disposal Year Individual Installed: ndividual ublic Utility When Connected to Public Utility: ' : Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspe~r Field Notes: /~/,.,~ O /,-" ~"'"~' MUNICIPALITY OF ANCHORAGE .-"' ~/~'~[¢)2,48:c'~ DEPT. OF H~ALTH ~/~ ~ /[fl~/~ ENVIRONMENTAL PROTECRON .RECEIVED ( ~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAb APPROVAL' ~.ting Date ~wer Installed Well To Absorption Area I ~ I Well Log Received ALASKA 61 dlROIqmeFITAL COFITROL SE RUICe$, IFIC. I~nqJncerJnq $ ~nuiro.mental Studies JULY 19 1983 GREG GORE P.O. BOX 11-1494 ANCHORAGE AK 99511 SELLER - GREG GORE BUYER- SUBDIVISION-BIRCHTREE ESTATES BLOCK-1 LOT-29 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 168 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 800 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 115 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 7/19/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. 1000 IS ADEQUATE FOR 1200 LUcst 33rd Aucnu¢, Suite [~ *, J~nchora§¢,/~lasko 99503 · (907) 276-1361 . 0 ~5ox 1t1494 /~~i',jcc. t: t~ot ';° i~'Loc'?. 1, Jlircl', "l~r,i'.e... ...,, . o / adequate, accord:i~ to ~ati. onal 5tat~dardo . .~ ]iat:kni~ ,od.' b,, 'o;,~:itt: :' to this o(fic,~ (or our review .1 1 < ,< J, S. Lo;>crt CHEMICAL & G1 LOGICAL LABORATORIES :~ ALASKA, INC.~ TELEPHONE (907)562-2343 ANCHORAGE INDUST~i'AI' CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: --- · ? ~ ~ , .-;'~ Water System Name I.D. NO. r Phone No. Mailing Address City SAMPLE DATE: MO. State Day Year Zip Code SAMPLE TYPE: D' Routine [] Check Sample (for routine sample with lab ref. no. ) [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. LOCATION I /;."/',..;'.;:'/,:_, . 2 ....... ,,v',' ',-. I Time Colleoted Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~/Satisfactory [] Unsatisfactory [] Sampl.e too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received / Time Received ' Analytical Method: [] Fermentation Tube [::2/ Membrane Filter Lab Ref. No. Result* Analyst t,L< ./~' ,,,~ l-q"FI, ':.,:.~ I I ~ I I F'T-I I I *No. of colonies/100 mi, of NO. of POSItIVe Dor[IO~S {~-1220 (b] Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAM PLE Date Collecte~ Source a.m. Date Received , Time ReoMved p.m. Lab. No. I~'esu mpt Ive /0mi 10mi Z0ml 10mi Z0ml 1.0mi 0.1mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB. ~roth 24 hours: Multiple Tube Report: Membrane FIIter~ Direct Count Verification: LTB Final Membrane Filter Results Reported By Broth 48 houri: lOml Tubas Positive/Total 1Omi Portions Collform/lOOml ~BGB Collform/lOOml Time: /, ~', i', ,~ I,m, p,m,