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HomeMy WebLinkAboutFIRE LAKE LT 4 TR M NAME "~ 01~ ,'~ ~ GRF ER ANCHORAGE AREA BO" UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM L~41U(~LI~' MAILING ADDRESS ~- I g/'A¢'( '~ PHONE LOCATION SEPTIC TANK: DISTANCE FROM WELl MANUFACTURER. MATERIAL ~1~. NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /00~ GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER -~--~.~.-- OR WIDTH IqI, LINING MATERIAL I/~{.-~ CRIB SIZE: DIAMETER BUILDING FOUNDATION__ NEAREST LOT LINE ADDITIONAL ABSORPTION LENGTH I~I, DEPTH __.DEPTH ~1 DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK SYSTEM REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: ~1~ REMARKS: Form No. EO.O31 DIAGRAM OF SYSTEM GReATEr ANCHORAGE Area Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE Z74-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT PERMIT NO INSTALLATION LOCATION LEGAL. DESCRIPTION INSTALLATION Of: SEPTIC TANK ~ SEEPAGE Pit FINANCED THROUGH TO BE INSTALLED bY SOIL TEST RESULTS NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL 1ZST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. /' I MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK~ ~/ 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_ SEPTIC TANK,~, SEEPAGE Pit TO RIVERi LAKE, STREAM, DRAIN FIELD , DRAIN FIELD SEEPACS Pit/d~ / ALSO CONSIDER AREA WELLS. seEPAGE Pit //g~)~) / DRAIN FIELD CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROU~a~REGULATIONS REGARDING INSTALLATION. ANCHORAGE, ALASKA 99592/ /i '" (907) 264-4111 ..~ Anchorage DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (825 "L" Street) July 14, 1978 Mr. Kyle Cherry Alaska Dept. of Environmental Conservation 338 Denali Anchorage, Alaska 99501 Re: The plan for a reviSed sewer system on tract M, Fire Lake Alaska Subdivision. Dear Mr. Cherry: Our department met with the owner and discussed the required relocation of the drain trench on the subject lot. The trench can be relocated, and the entire sewer system will be outside a 120 foot radius of Dr. Karl Francis' community well on tract L-1 of the same subdivision. Our discussions on July 13, 1978, indicated that this relocation is adequate to protect the community well, therefore, a permit to relocate has been issued. Attached is a sketch of hoW the system will look when finished. I would appreciate your written concurrence of this design location for our files. Sincerely, /as / ce: Les Buchholz T : ?~"f". Location' (acldress oil. Township, ~ange, Section, ff known; or dmtance main road : . ,.: ,. '.-~,:,,,.~,;,~:, ;,,~ ~,r . ~ ~. .,..,.. ,. .,,., .ix e~::,;:~/,i .'.:,t- G.. ~ ~ ~, . .: ·,-: '. M-W DRILLING, Inc. , . · P.O. Box4-1224 .1310ClnternatlonalAirportRoad ~ (907) 274..4611 ... ~ ANCHORAGE, ALASKA 99509 * . . , , · { :~ ,~ · ' '.. :;... . ' ',~ : ' ' ' ': ' ~ DRILLING LO'G'I 'I.,. ' · - '--" D'''II ' '. · :~:~...~,,~ :. ' ,'~. ;, '>~, ,,',.,L~'~}Z/,q~,~r~ -::f'i~,i~,,!~,:, ., ~ , · , ,---' ..... ~.:~ :v, :; ..~- ' , ': ,,,',,'Tom Lsnfflle~[~. :.,~:.~'~.~i~,~,,..'~',' r· . UseofWell ~om ? ' '": :' Tract M, Fire take Size' ~--of casin~ ' Depth,of Static Water level !P ft.~' ..,~i~;~ 'Screen ..( :'~,'," -); _- Perforated .... ;':' ~?rlbe screen or Well~)P~ping'test a~ ~ ' 'g~ . :~.t.:~:.o~. drawdo~ trom static _______ _D~{~'~{'~ompl~tion '.< '.a~' ' · ' Depth in feet from ground surface 0 .TO 2 . .... , ~' .~>..~.,.~ land surface. }!' Open ~2 TO 5 ~ TO WELL LOG ~ ' "' ' d size of material, color ancl harclness'~ penetrate , ..... : ,. , ..... .' ' ' ' ~ "~' :~:";'~' ' '.,:'":. ' ~7i'~~'.'':;''~:~'~':' .... ' · ~tc ,, ar~,tlltte, cl&yeyt km~m~ brown to .TO· TO TO TO TO.`' ' . ": ':. 3--CONTRACTOR MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 ~ , Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4 Tract M, Fire Lake Subdivision T15N RIW Sec.31 Location (address or directions) Chugiak (b) Applicant NameCathrj:ne WoOd ~ Telephone: Home 688-3266 Business N/A Applicant Address SR1 Box 2370, iChuglak Alaska 99567 (c) Applicant is (checlI, one): Lendin9 Institution [] ;.Owner/builder []; Buyer []; Other ~ (explain); owners agent ' (d) Lending Institution, Lomas & 'Nettlet0h Telephone 563-3542 Address Anchorage, Alaska ' (e) Real Estate Company and Agent N/A Address Telephone (f) MaittheHAAtothefollowingaddress: Pickup by Applicant TYPE OF RESIDENCE Single-Family ~] Multi-Family [] Number of Bedrooms 3 Other 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 Environ mental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVID, INSPECTIONS, TESTS, FILE SEARCH, r. ~. 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. *subject to any conditions as notted on data sheet Name of Firm EAGLE RIVER ~NGINFF:RIN(~ RFRVICFR Telephone Address EAGLE RIVER, AK 99577 Date .-~ ~F6 P. 0._~94.51~0~( T/~sZV495 DHEP APPROVAL Approved for " 6 gbedrooms by 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-o25 (11/84) MUNICIPALITY OF ANCHORAGE (MOb/ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 i,,~UtqICIPALITY OF ANCr,iOr, AGI~ DEPT. OF HEALTH ,NW,ONMENTAL ,.oTECT ON 264-4720 Legal Description: WELL DATA Well Classification ~;)/~ / c,/'J-/-~*~- If A, B, C, D.E.C. Approved (Y/N) -~/~ Well Log Present (Y/N) /U Date C,ompleted ~-';'~'~ ,~, / /~'?~/ Yield 7'~.~ t¢~~' ~/42,,2,~. ,~-/?, ~, Total Depth / .~"~ Cased to // · "~/-~ ,d,,~-,~c~' Depth of Grouting 5~ ~,~ce Pump Set At Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/,.N) Separation Distances from Weil: Sanitary Seal on Casing (Y/N) /ix Depression Around Wellhead (Y/N) .,~ ; On Adjoining Lots /~ ; On Adjoining Lots ~-/cc: ~' To Septic/Holding Tank on Lot ~'~" ' -~ !" To Nearest Edge of Absm'ption Field on Eot~"~'~ / . To Nearest Public $~wp.r Line* '~#,,~'~ .... . To, Nearest Public Sewer Cleanout/Manhole /~/~'"~;~' "* '~ '* ";'To Nearest Sewer Service Line on Lot Water Sample Collected by /'~<,~- "~""'~ /~'~$'~'~"'"3 ;Date '~/~5"/ Water Sample Test Results .S~ ~_~/~/o Comments B. SEPTIC/HOLDING TANK DATA Date Installed ,3-,~,e /9~-~' Size /4~'~ Standpipes (Y/N) )" Air-tight Caps (Y/N) Depression over Tank (Y/N) /U' Pumping/Maintenance Contract on File .(Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~LS'-' / ~ / No. of Compartments / Foundation Cleanout (Y/N) Date Last Pumped ,a,,~./,~'~;~-~, ~', ; for -'-'-" Temporary Holding Tank Permit (Y/N) /////~ To Building Foundation To Property Line Y-/~ / To Water Main/Service Line Y"/~ / Course /l///,~r 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 .7,., ~ /~'~ Width of ~ Square Feet of Absorption Area ~-~&'~'/ Depression over Field (Y/N) Results of Last Adequacy Test-~ ~: Separation Distance from Absorption Field: To Water-Supply Well /' ./C? To Building Foundation Lot /1//,~ To Water Main/Service Line */~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ,~ 5- --/~,~ ;.~__ Type of System Design Length of ~ / ~ / Depth of Field // Gravel Bed Thickness ~ / Fr~ ~'~ Standpipes Present (Y/N) Date of Last Adequacy Test ,,- / To Property Line - 7-5- To Existing or Abandoned System on ; On Adjoining Lots '/'3o / To Cutbank (if present) ~/~1 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. Signed J ~- Date ~//~.2 ~//~ ~' Company ~-~-~/~='/--~ -~' MOA No. ~'7 ~.,~.<- Receipt No. ~-~3~ .... ee ..., 4~.A ~. Date of Payment ~ ' ~ ~-~ ~ ~,... A .. ~ e Amount: $ ~ ~ o~ ~, ~__. ~ E~i~ Seal Page 2 of 2 t'~;~.. C~7~ /.~ EAGLE RIVER ENGINEERING SERVICES I1~. P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 To Steve Morris Municipal Health Department LETTER Date Feb. 27 , 1986 Subject L4, Tract M Lake Subdv. Fire I have determined the soil rating on the data sheet by dividing the absorbtion area by the number of bedrooms. While there is no soil log in the file it was indicated to me by the owner that O&E Engineerin had performed a soil test. The nearby road cuts in the area are all GW-GP which would tend to support this. The area of lot 4 is entirely different from Lot 3, Lot 3 is at the immediate base of the mountain while lot 4 is ±200' higher in elevation. I would also expect that a soil log was submitted to obtain the on file permit. The septic tank has been thawed and pumped on 2/27/86. SIGNED ~ [] Please reply ~]~No reply necessary unicipalitYof Anchorage P.O. BOx 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES February 27, 1986 Lou Butera, P.E. Eagle River Engineering Services P.O. Box 773294 Eagle River, Alaska 99577 Subject: Lot 4 Tract M Fire Lake Subdivision Waiver Request, WR86-026 Dear Mr. Butera: Please consider this letter approval of your request for a waiver of the well to septic tank separation requirement of 100 feet. This distance has been waived to 95 feet. This waiver is valid for the existing septi~c tank only. Any upgrade of the septic system will invalidate this waiver. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/lJw EAGLE RIVER ENGINEERING SERVICES Lou Butera P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907) 694-5195 2/26/86 Susan Oswalt Municipality of Anchorage Health Department 825 L Street Anchorage, Alaska 99501 Ref:Lot 4, Tract M, Fire Lake Subdivision Dear Susan; On behalf of my client, Cathrine Wood, I am applying for a wavier of horizontal separation distance, well to septic tank, to 95' distance. The well and septic tank were installed in 1974. The well casing is seated in 6' into bedrock and taps a confined aquifer at 152' depth. The surface topography is such that the well is located at a slighty higher elevation. The bedrock depth at the well site is 5' with the bedrock depth at the tank in excess of 9', indicating that the bedrock plane slopes away from the well location. Soils in the area are typical- ly GW-GP type. The tank was installed according to standard practice at that time which would include the use of rubber no- hub couplings. I should be noted that this installation was approved by the Municipal Health Department based on an inspection in 1975 by Les Buchhloz. If there are any questions or concerns please call me at my office 694-5195. Lou Butera P.E. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: /~////t/ 5. Type of facility to be inspected 6. Well Data: A. Type Date Received 7w ~?- ~,/~ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR :~' ~/ /~0 Phone: "?~/~ ~<'~'~ ,. '~ Phone: No. of bedrooms B. Depth C. Construction ~...~d~n, D~ Bacterial Analysis Sewage Disposal System: F//-~r .-,~l~ ~, ...... A. Installed ' B. InstallerT~ C. Septic Tank: D. Seepage Pit: E. Disposal Field: 1. Size 2. Manufacturer 1. Absorption Area 2. Material Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line , Sewer Lines EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: Mailing Address: CMRO VA Thom~.s G. L~_~l BQ~ 107 Fish Hateh~.~? .Thomas G. L~n_~l~ ~ox 107 Fish Hatehe~ Rd. 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: None Mailing Address: FHA CONV ×. Day Phone g2fl_3177 Day Phone 688_3177 Coast M~rt~a_~.Co. Phone 279-0665 Phone 6. Legal Description: Tract M. Lot h Uooer Fire Lake S/D Location: ~ Fire Lake Eagle River, .Alaska 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well 132 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation Home No. Bdrms. 3 X Individual (on-site) EQ-037 (1/74) 2 of two pages - L for Approval of Individual & Water Facilities Legal Description "/ ~ '~ ' ~ ~' A p p r o v e d C~,<~_/?~r~/~ Disapproved Date / --]~'-'/~5'- ApproXv~l Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)