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Home My WebLink AboutBEACON HILL ESTATES LT 3 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. GREA ANCHORAGE AREA BOR~, Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAIL,NG ADDRESS"~'d £'""' 9'/'Z(2 ('~d SEPTIC TANK: .. D I STA N C E / _ FROM WELL//~ i~-' %ANUF~CTU.E.~~ INSIDE LENGTH INSIDE WIDTH MATERIAL LIQUID DEPTH . NUMBER OF ~ COMPARTMENTS L IQU ID CAPACITY,/~'3~ GALLONS. DISTANCE FROM WELLOLJ~'/r TOTAL LENGTH FOUNDATION ,/~ ''/~ NEAREST LOT LINE /~") / OF LINES '~ / TOTA F , ABSORPTION AREA ~Z/~'t~ SQ. FT. LENGTH OF EACH LINE ~ ? DEPTH OF FILTER /(,~/ DEPTH: TOP OF TILE TO FINISH GRADE ~,~2~.~ ~." MATERIAL BENEATH TILE_ IN. ABOVE TILE //,~'// · WELL: TYPE_ ~,~)lv CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION~, LOT LINE~, SEWER LINE~ SEPTIC SEEPAGE , TANK__, SYSTEM DISTANCE FROM: CESSPOOL APPROVED OTHER SOURCES DISAPPROVED DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: REMARKS: Form EQ-032 DIAGRAM OF SYSTEM NAME OF APPLICANT GREATER ANCHORAGE AREA BOROUgh DEPARTMENT OF' ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION LEGAL DESCRIPTION L "~ PHONE INSTALLATION OF: SEPTIC TANK ~EEPAGE PIT , OTHER TYPE AND SIZE Of FACILITY TO BE SERVED ~"-'-~ FINANCED THROUGH IN TALL / · so,. TEST EBULTS z ¢ T ' NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BAC:KFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS ~ ~I~GRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALl SEPTIC TANK , SEEPAGL Pit ., DRAIN ~ r~_ DRAIN FIELD , ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /(/' , SEEPAGE PIT DRAIN FIELD ~ TO RIVER, LAKE, STREAM. 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 FIT T E D WIT H A IRTI G H TRE~---/~/~M O V ABLE C/~APS, '~/~ /'"/ y~,.,,,..~/~.~ GRAVEL SACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. L~ G .A .A .B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. / J LICANT'S SIGNATURE top- soil Gm with a moderate content. The sand and clay content varied ~it~_ respect to depth. ' ~,.,. Percco a,~:~ 20 May 75 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 GENERAL INFORMATION (a) Application Date Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~ ~/~"/~-l'd/~ Telephone: Home ,.,~z~;//~'-3"~-~/' Business Applicant Address ~z.~ ~..~ ,4~'~- ~,~,~', /,f,~/'./ ,/~d', (c) Applicant is (check one): Lending Institution []; Owner/builder,~; Buyer [] · Other [] (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to tl~e fo!lowing address: . Telephone TYPE OF RESIDENCE Single-Family, S[' Multi-Family [] Number of Bedrooms ~r 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. 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 72-025 (11/84) 5. 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. ~/._~5~.,/.,f~ Name of Firm ,/¢~'~ Telephone Address ,/'~.4/0 ~/,) p /¢/,~" .5'g*'ZT'~ & //~./ //~w. ¢¢.,¢~ Date //- ~ '-'g'"~ o DHEP APPROVA~L Approved for ~"'' . bedrooms by Approved .,~. ' Disapproved ,Terms of Conditional Appr6val Conditional 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) NtctpAL!-i~' OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA) I~U ~.=oT OF HEAt.TH & .. HEALTH AUTHORITY APPROVAL (HAA) u~-, ,, .... oRoTECTION ENViP. ONMrcNI/~t- · CHECKLIST- FEBRUARY 1984 WELL DATA Well Classification Well Log Present (Y~t Total Depth . Cased to Static Water Level ~ ! ~-~ · Casing Height AbOve Ground Electrical Wiring in Conduit ON) 264-472O Legal Description: Zo'7".~ ~t.~-..~/ ~/r //~ZZ. ~'~,,' If A, B, C, D.E.C. Approved (Y/N) Date Completed /~ ~'~" Yield /'~ ' 'f' Depth of Grouting /.//~r Pump Set At /, ~' Sanitary Seal on Casing Depression Around Wellhead (Y~[~) Separation DistanCes from Well: /, · To Septic/Holding Tank on Lot /4re ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot {~) /-~' ! ; On Adjoining Lots To Nearest Public :Sewer Line /d'/~ To Nearest Public Sewer Cleanout/Manhole ,4///~ To Nearest Sewer Service Line on Lot Water Sample Collected by ,,"~"¢~' /~° ~/'~/' ; Date //-/,~'"'~" Water Sample Test Results Comments ~ ~v/~/'~ ~ 7~' SEPTIC/HOLDIN( TANK DATA To Water-Supply Well To Property Line To Water Main/serVice Line Course Date Installed Standpipes(~)N) Air-tight Caps (~N) Depression over Tank (YN~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /C)/,'~ Separation Distances from Septic/Holding Tank: lOt' Size /~'"0 No. of Compartments Foundation Cleanout (y~[~l Date Last Pumped /j//t" ;for /J/~ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments /~'1 .~&~#~ '7~ -57"/~~/j''~//~''- 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 ,/~E'~ff/~7~'' Separation Distance from Absorption Field: To Water-Supply Well ¢ /-~'~'/' / To Building Foundation ¢. Lot To Water Main/Service Line /~ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments(~) /I/,~A,~ .-~ ~,~,~/,,~-~o (~7",t~ ~ 7~/~ ~' Type of System Design '~"'~/~/' Length of Field Depth of Field / Gravel Bed Thickness Standpipes Present (~N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots D. LIFT STATION ,,SipZ: in Gallons ~"~mp On" Level at ~ High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ~ Vent (Y/N) uacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** Signed ~-.f...---~ - ~-J~ Date Company /~"~ MOA No. Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) ALASKA P UIBOFImEFITAL COFITI OL SEI dlC S, IFIC. BOB MATHEWS 7400 BEACON HILL DRIVE ANCHORAGE ALASKA 995]6 SELLER-BOB MATHEWS 11/20/86 BOB MATHEWS 7400 BEACON HILL DRIVE ANCHORAGE ALASKA 99516 60612 LEGAL:BEACON HILLS ESTATES BLOCK 0 LOT 3 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-II/J2/86 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 940 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY, THE SURGE CAPACITY OF THE SYSTEM IS 870 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. TIlE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 11/15/86 THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE-II/12/86 , A FI, OW TEST WAS PERFORMED ON THE WELL. 870 GALLONS OF WATER WAS PUMPED AT A RATE OF 5.1 GPM OVER A DURATION OF 2.8 HOURS. THE DRAWDOWN WAS .2 ' WITH A RECOVERY TIME OF i MINUTES AND THE STATIC WATER LEVEL WAS 193 FEET. THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. 1200 U,Jgst 33rd /~ucnu¢, Suite B. Anchoroq¢, Alaska 99503 e(907) 561-50/40 ALASKA ENVIRONMENTAL CONTROL SERVK , INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. OF CHECKED BY DATE SCALE i i i i i .....i ...... i ~ i i : i' !' 'i ..... ', .... i "":-~:--~W....__~ i I i ...... ; ...... .... i ";/....'.~ "'-:'::"~"?:~i.:'"i ........... i ..... !'~,'~,~ ..... : '-~--,-~.:'-~ : ...... ........ : ......... I i ..... ! ..... i ..... i . ............ ~....~..~: ...... i,.. (TZ,-'z: ............. i ~ ....: ' ! ~x~ ........ ~ ......... :~~ ........... i .......... :-.~ .... : ~ ....... :~ ~ ::.,:: : ......... :i"~i~'~ '~"i ~'"'~'iW~I: ~/~'' '"'""i . , '..~:.....: : '...i ....... : ..... ~....... - ..: ,v/~,,~...~,,./~ I J ML L^BOR,^TO !ES, ,,c. II · ! :?lz? OLD S£WARD mGn~ ~ i ! ! A~C.O~AGE, ALASKA' ~9SI8 i ! 1 ~NTH_ ~Y_ YEaR ~ ;~ ~ PUBLIC~]ND]V]DUAL ~ C1RCLE CL~ CHECK ONE OR ~RE R B C ~~ ~ Sable too long tn transtt. I.D. NO. (PUBLIC SYSTEMS) I I ] I , .I I._ NAME OF SYSTEM TELEPHONE NUMBER SYSTEM ADDRESS CITY STAT'E ZIP CODE LOCATION WHERE SAMPLE WAS COLLECTED 0/ ' COLLECTED BY: ( S I GNATURE) TYPE OF SAMPLE (CHECK ONLY ONE TH~ COLUMN) ~-DRINKING WATER I-)CHLORINATED Sample should not be over 30 hours. r'l Sample received too late in week [~)Not in proper container []Leaked out [] Insufficient information provided. Please read instructions on form. []Other (Specify) RECEIVED FROM ,, DATE ////__~,~3~' '---- TIME /i~='/O ~/CHECK TREATMENT [] RAW SOURCE WATER [] NEW CONSTRUCTION OR REPAIRS [] OTHER(Specify) r-IFILTERED ~NTREATED OR OTHER 1S THIS SAMPLE A CHECK SAMPLE TO A PREVIOUS NON-CONFORMING SAMPLE? [] YES ~NO PREVIOUS COLLECTION DATE -- ANALYSIS REQUESTED (IF OTHER THAN TOTAL COLIFORM) SEND REPORT TO:(PRINT FULL NAME,ADDRESS AND ZIP CODE NAME /~ S ADDRESS /~l~ ~/ ~)~ ...~../'/'~' .t~ CITY _.__._.~/~'~'/ STATE ~ ZIP ANALYTICAL METHOD: · ~NEHBRANE FILTER [] FERMEtlTATION TUBE Date & Time Started Dat. & Time Completed BACTERIOLOGICAL BATER ANALYSIS RECORD FOR LAB USE ONLY TOTAL COLIFORMS FECAL COLIFORMS OTHER LABORATQRY RESULTS Other Bacteria Test unsuitable because: Confluent Growth BGB ~ Coliform/lOOml .Coliform/lOOml Date A.M. Membrane Filter: Direct Count Verification: LTB Final Membrane Filter Results Reported By Time READ SAMPLE COLLECTION INSTRUCTIONS ON BACK OF FORM / urticip lity A xchorage P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES November 24, 1986 Alan Wien Engineering Technician Alaska Environmental Control Services, Inc. 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 3 Block i Beacon Hills Estates Waiver WR86-164 Dear Mr. Wien: Your request for waiver of the separation distance from the well on the subject lot to the original septic tank on Lot 4 Block 1 Beacon Hills Estates Subdivision has been granted. The required 100 foot separation from the private well to the septic tank has been waived to 69 feet. This waiver is only good for this existing 4 Bedroom system and any upgrade to the system will require another waiver from D.H.H.S. Sincerely, Daniel J. Roth Civil Engineer On-Site Services ALASKA P iUIROFIITIE FITAL COFITROL SE l dlg[ $, IFIL (~n§in¢¢rinq $ ~nuironmcnld Studies November 20, 1986 Municipality of Anchorage Department of ttealth & Human Service 825 L Street Anchorage, Alaska 99501 Re: Lot 3, Block 1, Beacon Hill Estates Subdivision On 11/12/86, a Health Authority Inspection was performed on the above referenced lot. From this inspection, we find that the neighbors septic tank (lot 4) is 69 feet from the subject well. This tank is a steel, one compartment, 1250 gallon tank installed 5/17/73. The subject well was drilled in 1975 and no well log is available. Attached is a waiver letter from ADEC dated 5/21/75 authorizing an 85 feet separation distance. This is also noted on the Sewage Disposal System - Application and Permit for the subject loL. The inspection report shows the well to be 206 feet deep. On 11/12/86, the well was probed during the well flow test and the static water level was 193 feet and the well casing appeared 'to extend to the bottom. Attached are two sample well logs from the near vicinty of the subject lot, one from Wildwood Glen Subdivision and the other from Hillside Heights Subdivision. Both were drilled and cased to approximately 200 feet with no bedrock encountered. Both show water production at approximately 190 feet. Using the Separation Distance Waiver Guidelines, point values are as follows: Water Table 176 feet between bottom of trench and water table Point Value 7.4 Soil Sorbtion Sandy silty gravel predominant Point Value 2.0 3o Permeability Sandy silty grave], predominent Point Value 1.0 Water Table Gradient Unknown Point Value Horizontal Separation 69 feet separation distance Point Value 1.76 Total PoJ~nt Value 12.16 This total shows that no bacteriological pollution is possible. A water sample taken 11/12/86 is free from coliform bacteria. The well is located uphill from 1200 UJcst 33rd Auenu¢, Suite [~,./~uch0raq¢, Aktsb 99503.(907) 561-50/40 the neighbors septic tank. Any leakage from this tank would flew downhill 'to the west which is away from the subject well. The well is located in the east corner of the lot which is the maximum possible distance from all sewer systems. We therefore request you waive the separation distance to 69 feet. If you have any questions please feel free to call. Sincerely, Alan Wien Engineer Technician Approved by: JAY S. HAMMOND, Governor DEPT. OF ENVIRONMENTAL CONSERVATION SOUTNCENTRAL REGIONAL OFF/CE / 338 DENALI STREET / ~ACKAYBUILDING-ROOM850 ANCHORAGE 99501 May 21, 1975 Hr. Lynn Coad Dept. of Environmental Quality 3330 C Street Anchorage, AK 99503 Subject: Lot 3 Block 1 Beacon Hill Subdivision Dear Mr. Coad: Based on the information provided by Mr. Charlie Wells this office has no objection to the installation of the septic tank 85 feet from any wells and his seepage pit at 100 feet or greater. If you have any questions regarding the above please do not hesitate to contact me. Yours truly, Regional Environmental Supervisor GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 9, 1976 Time of Inspection 3: 30 p.m. Date of Inspection February 11, 1976 REQUEST FOR APPROVAL OF Les - Wednesday INDIVIDUAL SEWER & WA/ER FACILITIES FOR CO~V. 1. Approval requested by: First National Bank of Anchorage - South Center Branch Mailing Address: Post Office Box 4-2090 Phone: 274-1521 2. Property Owner: Charles Wells Phone: 864-3157 Mailing Address: Star Route A Box 71W, Anchorage 99502 3. Legal Description: Lot 3 Block 1 Beacon Hills Subdivision ~4. 5. 6, Location: Type of facility to be inspected Wel 1 Data: Individual A. Type Single Family B. Depth No. of bedrooms C. Construction Sewage Disposal System: A. Installed D. Bacterial Analysis On-site system. B. Instal ] er C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages Re ~t for Approval of Individual ,r & Water Facilities Lugal Description Lot 3 Block 1 Beacon Hills Subdivision Appro~O~-alid 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) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection' CMRO 2. Property Owner: Charles Wells VA FHA CONV Mailing Address: SRA Box 71W Anchorage, Ak 99502 Name of Buyer: Robert E. & Sally F.; Matthews Mailing Address: 2803 Valle}, Wood Dr. Anchorage, Ak Day Phone 864-3157 Day Phone 277-1474 4. Name of Lending Institution: Mailing Address: P.O. 5. Name of Realtor or Agent: Mailing Address: First National Bank of Anchorage-South Center Branch Box 4-2090 Phone 274-1521 Phone Legal Description: Lot 3, Blk 1, Beacon Hills Subdivision Location: lqMN Beacon Hills 7. Type of Facility to be inspected: SFD 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual No. Bdrms. 4 Individual (on-site) X X EQ-037 (1/74)