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Home My WebLink AboutBENITO BLK 2 LT 4Onsite File Benito Block 2 Lot 4 #050-272-08 ',EOG OF DRILLING !,., t__-- . ................... .......................................... ADDRESS .., .......... . ................... : ................................................................ WELL SITE ................................................................................................. DATE--STARTED / ff-~, ~m"~ / ~ ............................... ...................... 2;,~ ............... DAW--ENDED .... ~ ....... --~--.~- ......... ~: .................................... KIND OF FORMATION: L DRILLING COMPANY FROM..4...~..~. ........... irT. TO....~..~.....~,'.~ .......... FT....'.~....'.~....!)._.'~.. ..... FROM ........................ FT. TO ........................ 1~ ............................... ~'ROM.....?....~ .......... ~. TO...~.']~.--.. ........ FT.-..-~-/..~----,~~:.----.~--~ ~/~-/~-,~OM ........................ FT. TO ........................ 1~ .............................. FROM.2...2:: .......... Fl'. TO ........................ FT ...... !--~.-: ..... ' ........... FROM ........................ FT. TO ........................ I:'T ............................... ~ / FT '~'~' '% ~ FROM ........................ FT. TO ........................ FT ............................... FROM...[.~[.....).. ............ FT. TO.../.f..? .............FT...-*~-~-------~-.--~-- ........... FROM ........................ 1~. TO ........................ FT ............................... FROM.../....~.~....~.. ......... FT. TO-..../-.[-~.....~.- ........ FT.----~---?--~-'-~- -~- ..... -~'- % '% ~FROM ........................ FT. TO ........................ FT ............................... MISCL. INFORMATION: C .-- M ' 0 0 Z SEE 5." £ r 5 GENORA ....... ~; .... ~ G lEG GP,~ATI~.R A~CHORAGE AREA BORO~ATER ANCHORAGE AREA BOROI'~-H Department of Environmental Quality N? 873 NAME LOCATION SEPTIC TANK: MAILtNGADDRESS LEGAL DESCRIPTION DISTANCE FROM WELL ~)~)'/~-~ LIQUID CAPACITY //¢~:::~ GALLONS. ~7-~4 ~-~ LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: NUMBER OF PiTS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER. ~ OR WIDTH ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) d~'0 DISTANCE FROM WELl , LENGTH ~ ' , DEPTH · BUILDING FOUNDATION SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES / ABSORPTION AREA ~ TOTAL LENGTH ' ~N. NEAREST LOT LINE /OF LINES , DISTANCE~BETWEEN LTN~S TRENCH WIDTH/ IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH L~. ~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__ WELL: Typ E/_~)~ ~//k~ ~ NEAREST LOT LINE SEWER LINE DEPTH ~ DISTANCE FROM ~ WATER ~ ,BUILDING FOUNDATION SAMPLE ,NEAREST SEPTIC ..--. SEEPAGE ~ ._ OTHER , TANK SYSTEM CESSPOOL oSOURCES~ DISTANCES: DIAGRAM OF SYSTEM l DATE I'~,l~f H AUTHbRITY GrE:~i'Er ANCHORAGE AREA BOROUGH DEPARTMENT OF' ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 995,02 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERm,T NO. NAME OF APPLICANT MAILING ADDRESS LEgal DESCRIPTION t &/ /~/' ~ ~'~ ~ INSTALLATION Of: SEPTIC TANK , . SEEPAGE PIT . , .RAINFIELD TYPE AND SIZE OF FACILITY ,O BE SERVED ¢~¢ //~ COMPLETION DATE ANTICIPATED OTHER NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL SE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS fOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE Pit ~ SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TaNk i. SEEPAGE Pit WELL TO SEPTIC TANK ~ . SEEPAGE Pit DRAIN Field DRAIN FIELD ., DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER maiN TO SEPTIC TANK DRAIN field SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. SEEPAGE Pit /O~ , D R A IN FI E l D 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. GRAVEL BACKFILL CONFORM TO BOROUG~EGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I Am FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 aND THat THE aBOVE DEscr~/~. YSTeM~IN ACCORDANCE WITH SAID CODE. COSA Checklist Legal Description: BENITO BLOCK 2, LOT 4 Parcel ID: 050-272-08 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 8/19/1972 Total depth 103 ft Cased to 103 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 8/7/2020 Static water level at beginning of test 93 ft. Well production at time of test 4.7 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 1.59 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 8/7/2020 Comments_________________________________ __ B. TANK DATA - NA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA - NA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No NA ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No NA ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No *38 ft Community Sewer Manhole/Cleanout > 100’ Yes if No *53+ ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) PUBLIC SEWER Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS *See MOA record docs – sewer separations approved / waived. G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 8/25/2020 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 February 20~ 1987 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4; Block 2; Benito Subdivision Location (address or directions) Genora and Big Horn (b) Applicant Name Alaska USA Credit U~cl/.~[~phone: Home Business 786-2503 Applicant Address 4000 Credit, P.O. Box 196615, Anchorage~ Alaska 99519 (c) Applicant is (check one): Lending Institution ~; Owner/builder []; Buyer []; Other [] (explain); (d) Lending Institution Alaska USA Credit Union Address ATTENTION: Sheldon Telephone (e) Real Estate Company and Agent Address Anchorage, Alaska Telephone 344-0501 · .(f) ,~a~lLt~e HAA to the following address: S ~ S ENGINEERING Realty Center/Brent Schlosst~in 17034 Ea~le River Loop Road, Eagle River, Alaska 99577 Suite 204 ordered by Sh~ldOn/Cre~t Union TYPE OF RESIDENCE Single-FamilyYi~ Multi-Family [] Number of Bedrooms 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[Z Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation a~testing to the legality and status. Page 1 of 2 72-025 (11/84) o ENGINEERING FIRM PROVlDIt NSPECTIONS, TESTS, FILE SEARCH, D, . 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 o 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. Name of Firm $ & $ ENOINEERING Telephone 17034 Eagle Ri.~er Lm~p Road No. 204 Address Engineer's Seal ~o~z> r/"; o ~/',~/... DHEP APPROVAL Approved for 'li'/~"'~'~'C".E')bedrooms by Approved Disapproved Terms of Conditional Approval 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) WELL DATA i~UHtCii~N.i~ OF .~I~~LITY OF ANCHORAGE (MO~i EHviROHI~Et4TAL Srcl~J~J~-gtl~S~HORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 2 ~9~7 264-4720 RECEIV g Leg~, DesoriptJon: L-T Well Classification Well Log Present (~N) Total Depth JcP~ Static Water Level Casing Height Above Ground / Electrical Wiring in Conduit ~)N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorp~l/3n Field on Lot To Nearest Public Sewer~ine Cleanout/Manhole · -~, F If A, B, C, D.E.C; Approved (Y/N) Date Completed ,~///~. / ~ ~... Yield Cased to /0'~ Depth of Grouting Pump Set At Sanitary Seal on Casing ~)/N) Depression Around Wellhead (Y~) ; On Adjoining Lots /oo · On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot Water Sample Collected by ,_.% ~- ~ L~-- /.~/~.,,,./&,'-~P-J/'../~ · Date Water Sample Test Results ,~7"1 ~,~,,1~ Comments _"~.,~c- ~//~,-~.4~ ~::)~~,~ c~,~/ B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (~N) Air-tight Caps (~N) Depression over Tank (Y~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) f'"P//~' Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service L~ne Course No. of Compartments I Foundation Cleanout (Y/~ Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) /~/~ To Building Foundation ' /c~" To Disposal Field ~' / To Stream, Pond, Lake, or Major Drainage Comments 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 7__ ~. Depth of Field Gravel Bed Thickness Standpipes Present (~TN) Date of Last Adequacy Test - Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot ~"~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments / To Property Line /~- To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) ~/'~ D, 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 ** certify that I have checked; verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed~ & S ENGINEERING ,~, ~ ,~, ~ ~' 170~4 Eagle ~,i,,r~r ~ R~,a~ ,~=. 2~te Comp~l{l~-,_ p.._l:~.: Alaska 99577 MOA No. ,:~ ...-~o~ Page 2 of 2 72-026 {11/84) unicip ty of Anchorage P.O, )X 19665O ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES March 9, 1987 Robert A. Shafer, P.E. S&S Engineering 17034 Eagle River Loop Road, No. 204 Eagle River, Alaska 99577 Subject: Lot 4 Block 2 Benito Subdivision Waiver Request WR87-021 Dear Mr. Shafer: After reviewing as-builts for the sewer line encroaching within the protective radius of the well serving the subject lot, it is apparent that special considerations were taken to protect the well from possible contamination. The as-built specifies ductile iron pipe and water-tight joints in the vicinity of the well on the subject lot while the rest of the sewer line is constructed of asbestos-concrete. This special construction is specifically noted for the protection of .the well. At its closest point, the public sewer was constructed 38 feet from the well. State regulations in effect at the time of the sewer installation required a well-to-sewer separation of 50 feet. Based on the special cons%ruction'~measures noted in the as-built, please consider this a formal waiver of required well-to-sewer line separation'. Sincerely, · Morris Civil Engineer On-site Services CC Gus Andress, P.E. Manager, Environmental Services APPLIC IT FILLS OUT UPPER HAL; '3NLY Property (~wner ~_~)/O~,% ~t'~'~ ~ .~i ' J ~¢.~.-<~L i~) ~-~ L~~, Phone Buyer("J'/J · Address Zip Code ~./~ i-~ '~ ~:'~.. ?: ~t, ~ , Phone Lending Institution j)j;~ .~:~ AddresSRealty Co. & A~nt ?~' ,." ~ ~ '='~':~ '..:d, ." Zip Code Address Zip Code Legal Description ),, :~'~ ~,>~ ~..:~,~ < .... ~ / / .(/ ~.,~/~". .: Street Locati~ ~ ...... ~)..~ '"~ c/~ ~ ~' ' Type of~esi~nce ~ .... :~ ':" ..... ?~' ''~' '~ ~ngle Family ~ Multiple Family No. of Bedroo~ ~ 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 Se~isposal ~ Individual Year Indlv~ual Installed: ],.. ?? ~ ~ Public Utility When Connected to Public Ut~ity: ~Holding Tank ~l.~ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Date Date Date Date~ . Inspector Inspector Inspector Inspector JUN 01983 Soils Rating Date,~~~we~ Installed WelIwell to TankT° ~sorption Area WelIseptic T~k SizeL°g Received 72-023 (3182) EXCA~/ATION WORK July 24, 1983 ROBERT A. SHAFER CIVIL ENGINEER 694-2979 Teresa walker Box 137 Genora Street Eagle River, Alaska 99577 Dear Ms. Walker, Reference: Lot 4: Block 2: Bonito Subdivision A sewer system adequacy test was performed on the system located · on the referenced property as you requested. The septic tank A~ed and verified to have a capacity in excess of ~Q_QD gallons. The seepage, pit was tested by a continuous flow of water charging the system with approximately 500 gallons of water and after a period of 24 hours all the water which had been added to the crib had percolated out. It can-be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequabely. However, the system cannot be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to contact US. .~/~s~' ~HAF ' . cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EA'G~LE RI~/ER, ALASKA GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 1. Approval ~requested by: Mailing Address: 535 D Street 2. Property Owner: Robert L. & Patricia Clapper Mailing Address: Box 1086 Eagle River 3. Legal Description: Lot 4 Block 2 Benito Subdivision 4. Location: Big Horn Circle, Eagle River Date Received May 24, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. Home Federal Savings & Loan % Valsrie 10: 30 a.m. 5-28-76 Friday Bob Neale Phone: · 272-1451 Phone: 694-2756 Type of facility to be inspected Single Family Well Data: A. Type C. Construction Individual No. of bedrooms 7. Sewage Disposal System: A. Installed 1972 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line ~3_.d9? B. Foundation to ~septic tank Size Absorption Area Total length of lines B. Depth D. Bacterial Analysis On-site system B. Installer 2. Manufacturer Absorption area , Other contamination C. Absorption area to nearest lot line 108' 2. Material 3 , Absorption area Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req Jt for Approval of Individual S~.,er & Water Facilities Legal Description Lot 4 Block 2 Benito Subdivision Comments Approved / / Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true ~nd accurate representation of the subject sewer and water facilities and these facilities are operating/.~atisfactorily. / ? Date ~//7~z' SIGNED EQ-034 (1/74) Departnlent of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274N4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: ~)~--AT.~- ~ ~- ?~'~,~._oz~ ~ Mai.lin~ Address: ~0~ kO~, ~~ ~Day Phone' C ' Mailing Address: ~q~ ~ ~ &~ Day Phone 4. Name of Lending Institution: -~_ e , ~~~ Mailing Address: ~~ b ~ ~cL, Phone 5. Name of Realtor or Agent' ~t[~c[&. 7. Type of Facility to be inspected' l.&&~ No. Bdrms. 8. Water Supply lype of Supply: ~ubl~c ~t~]~ty :: Individual If Individual, number of dwel]~a~s ~resent]y served .... If Individual, depth of ~el] 9. Sewage Disposal System : ~ Type of System' Public Utitit~) Individual (on-site) If Individual,, date of installa!: ~;q E0-037 F1 /741