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HomeMy WebLinkAboutT12N R3W SEC 33 LT 98A QGRE ' '£R ANCHORAGE AREA BOr''IJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE I)ISPOSAL SYSTEM LOCATION ~':-~///:¢'/~'-~/Z~'.~'~ ~"~-':~'? LEGAL DESCRIPTION SEPTIC TANK: DISTANCE //~ ./- /~/~*':-~'~ ~-~:~/~..~.~,~/~ NUMBER OF FROM WELL ~'~/ MANUFACTURER ~/~-// MATERIAL~t/~/~J~'~~(~ COMPARTMENTS , ~' INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH _LIQUID CAPACITY ~ 4~/ GALLONS. SEEPAGE PiT: NUMBER OF PITS ~/'~/~" DIAMETER BUILDING FO UNDATION.--~'~ ADDITIONAL ABSORPTION OR WIDTH LENGTH .... DEPTH ~-"~'~') -'~-~ ' DIAMETER -- DEPTH ' _ DISTANCE FROM: WELL TOTAL EF[:ECTIVE ~.>l/ ABSORPTION AREA (WALL AREA)? Z~- ~"-'~-~?"SQ. FT. WELL: BUILDING FOUNDATION CESSPOOL ~/:~:-~ ~ ~/-/ APPROVED CONSTRUCTION ~,'%/~-~'.~'-~ DEPTH ,/~ -~'~ /-'~ DISTANCE FROM: OTHER SOURCES DISAPPROVED INSTALLED BY: /~/-~"~?-~-~//~:~/: LOT SLOPE: /b.~?~"~ DIAGRAM OF SYSTEM DATE ,/,~//~/' /~/~ APPROVED ~ L ,,_~ / _ / G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. '" :;",x/4.-x INSTALLATION LOCATION / ~'~/~ ~¢*~ ' INSTALLATION OF: SEPTIC TANK SEEPAGE PIT .. DRAIN FIELD , O?HER-- ~ , FINANCED THRO"GH --- TO B~ INSTALLED BY C.~;~~/ ~Z~' 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. fl.. ,f..,,z,x~, Z.. ?~.-/.z~- .. SEPTIC TANK ~ TO NEAREST LOT LINE. DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB C¢~OSSING 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. G~AVEL BACKFILL CONFORM TO BOROUGH ~;~EGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR W]Th THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE GRI.:A~EP, ANCIIOi<ACi /',!',:/\ iJepartmerQ of [nv~FornnenLa] ()ua]~ Ly 3330 "C" S[revl: Anchorage, Alaska 99uu3 ~()ILS 1,()(i PI':Ii()I,ATION 'I'I':'A'I! This form reporl:s: Soils log X_ ................. PercolaHon l',es~ ....................... De p t h Feet 6-~/~-~:. Was ground water encountered? _f~ ..... if .yes, at wnaL depl. tff Gross Time Her Time Oel!.th_to W,a_h_'!]_ Net [Fe~'~:~)~}Gt-Go-n' rate mi nute. · Proposed installation: Seepage Pit Orain Field Dept'F-t-o' b~'O!-o-m' o:F-Iii I: or' trencl, Depth of Inlet ......... · ................. COMHENTS: Perfor~ned [3. ~ .... '_:.'_:_ ' ....... ' ' Reading i)a te SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF DRILLED AT THE RATE OF $~.?o00 PER FOOT. PROPERTY OVVNER i',',r,, Wesley Fryer ~-. Elmore Ad. 349-1127 LOCATION OF WELL SITE_. DRILLER Bernie Claus of P~mpart Drilling Works. WELL LOG: 38--~1 LS~el,_Wa~r bear~ o~uc~2 ~--9~'~r~9! ~th 15~ cl~ b~der~. ~-~ krater b$~%~avel pr~uc~g 8 G~ ~th a 65 foot head of water stud. Cas~ to ~ feet. ~p shoed be %ustalled five feet off cas~ bottom. sub. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENV RONMENTAL PROTECTION OOT 1 n RECEIVED COST iNCLUDES ALL LABOR AND MATERIAL FOR COMPLLC-FION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF $2210.00 THANK YOU VERY MUCH, DATE BERNIE CLAUS OF RAMPART DRILLIJ~i,G WORKS ., (i SERVICE CHARGEOF I~1% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS. MUN%CIPALiTY OF ANCHORAG~i DIVISION OF ENVIRONMENTAL Ht'2ALTH DEPAR'i2,~E~£ OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR I{EALTH AUTHORITY APPROVAL CERTIFICATE (a) Legal Description (include lot, block, subdivision, section, to,reship, range) Location (address or directions) (b) Applicants Name._( ~_~:~.,,~z..:~/,,~ ~ Tele~:one ~ Home Bu~ine~a.~ (d) Lending Institution T e 1 e ~j.~A ?- (e) Address Address (f) Telephone ~ ..... ~.~. Number of Bedrooms ...... Individ~l Well ~ Community [~:. Publi~ Note~ If community well system~ must have ~itten co~irmation from th~ S~age Depautment of Environmental Cor~er~ation attesting to the lega%lty and status, Sewage Disposal Note~ If commuaity well system~ mu~t have ~,~it~en confirmation from the S~ate Department of En~irm~ental Donservation attesting to th~ legality and statns~ [Pag~ 1 of 2] 5o Engineering Fi~-m P_'oviding_ ........... Inspections...z~.~_.%ests ..... ~ J.].~ Search~_~pa ta._ and Information As certified by my sea]. affixed hereto and as of the validation date shogm 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 Y~nicipality of Anchorage files and from my investigation and inopectiou, tile on-site %rater supply and/or wnstewater disposal system is in compliance with ~11 Municipal and State codes~ ordinanees~ and regula- tions in effect on the date of this inspecgiono Name of ~irm~/? Address Telephone o Approved for + ' '" bedrooms By ' "~',, ,~ ~ ~'' '. Date Approved ', Disapproved~ ' ~o~ition~ Terms of Conditional Approval_ CALrI'ION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEAMfH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES L~f~kLTII AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON T~ REPRESENT- ATIONS GIVEN LM FARAGRAPI{ 5 ABOVE BY AN INDEPENDENIF PROFESSIONAL ENGINEER 1LEGISTEP~D IN TtlE STATE OF ALA. SKA. TI~E Dt{EP DOES Tills AS A COURTESY TO PLRICHASERS OF I{OMES AND TIiEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIltE'= MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFI6A%% IS ISSUED. %~tE bf0NICIPALITY OF ANCHORAGI{ IS NOT tLESPONSIBLE FOR ERRORS OR OMISSIONS IN TIlE PROFESSIONAL ENGINEER'S WORK° (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 9-84 MUNICIPALITY OF ANCHORAGE: DIVISION OF ENVIRONMENTAL HEALTH *,DEPARI]4ENT OF HEALTH AND ENVIRONHENTAL PROTECTION APPLICATION ~'OR tIEALTH AUTIlOR%%~f APPROVAL CERTIFICATE Iv Geueral Information Application Date (a) ~egal Description (include~ lot, block, ~u~division~ section, to~,mship, range) ~cation (address or directions) (b) Applicants Nam~b. Ej~%h~.~]~,,~___> ......... l'e~;~hone ~ Applicants ~dress k ~>f~(j~_ 2;~ ? ?.~, (c) ApplicantBuy~r ~_]iisOther(check[-j[~[°ne) (explain) ;Lending Institution ~ .....; O~mer/builder (d) Lending Institution (e) Address Telephone Address (f) Residence Telephone Mail the I~tA to the following sddress: Number of Bedrooms Other (describe) Water IndivSdu~al Well IZ] Community ~ Public No~e: If commu:nity well system~ mus~ have *~itten co~irmation from the State Department of Enviro~ental Conse~wation attesting to the legaiity and status~ Sewagp Disposal Note: If communiuy well system, must h~e'¢J.i[t-eF, co~fira~tion fro~ the State Department of Enviro~ental Co~lsei.v~t&on.a~E~gf~9~&~tg to the legality and status. [Page i of 2] Engineering Firm Providin8 Ins~tious, Tests_a` File Search D~:?J.j~'~ ..... ~_j~____L__. ....... ~ ................ ~ ~ · - ~.~- . and l~fo~natiom As certified by my se~. affixed hereto and as of the w~lidation date show~ below~ I verify thag my investigation of this Health Authority Approval shows that the on-site water supply a~/or ~stewater disposal system is safe, fmtction~ and ~equate for the number of bedrooms and type of structure indicated herein~ i further verify that~ based on the info~x~ation obtaAned from the ~nicipality of Anchorage files and from my investigation ~d inspection~ the on.~site water supply and/or wastewater disposal system iff in compliance with all bI~nicipal and Sta~e codes~ ordinances~ a~J regula~ tionfl in effect on the date of this inspection. Name of Firm Address Date SEAL ) _p~_E P__Ap_p rov a 1 Approved Approved Disapproved T~s of Co~dition~ Ao~roval %-"/ CAbTf ION THE MUNICIPALITY OF ANCHORAGE DEPART~fENT OF I-IF~kLTH AND E~VIRO~RIENTAL PROTECTION (DHEF) ISSUES H~%LTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT~ ATIONS GIVEN IN PAJlAGllAPH 5 ABOVE BY AN INDEPENDENT PROFESSIObi&L ENGINEER REGISTERED IN THE STATE OF ALASKA° THE DHEP DOES THIS AS A COURg.]~SY TO PbLRCi-P~SERS OF IIOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL !~MD SLkTE REQUIRE.- MENTSo EMPLOYEES OF DHEP DO NOT COhnDUCT INSPECTIONS OR ANALYZE DAT& BEFORE A CERTIFICATE IS ISSUED. TIlE MUNICIPALITY OF ANCNORAGE IS NOT RESPONSIBLE FOR EoRRORS OR OMISSIONS LN THE PROFESSIONAL ENGINEER'S WORK° RR4/eJ/D18 [Page 2 of 2] 7~19-84 TO ALASKA eI1UIROIlmI:ITAL COFITROL SeRUICeS, IrlC. ~nclineerinq 6 ~nuironmenl~l Stuc~ies 1200 Wesl 33r(I Auen~¢, Suil¢ [~ · Anc~oroqe. /~losko 99503 · (907) 561-5040 MUNICIPALITY OF ANCHORAGE DEP1. OF HEALfH & ENVIRONMENTAL PROTECTION h,>, ~ (:&r 1985 RECEIVED ALASKA (~iIUII~Or~m613TAL C0[1TROL SdgUIC~S, IFIC. · ~nqingednq ~ ~nubonmenta[ Studies 1200 L~¢sl 33r(I ~g~1~11~7~ ~)Ar~qoR~,~9~ke 99503 · {907) 561-5040 DEPI. OF HEALIH & ENV R©NMENTAL PR©I'EGTION TO L.:~,' O 6 1985 ~EIVED ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIgP - FEBRUARY 1984 DEPT. O~ HEALTH & p.,[CEWED Well Classification ~ If A, B, c~. C, D.E.C. Approved(Y/N) Well Log P~esent (~,~_/N) Date Ccm~pleted . { O "~ -C~%-- Yleld_~G~% Total Depth .~-' Cased to ~_~_~ Depth of Grouting %)~\~..~.nt~ Stati~ Wate~ Devel ~1 Pump Set At 6/f4k~4~o~, Casing Height Above Ground_ J.~' Electrical. Wiring in Conduit (Y_(_(_(_(_(_(_~ Separation Distances f~cm Well: To Septic/Holding Tank on Lot Sanit~y Seal on Casing '~N) D~p~e'ssion A~aund Wellhead (Y~ ;On Adjoining Lots_ To Nearest Edge of Absorption Field on Lot~_~r+ O~___; On Adjoining Lots To Nearest Public Sewe~ Line ,~_______ To Nearest Public Sewer Cleanout/Manhole .~ . To Neazest Sewer Service Line on Lot Wate~ Sample Collected By ,_'~)~',1~. ~...r-,~ __; Date. B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes Size Air-tight Caps :No. of Cc~pa~tn~nts / Foundation Cleanout (Y~ ~_~_~ Depression ove~ Tank (Y/~ ,,Date Last Pumped ~.~.?~:~'- Pumping/Maintenanc~ Contract ~ File .(~) ~_; for ~ Holding Ta~ High-Wate~ ~a~ (Y/N) N ~ . ~a~y Holdi~ Tank ~rmit (Y~)~ ~pa~ation Distan~s ~ ~ptie~olding Tank: ~ To Building Foundation ~/~/ To Disposal Field ~/ ~3 To Stream iPond, Lake, o~ Major D~ainage To Water-Supply Well _ //~! To P~operty Line To Water Main/Se~vic~ Line Course _~71 + [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils P~ting in Absorption Strata .I,~r) ~/~ ~ Type of System ~siGn Date I~talled ~--6-~ ~ ~ngth of Field ~3/ ~ Width of Field O~k~,~% ~ ~p~ of Field ~ ~O' ~ Gravel ~d Thick,ss ~/ ~D Squ~e Feet of ~sorption ~ea ~ ~ ( ~3 Standpipe ~esent ~) ~p~ession ove~ Field (Y~ ~te of ~st A~a~ ~st ~-~ Results of ~st ~e~a~ ~st ~e_ ~o~ ~ %~& Separation Distan~ f~ ~sorption Field: To ~te~-Supply ~11 /qQI ~ To ~o~rty ni~ c~O/ + ~D To Building Foundation ~3 / '~ To Existing or ~ndo~d System Lot N k ; ~ ~j°ining ~ts ~Q' + To Wate~ Main/~vi~ Line ~O'+ To Cut~(if pre~nt) ~ To St~e~ond~ke/~ ~jo~ ~aina~ ~se /OfL~ '~ To ~iveway, Pa~king ~ea, ~ Vehicle Sto~a~ ~ea [o~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Ala~mLevel at Tested fo~ Electrical Codes(Y/N) Con~nts ** Check Permitted Bedroom Rating Against HAA ~equest ** I certify that I have checked, verified, or conformed to all MOA~i~j~ in on the date of this inspection. -~'%~"'"6~'"°~'97~' Signed ~-~ ~ Date ~-~ [Page 2 of 2] ~x~.. ?~O-¢~u_ 2-15-84 RICHARD SANDERLIN 1465 SANDERLINE STREET ANCHORAGE ALASKA 99501 SELLER-RICHARD SANDERLIN 5/5/85 PICXED UP FROM OUR OFFICE 50154 LEGAL:ELMORE SUBDIVISION LOT 98A ~12N R3W SEC33 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-4/22/85 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH/PIT WITH AN AREA OF 624 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 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. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 4/22/85 . FLOW TEST ON WELL WELL FLOW DATE-4/22/85 A FLOW TEST WAS PERFORMED ON THE WELL. 675 PUMPED AT A RATE OF 5. I GPM OVER A DURATION OF THE DRAWDOWN WAS 14.7 ' WITH A RECOVERY TIME OF AND THE STATIC WATER LEVEL WAS 22 FEET. THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. GALLONS OF WATER WAS 2.5 HOURS. 120 MINUTES I~UN[CtPAEITY OF ANCHORAGE DEPOt. OF HEALIH & FNi/iR©NM~flTAL PRG [F-CIION 1985 RECEIVED 1200 ~¢sl 33rd Ao~nu¢. Suil~ ~ * ~nchora§¢. Alosk~ 99503.[907) 561-50z(0