HomeMy WebLinkAboutTALUS WEST BLK 2 LT 4 Department 3330°f EnvironmentaIc Street Quality Anchorage, Alaska 99503 NAME,//'/~/*)~ LOCATION INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS ~/~- ~:~ ~~' PHONE , SEPTIC TANK: DISTANCE FROM WELL /j/~27i /V INSIDE LENGTH MANUFACTURER INSIDE WIDTH ~/~ g'd"/L'~ MATERIAL --~IQUID DEPTH % NUMBER OF COMPARTMENTS IJQUID CAPACITY ,P~:~"/.~- ~"£/ GALLONS· SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH cZ'-/, LINING MATERIAL /~/)(¢~ CRIB SIZE: DIAMETER BUiLDiNG FOUNDAT ON,¢~:'~ NEAREST LOT L~NE~C~ ADDITIONAL ABSORPTION/~/ LENGTH ,~-'~ / DEPTH .~ I DEPTH '~ DISTANCE FROM: WELL/~7 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /(}.~2~) SQ. FT. WELL: TYPE A/,/ BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH , DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: ,/~///<) /'~, PIPE MATERIAL: LOT SLOPE: REMARKS: R&M Civil Engineers ENCxJklEERING & GEOLOGIC .L CONSULTANTS 229 EAST 51st. AVE. - P.O. BOX 6087 -- ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090--35419 Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E., L.S. JAMES H. WELLMAN, P.E. RALPH R. MIGLIACClO Engineering Geologist. October 6, 1973 R & M No. 36680 Marx Excavation Box 10232 Anchorage, AK 99502 OCT :, 5197 ~PI. OF ~NVIRONMENTAL QUAlITy TEST HOLE AND SOIL LOG REPORT FOR SANITARY SYSTEM LOT 4 BLOCK 2, TALUS WEST SUB-DIVISION Dear Mr. Marx: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of October 5, 1973, and those procedures outlined in a letter dated September .13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 4 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 14 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-O1. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS JWR:ls xc: Greater Anchorage Area Borough ANCHORAGE FAIRBANKS JUNEAU T.H. 1 10-5-73 Organics Sandy Silt, w/some Organics 0.0t 0.5' Gravelly Sand w/some Silt (SP-S~O 2.07 3.5' Silty Sands, w/some Gravel Medium Dense (SM) * NOTE: Gravelly Sand, w/some Silt (SP) No Water Table Test hole excavated with tractor-mounted backhoe. 12.5' i4.0' T.D. Engineering ~ Geologica I Consultanfs DArE 10-5-73 SCALE 1"=2' DWN BY JRS ICHSD BY CHARLES JACKSON PROPERTY LOG OF TEST HOLE Anchorage Alaska AiV BE AND ASSOCIATES ENGINEERING AND TESTING John M. L. anlbe, P.E. 2720 E. Le, xingto~ Circle Af~chora§e, Alaska 99502 907-276-4113 May 28, 1980 Bud Jackson Poe. Box 10-606 Ancho~'age, Alaska 99511 Subject: Lot ~ Block 2, Talus West Subdo Dear Mr. Jackson, As Bill Palmer, our field technician~ indicated~ the tion system of Lot 4~ Block 2~ Talus West Subdivision a:~ears to be Eunctioning adequately. His conclusion that an obstruction existed between the septic tank and the d~ ~ ' n,~ la~nfleld was ~ ~parently verified by your efforts this week, Pl'ease find~ attached, one copy of the test results. ?/e will deliver one copy to the DHEP for their files. This test will suffice for their needs for two years as you try to sell the house~ if their current policy remains in ferce. You will need to ~resent a receipt for the pumping of the se:tic tank. Very ~ruly yours, (John M. Lambe, PoE. John M. Lamb~, P.E. ~4903~t~"ffr~zar~3~r~ Anchorage, Alaska, 99503 '~x ~ ~~ NEW PHONE NUMBER SOiL ABSORPT~ON SYST~d TEST PERFORMED FOR: ~-4 - ~ /~ TELEPHONE: ~ - , f'/~ ~'-V~ ~~/z~,~_S . DATE OF TESTS N0. OF BEDR00M$:~_ RECORDS ON FILE:~~ ~ ~z ~ D~AINFIELD ~ O~HER TEST P~O~M=D IN ACCORDANCE W~TH ~L STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ANCHORAGE~ DEYT, OF ENVi~O~,~ENTAL QUALITY ON WITH THE ~LLO',VING MODIFICATIONS: SURGE CAPACITY: SOIL ABSORPTION SYST~'i SEPTIC TA~ PLUS SAS ABSO~TION RATE A~RAGE 2~ hfs STEADY STATE OBSERVATIONS: RISE NOTES: John M. Lambe, P.E. -~30~r~WS~(mt---~a~hora~la, ska,-9~fG3 9~?.~79~8056 RE~CE: LEGAL DESCRIPTION: ~~~Z( m- ~a~ ~ DEPTH BELOW REFERENCE METER READING __.__LGAL~ONS 1__ IlLS: /2 c/" /~/n GALLONS PUMPED TIME ?oo ._/Z ,' zz // John M. Lamba, P.E. --48t~3-No~J~St~r~l~- Anchora~, AIm~ka, 99503 RE~CE: LESAL DESC~IPTION:~ ~/~ Z ~ ~-- DEPTH BELOW REFERENCE METER READING ,. ( G~LONS ) GALLONS PUMPED _( ~:~2 TIME /z;/7 /~ ,~ L2 0 /0/07 /o:1(~ /0! ~/ DEPTH BELOW REFERENCE METER READING GALLONS PUMPED T' T' NET i2' / John M. Lamb% P.E. RE~CE: DATE P~D LEGAL DESCRIPTION: DEPTH B~2LO W REFERENCE METE~ READING ~GALLONS ~ ,, .Z 7 /77oo / 7,75~0 G~LONS P~ED TIME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING '~C')\- i'Ll/ NAA# ~-l\~,q,, .\ C)C) GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well NOTE: Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER 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 application 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. Engineer's signature '¢~'~ ~' ~ Date Y' / 7_ ,//,o 8 DHHS SIGNATURE ~ Approved for ~,-~)[/IL_ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Ap['mval Certificates based only upon the representations given in paragraph 5 above by an independent profussional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72~)25 (Rev. 1/91) Back MOA #2~ Municipality of Anchorage APR 2 7 1~98 DEPARTMENT OF HEALTH & HUMAN S~1~.~¥ o~ ANCHO~,eI~ Environmental Services D v s qRYmON~NT^, ~ ............ 825 L Street, Room 502 · Anchorage, Alaska 99501 (907) 343-4744 Legal Description: L. '¢,~ A. WELL DATA Well type ? ~' ~ Log present (Y/N) /v' Total depth / ~ ? ' Sanitary seal (Y/N) 'r' Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date Of sample: B. SEPTIC/HOLDING TANK DATA Health Authority Approval Checklist ~//'C' ~ 7-,~/~J ~'C/,¢,J'/' Parcel I.D.: FROM WELL LOG g.p.m. IfA, B, or C, attach ADEC letter. ADEC water system number Date completed I ~) 7..~ 'Cased to ~ ! 3~' ' Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION '-/17/78 g.p.m. Nitrate /_. 0. I ~ /.-~ Other bacteria Collected by: F[~/'/~.? Date installed Tank size /'zs'-~,~/ Number of Compartments Depression (Y/N) /V High water alarm (Y/N) Pumper _.~__..~ ¢ ¢ 4-_¢ I Cleanouts (Y/N) T' ~J. ,~. Foundation cleanout (Y/N) Date of Pumping. II / II / 9 C. ABSORPTION FIELD DATA Date installed [~' / ~ ./ '7 _~ Length ~ ' Width Soil rating (g.p.d./tt~ or tt*/bdrm) 85'~_..~' System type /~r~ 5' ' Gravel thickness below pipe ~ ' Total depth Effective absorption area / O Z~' O' Monitoring Tube present (Y/N) '~ Depression over field (Y/N) Date of adequacy test ,,/ /c~ / ~ ~ Results (Pass/Fail) ?,,.r.,, For ~ bedrooms Fluid depth in absorption field before test (in.); 5"1 Immediately after/C'¥~'gal, water added (in.):. ~'~ Fluid depth ~'~' (ins) Minutes later: ! ?-~ Absorption rate = ~> d"¢4::~ g.p.d. Peroxide treatment (past 12 months) (Y/N) A/c,-~g /,o~c,c,..,,-~ If yes, give date A/. ,4,, 72-026 (Rev. 3/96)* D. LIFT STATION ~V. ,4. Date installed Size in gallons Manhole/Access (Y/N) "Pump on" !evel at* "Pump off" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Onadjacentlots ~ Ioo , Absorption field on lot / 'f o ' 7~, ¢. o. On adjacent lots > /oo ' Public sewer main Public sewer manhole/cleanout ,AY. ,4, Sewer/septic service line Lift station /'J. ,"¢. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation I$~' Property line ~/'~' ' Absorption field ,¢'~' ' /~e/-,co ~'.o. 's Water main/service line ",> lO ' Surface wateddrainage '~ ,'oo' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Propertyline ,'~¢' ¢~,,,, (..o, Building foundation 7¢," ;Ic,~. c.c. Water main/service line ~. to, Surface water .'~ f oo' Driveway, parking/vehicle storage area Curtain drain ^/o~ ¢ % ~,.~,~ Wells on adjacent lots ~> too ' F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records that 'tfi~ 'a~b¥/e systems are in conformance with MOA HAA guidelines in effect on this date. ~ ..... : ' Signature ~'~ Engineer's Name Date ~"/ ~, HAA Fee $ -~ ~::~,¢ ~ Date of Payment ~/Z"7/c~'/ Receipt Number (~ ~'~'~ Waiver Fee $. Date of Payment Receipt Number 72-026 (Rev. 3/96)* .CT&E Environm.nt_al Semites Inc. CT&E Ref.# Client Name Project Name/# Client Sample ID Matrix Ordered By PWSID $~rnpl~ Remarks: 981582001 Flattop Technical Sty. 1.4 B2 Talus West S/l) Drinking Water 0 Client PO# Printed Date/Time 04/14/98 08:28 Collected Datefl'ime 04/09/98 13:00 Received Date/Time 04/09/98 13:45 Technical Director: Stephen C. Ede ResuLts PQL Units Hethod Attoasbte Prep Anatys;s Limits Date Data Total CoHform Ri:rate-N 0 cot/lOOmL sH18 92Z28 0.100 U 0.100 rng/L EPA 300.0 10 max O&/iO/~ £0/£0'd TO£~Tg~&O~, 30U~50HDNO IS~ ~±3 £P;L*~ 8~61-Pl-~JdU "' DA~/~' RECEIVED 'INSPECTOR I N PEOTDR I NSPEOT MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF H:ALTH & ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTILF~/iRONMENTAL ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 3. LENDINGINSTITUTIO~. g-~ PHONE TYPE CFR IDENCE NUMBEROF~BEDROOMS ~S [] One ~ur [] Other INGLE FAMILY [] Two [] Five [] MULTIPLEr FAMILY [] Three [] Six WATER SU LY NDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach Icg if available.) SEWAGE DISE $~LSYSTEM u~ ,,~DIVIDUAL/ON-SlTE** //~7~/ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH BEQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE E] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH O[: WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holdin§ Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line §. COMMENTS PROVEDFOR EDROOMS [] CONDITIONAL APPROVAL (letter must~ompa~ certificate) [] DISAPPROVED / DATE BY ~ I/ 72-010 (Rev. 6/79) ~.~m O GREATER ANCHORAGE AREA BOROUGH ~.~ ~ Department of Environmental Quality ~' ~ .3330 "C" Street, Anchorage, Alaska 99503 274-4561 I ~ ~ Date Received Time of Inspection Date of Inspection  FOR 1. Approval requested by: ~Z~~/~~ Mailing Address ~ ~-~2~-~/_~ Phone: 2. Property Owner: >~~ Phone: Mailing Address 3. Legal Description: 4. Location: 5. Type of facility to be inspected /~~ No. of bedrooms 6. Well Data: o A. Type jc/~w', -- ~ C. Construction ~.~ Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: B. Depth / ~? / D. Bacterial Analysis .... <'~-'i~'~~F /~73 '~· B. Installer ~?~:' ?- 1. Size /:~/'~ 2. Manufacturer 1. Absorption Area ~. 2. Material E. Disposal Field: Total length of lines 8. Distances: ? A. Well to: Septic tank /0/ , Absorption area /~ /~ , Sewer Lines - , Nearest lot line /~ ~ , Other contamination B. Foundation to septic tank /~ ~ , Absorption area C. Absorption area to nearest lot line ~0 ~ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req,,~st for Approval of Individual S~er & Water Facilities · ~Legal Description '?~/~ ~ ~//~ ~ ~/ ~ L// ~/~ ~ Comments App r o v e~c~/Y~m~ ¥p~isapprOved Approval Valid for one year from date signed Gr~ter Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM , 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. Date SIGNED EQ-034 (1/74)