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)