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Home My WebLink AboutTALUS WEST BLK 3 LT 7 · i'~ "'~/ MUNICIPALITY OF ANCHORAGE ~ ,, ; DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL 'INSPECTION REPORT NAME PHONE -.TAN ,~,' FF~ ~"Tz- o~i [] NEW {~UPGRADE MAILING ADDRESS LEGAL DESCRIPTION DISTANCE TO: Well DISTANCE TO: No. of iines Top of ti~e to finish grade Length Type of crib Well DISTANCE TO: Class , J nl~'~A NCE TO: I - LOCATION ~ ~ DISTANCE TO: J F- ~ Manufacturer Material galJons Well Inside IBngth I F HOMEMADE: Dwelling NO. OF BEDROOMS JAbsorption area PERMIT NO. No. of compartments Liquid depth PERMIT NO, Liquid capacity in gallons Foundation PER,~IT NO. Total length of_lilies Material beneath tile Material Nearest lot Fine Trench width ~1 I Tr~.~h, ~ each ling Width inches Depth oTHER SOIL TEST RATING Distance betwee Eries Total effective absorp~tlon area ~ l -~" r~ t~'~ PERMIT NO. Crib diameter Crib depth Total effective absorption area Building foundation Nearest lot line Depth Driller Building foundation Distance to lot line PERMIT NO. Septic ta~:~[i ¢~ ~~ Absorption area(s) REMARKS APPROV~~~ DATE 'DEPARTMENT QF HEAL]'H AND ENVIRONtdENTAL PRGTECTION 1:]25 L STREET, ANCHORAGE, AK 99501 264-4720 PERMIT NO: 84'7]3 [)ATE ISSUED: 08t17184 APPLICANT: ADDRESS: CONTAC'T F'HGNE ~ JAN RIFFLE '724 S.15TH ANCHORAGE, 272-0571 AK 9950 LEGAL. DESCRIP: SLIBDIVISION." TALUS WEST SECTION: 22 TOWNSHIP: L. OT SIZE: 17745 (SQ.FT. OR ACRES) MAX BEDROOMS: 5 :t2N LG'r: 7 BLDL, I..,,, ' ~ -" - ..:,"~' RANGE: I_isted betmw are the opt.~.c)ns available to yr]u in de~ignimg v~. * se~,' '~- system. Choose the opt~en that best ¢its your site;, T R E£ ~'~ C:F~ DEPTH 'TO PIF'E BOTTOM (FT.) ~.0 '~.~. GRAVEL DEF:']'H (FT.) 3.0 TOTAL DEPTH -(FT.) 6.0 ~o- ~ 5 GRAVEl.. WIDTH (FT.) 2.5 GRAVEL LENGTH (FT.) 97.0 ~. ,0 GRAVEl._ VOLUME ECU.YDS.) 31.4. TANK SIZE (GALE;) 1,000.0 *.~ t, .~. SOIL RATING (SQ.FT. /BR) :[94/ ~ ** DEPTH TO PIPE BOTTOId < 3.5 FT. REQU]:RES INSULATION ~,,,~,~ ,..~;:) [-~','.~ ]E 3 ,, 0 .~.:- 2.0 5, 0 5.0 82.0 .:-.: t, 000.0 -~"~' :[94 -~* DEF'TH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION ** GRAVEL LENGTH > 75 FT. REQUIRES MUL]"IPLE RUNS (NoT EXCEEDING 75 F"T. EACH) ~* TANK MUST HAVE AT LEAST TWO COMPARTFMENTS I certify tha'L: 1. I am £amiliar with the requiremeets for ot]-~ite sewers and wells as set ,~oPth by the Municipality o[ AnchoPa~e (MOA) and the ,State o~ Alaska. Z ~ilt .insCall the system in accordance with all MGA codes and Pegulations~ and in compliance with the .desigm criteria o~' this permit. I will. adhere 'Lo all MOA and StaCe ~F Ala~:l.::a r'equirem~nts for the 'set distances ¢rom any exis'Ling welI:, ~,a. stewa'Ler disposal, system (~', pub].~:c sewerage system on this on any adjacent or nearby lot. I understand that this permit is valid For a maximum oF 3 k~edrooms and any enlal'gement will require an additional permit. IF A LIFT STATION IS INSTA[..LED IN AN AREA COVERED BY MOA BLJIL. DING CODEES~ THEN (1) AN ELECTRICAL PERMIT AND INSF'ECTION MUST BE OBTAINED; (~)'* A,~-,..tJJ. L.i~)~ R ..... ~ WILL NOT BE AI='PRGVED NITHOUT AN ELECTRICAL INSPECTION REF'ORT; AND (3) THE ELECTRICAL. WGRK MLI~T BE DGNE BY A LICEN=ED ELECTRICIAN. APPLICANT: JAN RIFFL. I= ISSUED BY ~ . DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVl RONNIENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 294-4720 SOILS LOG - PERCOLATION TEST [~'~PE R CO LATION TEST PERFORMED FOR: '~ LEGAL DESCRIPTION: 1 2 3 4- 7 8 13- 14- 15- 16- 17- 18- 20- ~LOPE t SITE PLAN WAS GROUND WATER DEPT.'? Gross Net Depth to Net Reading Date Time Time Water Drop ~ ~4q ~;,~ /~ o.~'~ 047 %0 I0 ¢47 (rain 9/~hju(t)e~/~n7c 0 "'/J PERCOLATION RATE {.5";~ 3.1 . / . 1~4 ~ ~/.O _ TEST RUN BETWEEN ~'~ 72-008 (6/79) GREA-FER ANCHORAGE AREA BOR JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME~' ~ ^ MAILING ADDRESS ~I~ ~/~ /"~'~ b PHONE~)~-'~'~2,~-~ LOCATION ~/J~ ~]~ LEGALDESCRIPTION~- ~ ~/~'~ ~g~)'~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY GALLONS. TILE DRAIN FIELD:~/L~ DISTANCE FROM WELL FOUNDATION NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE NEAREST LOT LINE DISTANCE BETWEEN LINES TRENCH WIDTH SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE ~-/ i/' IN. WELL: BUILDING FOUNDATION CESSPOOL APPROVED 0_C/~NST RUCTION NEAREST LOT LINE __ OTHER SOURCES DISAPPROVED NEAREST SEPTIC SEWER LINE TANK REMARKS DEPTH SEEPAGE , SYSTEM DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL:~3~ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM G.A.A.B. Form ED-032 NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION [NSTALLAT] ON OF: ~) 'l ~ C/v~ GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT q-4 SEPTIC TANK SEEPAge PIT , DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH / TO BE INSTALLED BY SOIL TEST RESULTS ~ /~ . NOTE: THIS PERMIT IS N~OT VALID~/~/ITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY S~/BTE~/WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TANK SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. SEEPAGE AREA SIZE ., DRAIN FIELD 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 BOROUGH REGULATIONS REGARDING INSTALLATION. TYPE DIAGRAM OP SYSTEM CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28~68 AND THAT THE ABOVE ANLHUI(AIJI: AKI:A BUF 'L~H ~-~/Department' 3330°f Environmentalc Street Quality~- '/ Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~/~/~//'~i~.Z~__.~ /~/~r' MAILING ADDRESS '4~// /~-'"~¢'~"~' PHONE LOCATION ~)JZ-X~-2z~-.~ ~', LEGAL DESCRIPTION /~7~ ~'z ~Z-O¢/~,~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER ~7-/~/~_ -~'7:~"~g MATERIAL INSIDE WIDTH LIQUID DEPTH __ NUMBER OF COMPARTMENTS LIQUID CAPACITY / <~'Z~Z) GALLONS. SEEPAGE PIT: NUMBER OF PITS ~ DIAMETER OR WIDTH LINING MATERIAL/-~-~ /q/2~.CRIB SIZE: DIAMETER BUILDING FOUNDATION ~o ~'/~ NEAREST LOT LINE LENGTH DEPTH <~/-- /0 DEPTH '~ ~ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ~e~'~ ~"-~-/x3/~, CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC /~ / SEEPAGE TANK SYSTEM -/~ -- DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. LQ~031 DIAGRAM OF SYSTEM DATE &~ //~' q~ APPROVED ~ g, r~L~/~'~~-' G.A.A.B. GrE/~'~er 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 OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED SEEPAGE PIT _, DRAIN FIELD , OTHER NOTE~ TMIS PERMIT IS NOT V~LIO WITHO~JT SOIL TEST 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. S PTiC TAN" s,ze MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT. ~ ., DRA[N Field SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~ SeePAGe Pit JO · TO NearEST LOT LINE. Well TO SEPTIC TANK /(~)~ / SEEPAGE Pit /00 / DRArN FIELD ~/~ (~) / ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /~ ~ t .. SEEPAge PIT SEPTIC TANK, /~ _, SEEPAge PIT //J~ _. DRAIN FIELD TO RIVER, LAKE· STREAt~. DIAGRAM OP' SYSTEM 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEl. BACKFILl. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE ~i ~ /~Jepartment of Environmental Qua~_~y · 3330 'C" Street ~/ ' ' Anchorage, Alaska 99503 ~',~ SOILS LOG - PEROLATION TEST ~kxk'~Performed for Glacier ]3xcavating ~Legal Description: 1~6lY-7]--, B-~--J-- 'l~-ffs This form reports: Soils log_ AU8 '!- ¥ ~974 Percolation test Depth Feet 2 4- 5- 6- 7- 8- 9- 12 250 SF/BR 12! Bottom of Pit , l I / I ! Was ground water encountered? If yes, at what depth? Reading Date Gross Time Net Time Depth to W~te~ Net Drop Percolation rate minute. -Proposed installat-T6-n-:---S-e~i~-~.qe Pit Yes brain Field {)epth of Inlet Depth to bottom of pit or trench EQ 040 (6/74) (, tV1-W DRILLING, Inc. P. O.~fl~ox 4-1224 · 1310C International Airport (907) 274-461] ANCHO. RAGE, ALASK-~A 99509 Well Owner_ Location DRILLING LOG C~'les Hi~,bf, Sm Use of Well (address of: Township, Range, Section, if known; or distance main roar] 6 Size of casing_ Static water level Screen ( Depth of Hole 93 ft. ); Perforated ( I~O feet Cased to_ I~ feet (below) land surface. Finish of well (check one) ). Nc, ne Describe screen or perforation We!~ pumping test at 5 gallons per (h'Vo~l~) of drawdown from static level, open end (minute) for I hours with lOO~ ft. Date of comp!etlon WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO. ] Su~ Fa oe Organ;c~ $~l~y ~and Si 1 ~'y ~rave~ ~and 3--CONTRACTOR MUNICIPALITY OF ANCHORAGE ~4 DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE Application Date ~,//~/~ __ 1. General Information (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) /1~,~'~ /fT,' /~-~zt~iS' (b) Applicants Name.~-~/z~ ~, E,'~ (c) (d) Telephone - Nome~¥3c~f~Business %/9~ ~'~ Buyer ~ ;' Other [~ (explain), (e) Real Estate co{ .& 'Agent Address (f) Telephone 2 '7% -c> 5' 7 t Mail the HAA to the following address: 2. Type of Residence Single-Family ~ Nulti-Family ~ Other (describe) Number of Bedrooms 3. 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. Sewag~ Disp~sa~ Onsite ~ Public F-~ 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] Engineering Firm Providin~ 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 regula- tions in effect on the date of this inspection. Name of Ftrm/~%~/~ ~/Jt'~'O~.i~Q ~/~'~( ~0t'¢4~_~ _ TelephoneJ{-~,~-~'~ Address /~(~0 Approved for __ Approved ~ Disapproved __ Condition~ Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESEnt- ATIONS 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 THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-~ MENTS. ~MPLOYEES 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 ENGIh~ER'S WORK° (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Well Classification []SPT. OF HEALTH If A, B, or C, D.E.C. Approved(Y/N) Well Log P~esent (Y~ ~ ~E~ Date ConlDleted ~~Yield ~,~ Casing ~ight ~ Ground ~/ Sanit~y ~al on Casing ~) Electrical Wiring in ConduitS/N) Separation Distan~s. fromWell: To Septic/Holding Tank on Lot (~// To Nearest Edge of Absorption Field on Lot Depression Around ~llhead (Y~) ; On Adjoining Lots /CO(t ; On Adjoining Lots (~o To Nearest Public seWe~ Line ~//~ To Nearest Public Sewer Cleanout/Manhole A3[..~_ TO Nearest Sewer Service Line on Lot 2~/''~ Water Sample Collected By ~ ~l.~/~ ; Date ~'-~[~i~ Water Sample Test Results 3=~'~ ~f B. SEPTIC/HOLDING TANK DATA Date Installed ~/?~ Size /l)Oo No. of Compartments ~ Standpipes ~/N) Air-tight Caps ~/N) .. Foundation Cleano~t ~/N) Depression over Tank (Y~ Date Last Pumped ~/~?~/~/ pumping/Maintenanoe Contract on File (Y/N)'~/~ ; for ,t/I/% Holding Tank High-Water Alarm (Y/N) ~J/.~- Temporary Holding Tank Permit (Y/N) ~[/~ Separation Distances f~cm Septic/Holding Tank: To Water-Supply Well [0[; To Building Foundation /'7/ To Property Line ,~-5 / To Disposal Field ~O/ To Wat~ Ma.i'n/Se~vice Line '~[~ To Stream, Pond, Lake, or Major Drainage Receipt ~ Date Paid: Amount: [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption A~ea Depression over Field Results of Last Adequacy Test , /:~ ~ T~ of System Design Length of Depth of Field., ' Gravel ~d Thickness ~/~ ~ Standpi~s ~esent (~) ~te of ~st A~qua~ Test ~/~ To Water-Supply Well To Building Foundation Lot ~Q/ To Water Main/Service Line Separation Distance frcm Absorption Field: /~_o / To P~o~erty Line__/2, y ~o/ To Existing or Abandoned System ca ; On Adjoining Lots ,, > $o / ~g[.~- To Cutbank(__if present) To Stream/Pond/Lake/cat Major Drainage Course To Driveway, Parking~Auea, or Vehicle Storage A~ea,~_~/i[~,~ ~z{C,~f~:¢,~k~ D. LIFT STATION Date Installed Size in Gallons ~l./~- "~]mp On" Level at High Water Alamm Level at Tested fo~ ~/~_ Electrical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent~Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ~/~ ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or confor~d to all MOA HAA Guidelines in effect on the date of this inspection. Signed .~,~_'~ff~/~ '~-~F~- ~, Date ,,?/~/~ Company ~%' ~ ~ MOA No. KB1/d5/s ~e~ ~-(~.~ [Page 2 of 2] 2-15-84 seI ices InC ALASKA e 1OIROrlmelqTAL CONTROL ~n§incerin§ ,$ ~m;itnnmcnlQI Sludies September 12, 1984 Department of Health & £nvironmental Protection 825 £. Street ~nchors~e, Alaska 99501 Re: Talus West Subdivision, Block 3, Lot 7 SEP ~ 2 lg84 R£CEfV D Dear Keith: The slope on subject lot is 12~. The modification of permit concerns the upper trench. The (GM) materigl was consistan~-to 10 feet and therefore the absorbtion area was installed in (GM) strata. The Soils tes~ was perforrmd near lower trench and representative o~ strata in that ar~a. The lower trench was 'installed per MOA ~err~,t. % Sincerely, n W. Gates Engineering Technician 1200 L[Jcsl 33e(i Au~u¢. S~il~ [~. Anchorr~§¢. Alosk~ 99503 .(907) 561-5040 ALASKA {]II OllmEFIIAL i]OIIIRIJL IIIL I~li~¢rm! 8 ~uJr~m~l~l $1~li~s 5epterrber 12, 1984 Department of Health & Environmental Protection 825L. Street Anchorage, Alaska 99501 Re: Talus West Subdivision, Block 3, Lot 7 Dear Keith: The slope on subject lot is 12~, The modification of oerm~t concerns the upper trench. The (GM) material was oonststant to 10 feet and therefore the absorbtion area wes installed in (GM) strata. The soils test was performed near lower trench and representative of strata in that area. The lower trench was installed per MOA perr~t. Sincerely, John W. Gates Engineering Technician 1200 e~sl 33r(I ~uenu¢. ~uit¢ ~. ~nchorQ§~'. ~los~Q S9503.(907) 561-50z10 p~ ?H 6-650 ANCHORAGE, ALASt(A 995o2-o65o ANUHORAGE, ALASKA gg502-0650 (007) 264-4111 TONY KNOWLE$. MA YO/~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION September 19, 1984 Nona Coady Alaska Housing & Finance Corporation 235 East 8th Avenue P.O. Box 1020 Anchorage, Alaska 99510 Subject: Lot 7, Block 3 Talus West S/D Health Authority Approval Dear Ms. Coady: Thank you for bringing to our attention the Health Authority Approval (HAA) for the above referrenced property, and for pointing out that our approval should not have been given in this case. Through oversight, a staff member gave full approval to both water and sewer facilities when on 18 September 1984, in fact, the engineer in section 5 of the application clearly identified that his approval could only be extended to the water system. In accordance with our telephone conversation today, the Department must revoke any approval given for the waste disposal system until this facility has been re-reviewed under our HAA guidelines by a registered engineer certified by this Department to conduct HAA'e, and meets with our approval. It is not clear ~y NHawthorne Engineering determined that the waste disposal facilities were inadequate. Our files show that a permit was issued by the Department on 17 August 1984 for a total upgrade (replacement) of the absorption field; that an inspection report was filed with the Department by Alaska Environmental Control Services (AECS) on 7 September 1984; and that this inspection report was then approved by the Department on 13 September 1984. These documents would indicate that an accep- table system is currently in existence on the subject property. We have ~ubsequently asked AECS to complete a new HAA application, perhaps using the information compiled by NHawthorne Engineering for the water system, and to re-submit the package for our review once again. Nona Coady September 19, 1984 Page 2 We apologize for the situation we have created, and thank you once again for bringing this to our attention. If you have any questions, please call me at 264-4720. Sincerely, Ketth E. Bandt Environmental Engineering Manager KB/ra/D3 TO F R 0 DATE SIGNED SL~4D pA~¢/~ ~ ~ WII'H CARi~ON INTACT - 472 pART'~f~RNED WITH REPLY· SEND pARTS 1 AND 3 WITH CARBON INTACT - PART :3 WILL BE RETURNED WITH REPLY. Redi~rm® 4S 472 D[IACH ~ND FIJI FO~ ~OLI. OW-UP ~ I~I~IPALI~i~ O~ AN~HOP, b.G'E ~ DIVISION' OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE // 1. General Information Application Date /~/~5/~z (a) Leg~al Description. (include lot, block, subdivision, section, township, range) Location (add. r.es, s or dtre_.9.ctions) (b) Applicants Name~ ~. ~ '-~5~'~---~'-~/°~ Telephone - Home Business Applicants Address //~ W~/J~,'~r~ ~')W~z~5 ~or~e..~, Z'e~~ Applicant ~is (check one) Lendin~ Institution ~--~ ; Owner/builder (¢) (d) (e) Lending Institution Address ff ~ ~'~ Real Estate Co. & Agent Telephone Address' e (f) Telephone Mail the HAA to. the following address: Typo of Residence Single-Family~ 'Multi-Family~--~ Number of Bedrooms ~ Other (describe) Se [Page 1 of 2] Water Supply~ Note: If community w~ll system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Sewage Disposal ,' ': '~ .... -'L Onsite ~ Public ~--~ CommUnity ~-~ Holding Tank Note: If community well system, must have wrttte~ confirmation from the State Department of Environmental Conservation a~cte~ting to the legality and status. 5. Engineering Firm Providing Inspections~ Tests~ File Search~ Data and Information Se 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 a ' ~y~ 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 w~ter supply is' in compliance with all Municipal and State codes, ordinances., and regula- tions in effect on the date of this inspection. ~ Date DHEP Approval /) ~,~,,. C~ 4.69 .....~ Approved for ~ oe~rooms Y/ I~r''--~ ,,?.~ '" Approved~ Disapproved ~ Condit~on~ Te~s of ~t~al Approval ~~ ~// · ,' / CAUTION THE PRrNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS 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 REQUIRE-! MENTS. 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. RK4/eJ/D18 [Page 2 of 2] , (DaEP SF~L) 7-19-84 MUNICIPALITY OF ANCHORAGE DEPT. OF HEAL[ii & ENVIRONMENTAL PROTECF[ON MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUthORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: R ~"Df7~9~'~CVED Well Classification Well Log P~esent (Y/N) Total Depth > ~-(~ ' Cased to Static Water Level //~ Casing Height Above Ground Elect~ical wiring in Conduit (Y/N) Separation Distances f~om Well: To Septic/Holding Tank on Lot /~9/ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewe~ Line C leancut/Manhole Wate~ Sample Collected By Wate~ Sample Test Besults If A, B, o~ C, D.E.C. Approved(Y/N) Date Completed Pump Set At ~ ~ ~ ~ ~ Yield > ~__ Depth of G~outing //'.e ~ ,~ ~ :.u ~, Sanitary Seal on Casing (Y/N) ~ Depression Around Wellhead (Y/N) /~ ; On Adjoining Lots / / ~ ' ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewe~ Service Line on Lot Cc~ents B. SEPTIC/HOLDING TANK I)ATA Date Installed (~'~/~'-?~ Size /7}~d-~/, No. of Compa~tn~nts Standpipes (Y~) ~ Ai~-ti~ht Caps (Y~) ~ Foundation Cleanout (Y~) ~p~ession o~ Ta~ (Y~) ~ Date ~st P~d '~ p~i~g~Iaintenan~ ~n~a~ ~ File (Y~)/J/~ ; fo~ Holding Ta~ High-Wate~ ~a~ (Y~) ~/~ ~a~y Holdi~ Tank ~t (Y~) Separation Distances f~om Septic/Holding Tank: To Water-Supply Well~ /D/ To P~operty Line To Water Main/Service Line Course Co~ments To B~ilding Foundation ! 7 / To Disposal Field 17~z To'Stream, Pond, Lake, c~ Majo~ D~ainage [Page 1 of 2] 2-15-84 Ce ABSORPTION FIELD DATA Soils Rating in Absorption St=ata Date Installed _ Width of Field Square Feet of Absorption ~ng~ of Field ~pth of Field Gravel ~d ~ick~ss Standpipes P~esent Depression over Field (Y/N) ~/ Date of Last Adequacy Test Results of Last Adequacy Test /~o ~ /~z/~ ,/~ Separation Dis~iance from Absorption Field: · To Water-Supply Well // 3 ' To P~operty Lice ;P-O / TO Building Foundation ~ ~ ' To Existing or Abandoced System cn Lot /5'z ; On Adjoining Lots ~ ~3 ~.~- TO Water Main/Service Line ~ ~' '+ To Cutbank(if present) To Stream/Pond/Lake/or Major D~ainage Course To D~iveway, Parking A~ea, or Vehicle Sto~age Amea _ ~5-/3 ' D. LIFT STATION Date Installed Size in Gallons "Pump On" [eve]. 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) Pumping Cycles du~ing Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Gui.dglices in effect on the date of v~his, i~.ns~eeti ,~n. · - ~-~%~- ~ Signed /~F~ ,,,JT~''~-2-~ Date ~/ I ~ /~F~/'~ ~A~ :.~ ~ " ~!~v.'~ '.~u'~..~ _~ Company /b/-/~...,., ~1,~,(~. ~ ~-, MOA No. $'Tffffq-O~.-P I .~ ~ · ~ ?~%f .'~. 9 ~ ~%. CE- 4369 ..' -~ a [Pa~ 2 of 21 ~~~'~=~%;"~ 2~15-84 ~ '~ ' GREATER ANCHORAGE AR UGH Department of Environmental Quality 3330 "C" Street, Anchor~ska 99503 274-4561 ~O'~'j,,>~'~/ ~p~/~/~/~Date Received August 12, 1976 ~ '7~t f ~- i/~/ , ~ ~ / Time of Inspection ~NDIVI~EWER & WATER FACILITIES 1. gpproval requested by: ~laska ~utuai Sav~n~8 Bank~ Mailing Address: 2. Property Owner: Post Office Box 1120 Charles Hight Phone: 274-3561 x 239 Phone: Mailing Address: NHN Wilderness Drive 3. Legal Description: Lot 7 Block 3 Talus West Subdivision 4. Location: 5. Type of facility to be inspected 6. Well Data: Individual A. Type C. Construction Sewage Disposal System: Single Family B. Depth No. of bedrooms A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Total Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank D. Bacterial Analysis On-site system B. Installer 2. Manufacturer 2. Material Size Absorption Area length of lines Absorption area /~9,,0 / :,. Other contamination , Absorption area C. Absorption area to nearest lot line , Sewer Lines EQ-034 (1/74) ,~ Page 1 of two pages Page .2 of two pages - Rec,~.t for Approval of Individual S ,r & Water Facilities Legal escription Lot 7 Block 3 Talus West Subdivision Comments Disapproved 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 and accurate representation of the subject sewer and water facilities and these facilities are oPerating satisfactorily. SIGNED Date EQ-034 (]/74) 3330 MUNICIPALITy OF ANCHORAGE GREATER ANCHORAGE AREA BOROUGH DEPT. OF HEALTH & Department of Environmental Quality ENVIRONMENTAL PROT~CTION "C" St., Anchorage, Alaska gg503 - 274-4561 AU8 1 2 1976 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES .RECEIVED i. Type of InsPection: CMRO VA FHA 2. Property Owner: ~arles }Ii~ht Mailing Address: T~TT~ ~~ ~ DaS Phone CONV 3. Name of Buyer: ~,~ R. ~ M.~.r~'~'ot Mailing Address: $13D Stree.t DaS Phone 26~-k868 4. Name of Lending Institution: Al~sk~ P~ O. Box 1120 Mailing Address: 5. Name of Realtor or Agent: Esther Bu~ngardner Mailing Address: ?ed E. 15th A~en. Phone 2Te_-o571 Phone 274-3561 Ext. 239 Legal Description: Location: Lot 7, Blk. 3 Talus West Subdivision Type of Facility to be inspected: Single Familw No. Bdrms. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of system: Public Utility If Individual, date of installation Individual (on-site) X EQ-037 (1/74)