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HomeMy WebLinkAboutT15N R1W SEC 4 LT 32 if/O�S 0471 334. 4 C31, N co O ,�• �� ,� 1 Jai? �Ic ! { co en o J a. H . U O U)\` o� Bit: vii o (meq °w°n w , x cn w n t- Q�Z�m ^2 w wLo<ZRM awmz � `�\, t- w a n z cco m NH �Lnmzw Hof w� \w Ir a 0- (1) Z N [r M O F _ i C�U)wo7: _a�\Www t-�Q Qn�iwFx-roocwno xwNox zraZ�L` F-00► awwx 0 wCa):�'\Esc'-a>azZo w \- W w w w w �- z w a }- z OC9� � Cl _j W J to W3Q��zoaaww wn azz "' zoo Q�=�Qw>- -LL �a�ow3>d7oa GRE/ ' 2 ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION O'~X~ ~a ~ LEGAL DESCRIPTIONZ/~/,~¢~..~ /7~ 7~U SEPTIC TANK: ~,~Ud DISTANCE FROM WELL '7~'~' MANUFACTURER .~T'.~{ ¢¢~/~ NUMBER OF MATERIAL /'"'- COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH __ .LIQUID CAPACITY /000 GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER LINING MATERIAL ~-0C~ CRIB SIZE: BU,LDING FOUNDATION "7/r, /7 X/E OR WIDTH LENGTH DEPTH /O ' DIAMETER ~ DEPTH/~/ DISTANCE FROM: TOTAL EFFECTIVE NEAREST LOT LINE __ WELL ///~ ABSORPTION AREA (WALL AREA) ~:2'"'~0 SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEPTIC SEWER LINE TANK REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: REMARKS: Form NO. LQ-D31 DIAGRAM Of SYSTEM N DATE ~/~ ~"2.~., /~7¢ APPROV ', P - ,:-.% 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 .... : (b) GENERAL INFORMATION (a) (c) Legal Description (include lot, blgck, subdivision, section,~township, range) Location (address or directions) Applicant Name ,~[¢C f~-[l%.~ Telephone:Home ,/0~)~ 'J~-"7~=~ Business Applicant Address ~.~ (~* ~'~ ¢']~O C~ ~ t'~ ~.~ ¢_..,, 1¢~----~ _ Applicant is (check one)i ,Lending Institution []; Owner/builder [~; Buyer []; Other [] (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: S & S ENGINEERING SR B 196X EAGLE RIVER, AK 99577 TYPE OF RESIDENCE Single-Family ~. Multi-FaCnily r'l 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. Page 1 of 2 SEWAGE DISPOSAL Onsite [~' Public r'-i Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th~ legality and status. 72~025 (11/84} 'ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal aifixed 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 a, nd 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 S & S ENGINEERING Address SE B 196X Telephone Date EAGLE RIVER, AK 99577 DHEP APPROVAL Approved for Approved ~ ' Disapproved Terms of Conditional Approval Conditional 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) MUNICIPALITY OF ANCHORAGE (MO~) MUNICIPALITY OF AI,~FF.~c~AUTHORITY APPROVAL (HAA) DEPT. OF HEALTH & CHECKLIST - FEBRUARY 1984 ~NVIRONMENTAL P2OT[CTION 264-4720 DEC 4 1986 Legal Description: ~.-o~ .~-~ WE,L DATA R E C E t V E D Well Classification ~o F If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/~CI~ Date Completed ~.) ¢ /4_ Yield Total Depth [ ~"~ Cased to /' ~'o Depth of Grouting Static Water Level f ~_ 5~/ Pump Set At Casing Height Above Ground [ ~ ~'' Sanitary Seal on Casing (~N) Electrical Wiring in Conduit t~N) Depression Around Wellhead (Y,4~ Separation Distances from Well: I &¢0~.'¢ ~ / To Septic/Holding Tank on Lot ~ ~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ¢'0 ¢c¢ ; On Adjoining Lots To Nearest Public Sewer Line hJ/~ To Nearest Public Sewer Cleanout/M~,nhole ~ ' To Nearest Sewer Service Line on Lot Water Sample Collected by ~ ~ ~ ~-- r~J ~., ~ ,~ ~,-_-'~w~ (~ ; Date / / Water Sample Test Results ,_~/~ ~'"~t Comments ~('~EL(.-t/~,.~Lb ~'~,~.>-r~O~,~t~~) O,~J /[-~,.~"cc~f'~ i,~¢"c. B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes Y~N) Air-tight Caps (?.~N) Depression over Tank (Y~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: Size /~¢ No. of Compartments Foundation Cleanout (YN~ Date Last Pumped ,// - ; for Temporary Holding Tank Permit (Y/N) To Water-Supply Well '"~ To Property Line ! ~/'''~'' To Water Main/Service Line / Course To Building Foundation ~ 3 To Disposal Field ,~ ! /'¢~-' To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~'- Z.z - ?- '¢ Width of Field / Square Feet of Absorption Area Depression over Field (Y/~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well / o~) ~ -/' / To Building Foundation :'7- / Lot /~'~ Type of System Design Length of Field / ¢' / ~,0,2 ) Depth of Field /O' Gravel Bed Thickness CZ Standpipes Present ~/N) To Water Main/Service Line ( ¢ C./ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area / / Cate of Last Adequacy Test To Property Line /© To Existing or Abandoned System on ; On Adjoining Lots ~ ~' r~ To Cutbank (if present) Comments 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 ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed S & S ENGINEERING SRB 196X c°mpaeYEAGLE RIVER, AK 9,9577 Receipt No. _~_~ /' ~'~ '~'~ Date of Payment Amount: $ (¢~ Date MOA Page 2 of 2 72-026 (11/84) P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES December 8, 1986 Robert A Shafer, P.E. S&S Engineering SRB 196X Eagle River, Alaka 99577 Subject: Lot 32, SW 1/4, Section 4, T15N, RiW, Seward Meridian Waiver Request WR86-169 Dear Mr. Sharer: Your request for a waiver of the 100 foot separation distance required between the well and septio tank on the subject lot has been granted. This distance has been waived to 79 feet. This waiver is valid for the existing two bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-Site Services HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES ANDREPOSTS WELLINSPECTiON & FLOWTEST SITE PLANS ROAD OESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL rNSPECT~ONS ROBERT A. SHAFER December 3, 1986 CIVIL ENGINEER 694-2979 Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 MUNIc!PALi.~, OF ~wlAL p~.OTECTioN 4 1986 J' £C£1VED ATTENTION: Steve Morris REFERENCE: Lot 32; SW¼; Section 4; T15N; R1W Request you issue the attached Health Authority Approval and grant a wiaver of the horizontal separation distances between an existing private well and the septic tank located on the referenced property. The exisitng system was installed under Municipal inspection in May 1974 with a horizontal separation distance of 79 feet between the well and the septic tank. In addition to the usual documents provided with the HAA application we have included a copy of our waiver review work sheet and a plot plan showing the relative location of the well and on-site wastewater disposal system. A well log for the well located on the referenced property has not been located, however, the depth of the well is approximately 150 feet with a static water level at approximately 125 feet. Attached is a copy of a well log on the nearest adjoining property. The total depth of the well is approximately the same and for purposes of risk analysis we have assumed that the soils penetrated throughout the well are similar. If we may be of additional service, please contact us. Sincerely, ROBERT A. SHAFER~ P.E. RAS/ss ON SITE WASTEWATER DISPOSALSYSTEM DESIGN SRB 196X EAGLE RIVER, ALASKA99577 SCALE MUNICIPILLIIY C? ,%'~CHOg,vSE DEPARTMENT OF HEALYH AND EUMAN 5ERVICE£ WAIVER REV I !.:W WCKKSttEEI' DATE RECEIVED: KXGINEER: 196X RIVER, Al( Fv~' CRITERIA: l) Geology: Potncs: 2) 3) A. Water Table B. Soil Sorption C. Permeab£kity D. Wacer Table Gradient E. Horizontal Separation O~hmr ;~ WAIVER IS: granted, with conditions liated below: ~ot granted for re,'lsona iisi:ed below: DATE:~,.'". 'SEB 196X C~MPUTATION SHEET EAGLE RIVE~, AK 99577 SU~ECT: DALE: SmET / OF BY CKD ?9' / ¢"':5 '<"- '~ ) i r SRB 196X SUBJE~T..GL~ RIV~ A~( C~MPUTATION SHEET DATE: SHEET ~ OF BY CKD. 000000000000 000000000000 Time ~ Time .ne Dgte Date Date Inspector Inspector Inspector Comments Conditional Approval O~ (~A ~p?o,/~J Bedrooms ( ) - pproval¢ Date Sewer Installed Permit No. Septic Tank Size ~_ ~ ~ Holding Tank Size Soils RatMg Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~/~ ~ ~ ~ Phone Mailing Address ~ ~ ~ ~ ~ ~/~ ~~ ~7~ Lending Institution ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Phone Address Realty Co. & Agent ~ Phone Address ~ ~ Typq~Residence ~ Single Family ~ Multiple Family No. of Bedrooms ~ Other Wat~Supply ~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June B Community 1975. For wells drilled prior to that date, give well depth (attach ~og if B Public Utility available.) Sew~ Disposal /~ ~ D Individual Yoar Individual Installod: D PuBlic ~fility Whon Gonneeto~ to ~ubli~ Htilitg: ~ Holdin~ lank EXCAVATION ROBERT A. SHAFER WORK June 6, 1982 CIVIL ENGINEER UUNICIPAH I~(~2~,~CHORAQ E Edward Nixa P.O. Box 9 5 Eagle River, Alaska 99577 RECEI.V_ED Dear Mr. Nixa, Reference: Lot 3: S.W. z':: Section 4: T15N: R1W A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench and seepage pit combination was tested by a continuous flow of water over a period of 48 hours without any adverse effect on the system. It can be concluded from this test that the waste water disposal system serving the two bedroom residence located on this property is currently functioning adequately. .However, the system cannot be guaranteed against subsequent failure. If we may be of further service, do not hesitate to call. si~e~, ///~/ ~-/RO~ERT A. SHAF~R, P.E. v s/ss cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA DEPARTMENT oF HEALTH & ENVIRONMENTAL PROTECTION DEPT. 825 L Street ~ Anchorage; Alaska 99501 ~V[~O~MEHT,.~. ENVIRONMENTAL ENGINEERING DIVISION FE~ Telephone 264:4720 R RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER ~,&~ ] PHONE MAILING ADDRESS PHONE PROPERTY RESIDENT (If different from above) 2. RUYER MAILING ADDRESS PHONE PHONE 3. LENDING INSTITUTION MAI"E-I N G ADDRESS 4. REALTOR/AGENT ~ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION ~TREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other__ ~- SINGLE FAMILY I~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY [~ INDIVIDUAL* * 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 UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ;~ INDIVIDUAL/ON-SITE~* [] PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) ,~. · THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED ' INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR iNSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER [~]Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ' 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS I~t'""~APPROVED FOR . ~ BEDROOMS ' [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~ DATE B Y (Ti~e')..) // J LEGAL DESCRIPTION 72-010 (Rev, 3/78) 7/ AS-BUILT I hereby certify that I have surveyed the following described proper~y: ~-z~ ~r~- ~ ~::_) Anchorage Recording Precinct. Alaska, and that the ~mprouements situated thc'eon are x~thin the prope~y lines and do nog overlap or encroach on the property lying adjacent thereto, that no improvemen~ on prop- erty lying adjacen[ thereto encroach o~ the premises m queshon and thai there are no roadxvays, trangmisgion lines or other visible easements on said prop~[y except as inc~cat~! hereon. Dated at ~agle River, ~aska ROBERT C. JOHNSON SCALE{ Registered Land Stlrveyor No. 1"= ~ ' Box 456 Eagle River~ Alaska Phone 694-2543 24 HOUR SERVICE SOOpE~ DOOpER POOPE~ PUMPER GENE MC GOWEN GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection §/??/74 Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: ~'Rerg Fimld Rnad 5. Type of facility to be inspected 6. Well Data: A. Type Drilled VA Alaska National Bank Pouch 7-010 Anchorage 99510 Edward Nixa General Delivery Eagle River C. Construction Standard 7. Sewage Disposal System: A. Installed 1974 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line Phone: Phone: Single No. of bedrooms 3 B. Depth 150' D. Bacterial Analysis Satisfactory B. Installer Dick Sund Size 1000 Gal 2. Manufacturer Stack Steel Absorption Area 17'xl8'xlO'xlS! Material Lo§ Total length of lines 79' , Absorption area , Other contamination , Absorption area 111' , Sewer Lines __ EQ-034 (1/74) Page 1 of two pages ~PJ~ 2 of two pages - ReN~¢st for Approval of Individual S~,~er & Water Facilities Legal Description Lot 32~ Sec 4~ T15N, R1W SM Comments Approved~/~ ~- Disapproved Date Approval Valid for one year from date signed Greater Anchorage Aria Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 5/30/7~ 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 (1/74) 4. 5. 6. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 3/20/74 Time of Inspection_ lO:O0 am Date of Inspection 2/21!74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Phone: Phone: Approval requested by: Mailing Address: Property Owner: Richard Sund Mailing Address: Chugiak AK Legal Description: Location: Chugiak Type of facility to be inspected Well Data: A. Type Drilled VA Area Realty C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Total 8. Distances: A. Well to: Septic tank Nearest lot line P.O. Box 249 Eagle River AK Lot 32, T15N, R1W~ Sec 4 SM Well pit B. Installer 694-9555 688-2296 No. of bedrooms B. Depth 150' D. Bacterial Analysis Size Absorption Area length of lines 2. Manufacturer 2. Material , Absorption area Other contamination , Absorption area B. Foundation to septic tank C. Absorption area to nearest lot line __ , Sewer Lines , EQ-034 (1/74) Page 1 of two pages ~age ~ of two pages - Req_.yst for Approval of Individual L ..~r & Water Facilities ~gal Description Well must be brought out of pit and funds stallation of approved septic sTstem before~'[~l,v 1. 1974 Comments Disapproved Date 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. Date SIGNED EQ-034 (1/74)