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HomeMy WebLinkAboutILIAMNA ACRES TR 10C (2) Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. · P.O. Box 196650 Anchorage, AK 99519-6650 · http://www.muni.org/onsite · (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131052 PID Number: 017-101-25 [] New [] Upgrade '4ame: Eugene A. Kremer ABSORPTION FIELD ~ddress [] Deep Trench [] Shallow Trench [] Bed [] Mound 2664 Aspen Heights Loop Anchorage, AK 99508 [] Other :hone Number of Bedroz~ms_ Soil Rating 1.2 Total depth from original grade OPD/SF 5.0 Ft. LEGAL DESCRIPTION Depth to pipe invert [rom original grade Gravel depth beneath pipe Subdivision Block Lot 3.0 Ft 2.0 Ft I liamne Acres 10C Fill added above original grade 3ravel length Township Range Section 0~1 F 70 F ,Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 5Ft. Ft To Septic Absorption I Holding Sewer Fotal absorption area Number of trenches Dist. between trenches From Tank Field Lift Station, Tank Line 600 Ft2 Two > 10 Ft Well >100' >100' N/A N/A >25' rANK [] Septic [] S.T.E.P. [] Holding [] Other -- vlanufacturer Capacity Surface Water >100' >100' N/A N/A Existing GaL Material Number of compartments Lot Line >5' >10' N/A N/A NA Foundation >5' >10' N/A i N/A LIFT STATION , Manufacturer ~Capacdy Curtain Drain N°ne I N°ted I Gal. Pump on level at Pump off level at 4igh water alarm at Remarks Existing Septic Tank Verified Sound for Continued Use, in. in ~n Pump make and model Electrical Inspections performed by Tank to Installer PIPE MATERIAL House to tank D3034 drainfield D3034 Pomranning Excavation Drainfield F810 CO/MT D3034 Inspector MEA BENCH MARK (Assumed elevation) 100,0ft lnspectiOndates: t~ 4/28/13 2"d 4/29/13 _ocation and description 3® 4/30/13 4~h Garage Slab. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval: Date Inspection Report_l-1-12.d c O~ ~o~oo_o Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP131052 Page 3 of 3 PID No. 017-101-25 1,250 Gallon Septic Tank 88.5 - 88.2 ' EXISTING 91.5 Existing Ground 91.9 86.5 Geotextile Fabric Drainfield Rock ~ 79.2 Groundwater @ 81.2 4-15-13 88.5 Finished Grade Existing Ground 86.2 35' (Trench Length) 91.2 91.6 Geotextile Fabric Drainfield Rock 79.2 Groundwater @ 81.2 4-15-13 88.2 35'(Trench Length) PROFILE AS-BUILT No Scale '~AME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTI:CTION ENVIRONMENTAL ENGINEERING DIVISION 8;'5 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPI=CTION REPORT ) &w i o.-qox C . oqe q9oll LEGAL DESCRIPTION LOCATION ~ ~' ~ .... · ,~ --- ' ' [NO OF BEDROOMS U~ DISTANC~TO', ~ell ~ Absorp~oiooa~.e I D~elling ~.~, f PERMITNO, E ~ Manufacturer ~ I .... Material ~,.., ~ I"~.~compartments ~ lLiq. ca~ity~allons ~ IF HOMEMADE Insidelength Width Liquid depth "~ a I Well ~ . Foundation~ ~ f I N~mstl~t I'i~~N~ d~ IDISTANCETO: I I00 ~ 3. U ~ 1~7' ~ · ~ No. of lines / [~n~h 9f~ac~ ~,n~ ~ ,, Total length of lines Tr~j~ ~idt~~t~ li~s ~ ~ J Top of tile to finish/grade ~ I~ { Material beneath tile / J Total ef]e~iy~ abs~ti~ area ~ ~ Type of crib Crib diameter ~ ~~ area ~ E TO: ~oll Buildin~ foundatioe ~earest lot ~ d ICI~ Depth Driller Dista~e t~ ~ ~ ~IPE MATERIALS OTHER SOIL IN~TpLLER REMARKS . APPROVED ¢' DATE 72-013 (Rev. 3/78) LEGAL STAR ~OUTE A ANCHORAGE, ALASKA 99~0~ SIX INCH WATEr WELL DRILLED AND CASED OUT TO THE DEPTH OF :,' ;";~ '~- DRILLED AT The rATE OF ..'~o00 PEr FOOT. to LOCATION OF WELL SITE ' ° · · WELL LOG: ~ ,..., COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO rAMPART DRILLINg WORKS For THE SUM OF ~'7,~- THANK YOU very MUCH. ~ berNIE CLAUS OF rAMPArT DRILLING WORKS SERVICE CNARGEOF 1~% PER MONTH WILL BE ASSESSED ON PAST DUE AGCOUNTS. MUNICIPALITY OF ANCHORAGE Department Health and Environmental rotection 825 L Street, Anchorage, AK. ~9501 264-4720 * */-~-~A, NDWRITTEN PERMIT * * * Permit ~ WELL/ AI~D~ ON-SITE SEWER PERMIT : CAFI~$o~ Mailing Address: Location: Phone Number: ~/~ Legal Description: ~-K ~'-~-- ~¥//ov~m~ ~'d~' Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed.' ~' Holding Tank: Maximum Number of Bedrooms; ~"' Soil Rating(sq.ft/br) DEPTH The Required Size of the Soil Absorption System Is: LENGTH ~ ~V GRAVEL DEPTH ~,,~e~ WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * ~ REQUIRED SEPTIC(HOL-D4~G) TANK SIZE = /~ ~'© GALLONS * * Permi~ applicant has ~he responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departmen~ will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee' for a private well or 150 to 200 feet from a public well depending upon the type of public well. MJ. nimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 s * * * I certify that: (1) I am familiar with the requirements for oh-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that ~ bedrooms. Applicant Date: fl -/~'~ SWP/024 (1/81) SOILS LOG~ PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaske 99501 264-4720 SOILS LOG- PERCOLATION TEST [] PERCOLATION TEST SLOPE SITE PLAN 4:- 10-- 11 12 13 14 15 16 17 18 19 20 ~Y C, Reid, Jr. No. WAS GROUND WATER y_ .- ENCOUNTERED? [~--~---% L O P IF YES, ATWRAT ~) / E DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) , f~,~d~EST RUN BETWEEN FT AND __ FT (6/79) Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-101-25 Expiration Date: GENERAL INFORMATION Complete legal description Iliamna Acres, Tract 10C Location (site address) 51 1 1 East 142nd Avenue Anchorage, AK 99516 Current Property owner(s) Eugene A. Kremer Day phone Mailing address 2664 Aspen Heights Loop Anchorage, AK 99508 Real Estate Agent Day phone 2. TYPE OF DWELLING: [] Single Family (w/wo ADU) [] Duplex [] Multiple Dwellings (Single Family and/er Duplex) 3. NUMBER OF BEDROOMS: Four 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual [] Holding Tank [] Community [] Public Sewer [] Recevedby' L.~.-f, / ~ .~, COSA to be released ~ the er~gineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number COSA # Waiver Fee $ Date of Payment Receipt Number Waiver # 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, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and ad~q%~te for the number of bedrooms and type of structure indicated herein. I further verify that based on the infbrr~'0n obtained from the Municipality of Anchorage files and from my investigation and inspection, the on:si'~eCv~er supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 5/1/20.!3 DSD SIGNATURE System ¢1 Approved for. bedrooms. System ~2 Approved for, bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulationS'?' The ~l~~ge Deve;opment Services Division (DSD) ' upon the representations given in paragraph 5 by an independent professional civil engineer registered ]n the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory X Nitrate Advisory Arsenic Advisory Other COSA blue sheeLg-1-12.doc If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Iliamna Acres, Tract 10C A, WELL DATA Well type Private IfA, B, or C provide PWSID # Date completed 11/21/83 Sanitary seal (Y/N) Y Total depth 124 ft. Cased to 124 ft. FROM WELL LOG 11/21/83 Date of test Static water level 44 ft. Well production 4.5 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colon[es/100mL Nitrate 1.01 mg/L Arsenic Parcel ID: 017-101-25 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 4/30/13 47 ft. 11.1 g.p.m. Y Y >18 in. N/D ug/L Dateofsample: 3/8/2013 Collected by: Pannone Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 11/1983 Tanksize 1,250 gal Number of Compartments 2 C[eanouts(Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Date of pumping 3/7/13 Pumper Denali Sewer and Drain N C. ABSORPTION FIELD DATA Date installed 4/28/13 soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD Length=-70" ~ ft. Width 5 ft. Totaldepth 5.4 ft. Eft. absorption area 600 f¢ Monitoring tube__ Date of adequacy test New Const, Results (Pass/Fail) __ Fluid depth in absorption field before test __ in. Water added Elapsed Time: min. Final fluid depth in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) System type 5' Wide Trench Gravel below pipe 2.0 ft. Y Depression over field N For bedrooms gal. New dePth__ in. Absorption rate >= g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at __ in. Datum Size in gallons "Pump off" level at in. Cycles tested Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? in. E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot > 100' Absorption field on lot >100' Public sewer main N/A Sewer/septic service line >25' Animal containment areas >50' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Water main >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line > 10' Water Service line. >10' Curtain drain None Noted On adjacent lots >100' On adjacent lots > 100' Public sewer manhole/cleanout N/A Holding tank N/A > 100' Manure/animal excrete storage areas Property line >5' Water service line > 10' Building foundation >10' Surface water >100' Wells on adjacent lots >100' Absorption field >5' Surface water >100' water main >10' Driveway, parking/vehicle storage >10' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Date 5/1/1 3 COSA brown sheet_10-10-12.doc m z 30 Z g 3O NOO°O6'45"W 149.14 10' Utility Easerment N00°06'00"W 149.14 8379F Z ' M'UNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be comPlete'd prior to submittal) (a) Lega Description (include lot, block, subdivision, section, township, range) Location (address or d~rect~ons). (b) Property owner Mailing Addre~.~ (c) Lending nstituti~n. Telephone Business Mailing Address (d) Real Estate Company and Agent Address (e) Telephone ~) Mail the HAA to the following address: (or check here List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family/~ Number of bedrooms 3. WATER SUPPLY ndividual Well/El Community [] Public [] Note: If. community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site~ Pub ic [] Community [] Holding Tank [] ¢ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING 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 omsite water supply and/or wastewater disposal system is safe, functional.and adequate:for the number of bedroomsand 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 suppiy and/or wastewater disposal system is in compliance with alt Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Nameof Firm ~,/~, C, ~, Telephone , ~f/ 6. DHH$ APPROVAL, . /, 8/2 - Approved for, i/--,;¢¢ bedrooms by Approved cx'x~,.._ Disa'pproved Terms of Conditional Approval OF'A/..., Conditional The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional 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 DHHSdonotconductinspections or analyze data before a certificate is issued. The MunicipalityofAnchorageisnotresponsibleforerrorsoromiSsions in the professional engineer's work. 72~25 (Rev. 7/88) 8ack Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HealthcHECKLisTAUthority. FEBRUARyAppr°val (HAA)1984 A. WELL DATA Well Classification Well Log Present(~N) __ 343-4744 Legal Description: Date Completed Total Depth _ Static Water Level ~('// Casing Height Above Ground Electrical Wiring in Conduit f~N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results ~,~cLO'~'OC';ct. Comments ~/¢~11 /~/~2~/, /~'~'Casedto /,),Y' Depth of Grouting [ - Pump Set At Sanitary Seal on Casing ~(~)N) Depression Around Wellhead (Y~ ; On Adjoining Lots /~-'~0" ;On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ~,~ ,(---.5, ; Date /-,,~/2 B. SEPTIC/HOLDING TANK DATA Date Installed .//' - '~7...r S ze Standpipes CN) Depression over Tank (Y(~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~ !,~-¢~(-~ No. of Compartments 2,. Air-tight Caps f~l) Foundation Cleanout(~N) Date Last Pumped ¢,~,-0,')..- ~'c~ ('~,.,.~,~l~'~r-~ /¢//14 ',for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well '.[~-~ / To Property Linb . ~-,(~:) ¢ To Water Main/Service Line To Stream, Pond, Lake o'r Major Drainage Course To Building Foundation To Disposal Field '+ Comments 72-026 (Rev, 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Soils Rating in Absorption Strata /(--'¢('~ Type of System Design Date Installed /,/~0~ Length of Field '~ ' -~ Width of Fie.Id. ~ cC' --- Depth of Field cC ~ Gravel Bed Thickness ~ Square Feet of Absortion Area ~---~¢ bl Statndpipes Present CN) /' Depression over Field (Y/(~ Date of Last Adequacy Test Results of Last Adequacy Test ~,~' v~CJ¢~'¢-, '~ ~.~/~- ~ ~'/-~ ~./.~/.z__ .,~/'¢/2¢////_ SEPARATION DISTANCE FROM ABSORPTION FIELD: /~(:~ ' To Property Line ¢'/~ · ~ ~ To Existing or Abandoned System on ; On Adjoining Lots ~ P-O'*- To Cutback (if present) Comments D.~T STATION Dated Dimensions Size in Gallo'f'rs...~ Manhole/Access (Y/N) "Pump On" Level at~'~ "Pump Off" Level at High Water Alarm Level at -"'"'"~~ Vent (Y/N) Tested for Meets MOA Electrical Codes (Y/N) Comments Pumping Cycles during Adequacy Test. **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 inspecti°n'/7/~ Signed ML...Cf.~/'*' '--- Company' ,~. Date I~0- MOA NO. Receipt No. ~ Dato of ~a~ment Amount: $ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 MUNICIPALITY OF ANCHORAGE DIVISION OF ~NVIRONMENTAL HEALTH DEPARTMENT OF HEAL/~-i AND ENVIRONMENTAL PROTECTION APPLICATI(AN ~DR HEALII{ AUTHORITY. APPROVAL CERTIFICATE (a) 5egal Description (include lot, block, subdivision, section, tc~;rlship, . '.--Ti'il i~. , ~... ~, - .... ~,~i7~T}7-~, Location ~a(lc~es., o~. (llrec~lono~ .... ~-i' (c) Applicant is (check o,~) ~nding Institution Buyer ~1~ Other f~' <e~lain)~ (d) I~nding Institution Telepho~ Ad~ess (e) ~al Estate Co. & Agent Add~ess To le phone 2. ~I~_ of ~.~.sidenc~ ~,/ Slngle-[mnlly ~_.t~i~./ ~lti-Family ~1 Other Note: If a~mit~ ~11 s~stem, mst ha~ ~it~n mnf~nmtion ~ ~e State ~pa~nt of ~hviro~ntal Con~rvation attestin9 to t~ legalit[ md status, Is ~te ~11 adequate fo~ the n~r of ~d~ s~cified in this ~ (Y~) 4. ~ waggly~ Is the wastewate~ dis~sal system adequate f~ t~e ~, of ~dr~ (Y/N) [Page 1 of 2] 2-15-84 5. ?j~g_%neerinq Firm Providi__n_g_ I_r?~oections, Tests, Data and Inforr~ntion I c~rtify that I have c~cked, verified, or ccnfo~r~,d to ali. PDA ~tAA ~aid~lir~s in ~ffect on the date of this insF~etion~ Ad ess I Zoo S J.gmd by Date Te~as of Conditional Approval The Municipality of Anchorage Department of Health and Environn~ntal Protection does not Guarantee the, continued satisfactory Derfo~m~ncm of t~m wate~ supply and/or the wastewater disposal system. ~is approval indicates ti]att as of the validation date shc~a above, based on the data and information furnished by ea~ engineer registered in the State of Alaska, the water, supply and wastewateF, disposal system is safe and fun.c- tional for the number of b~dro~ms and type of structure ].ndicated~ ( DHEP SEAr.) 7. Mai]. the HAA to the following address: KB2/d5/s [Pag~ 2 of 2] 2-15-.84 MUNICIPALITY OF ANCHORAGE DMSION OF ENVIRONMENTAL HEALI~! DEPARTMENT OF HEAL~ AND E%5;IRONMENTAL PROTECTION (a) Legal DescriptiQn (inclu.d9 lot, block, subdivision, r~etion, township, range) Location' (add, ess or directions) (c) Applica,]_~t is (check one) Ler~ding II, stitution ~; Own. er/builder (d) Lending Institution Telephone Address (e) Nsal Estate Co. & Agent Address Te le phone 2. Type of 3. ~ater Supply Individual ¢~11..~. Community r~ Public Note: If ~pm~]nity well system, must have written confirn~ticn from the State Department of 5~viror,~ntal Conservation attesting to t}~ ]~gality ~%nd status. Is the %~11 adequate for the numb~.r of bed~o~s specified in this ~IAA ~N. ) 4. _Sewage Dispos~].:. Onsite.~ Public ~---i~ Community ~_~ Holding TapX Is the wastewater disposal system adequate fcr the ~x~nker of b~dr~ms Q/N) [Pa~e 1 of 2] 2-15-84 5. Engineering_~,i. rm .P~o~id~.n.q Inspections, Tests, Data and Information I c~tify that. I hav~ checked, verified, or conformed to all MOA HAA c~lidelir~s effect on the date of this inspection. S ig~e d ~/~.i,'~¥f57~ .~, ~f~ ,- ?~ ¢?~~'~- ' Date 6. DHEP ~prova 1 ~ %~?OF[ S The MUnicipality of Anchorage Department of Health and Environrac-ntai Protection not guar. antee the continued satisfactory p~rfcrmanoe of the wate~ supply and/o~ wastewate~ disposal system. This approval indicates that, as of Lke validation shc~vn above, L'a~d on the data and information furnished ,~37 an eng;i.F, eer' register~ the State of Alaska, tile water supply and wastewater disposal system is safe and tional fo:¢ the number of bedrc~s e~,d type of st~ucture :[p. dicated. ( ~.]EP SEAl,) 7. Mail the HAA to the following adcbmss: KB2/d5/s [Paoe 2 of 2] WELL EI~TA Well Classification _~£//.~(~Y If A, B, ~dr~ICIP^LIT¥ OF ANCHORAGE MUNICIPALITY OF ANCHORAGE ' .... ~ DEPL OF HEALTH & % ~no~VlRONM~NTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CH~.CKLZST - FEB~UAR~ ~98~ MAY 'l i 1984 RECEIVED Well Log P~esent ~_~J/N) Total DeL)th /,.]3~-/~ Cased to Static Water Level x/V/ Casing Height Above Ground ~,..// Elect~ical Wiring in Conduit ~q)~) Separation Distances f~om Well: To Septic/Holding Tank on Lot /~' To Nearest Edge of Absorption Field on Lot__~fPOz ; On Adjoining Lots /~ f~ ; On Adjoining Lots /~(3 ~ To Nearest Public Sewe~ Line ~)/~- To Nearest Public Se~r Cleanout/Manhole ~'/~ To Nearest Sewer Service Line on Lot Water Sample Collected By ~~'~. ; Date /7,y~.'l(Cl/ ' . Water Sample Test Results_ ~/"9.-~/..-.:-3.:,~'~97~ Date Installed ///f{.~ Size /)O'--~_ NO. of C~,~)a~t~nts D~p=ession ~= ~a~ (~ ~t~ ~t ~ Fm~ing/~intenan~ Con~a~ ~ File (Y~) ~/~; fo~ Holding Ta~ High-Wate~ Ala~ (Y~) ~/~. ~a~y Holdi~ Tank ~t "~ Sep~ation Distan~s ~ ~ptic~olding Tank: To Water-Supply ~11 _ J0~/ To ~ilding Foundati~ To ~o~ty Li~ ,~) / To Dis~sal Field To ~ter Main/~vi~ Li~ ~/~" ;~To S~e~, Pond, ~e, ~ Majo~ ~aino~ Cour~ ~J [Pmge 1 of 2] 2~,15~8~ C. ABSORPTION FIELD DATA Soils Rating in Absorption Stmata Date Installed / //~..~ Width of Field ~ ~ Square Feet of Absorption A~ea Depression over Field (Y~ Results of Last Adequacy Test /~.3 l~' Type of System Design Length of Field ~ ~, Depth of Field ~ ~/' Gravel Bed Thickness ~z ~/ 2~-~ Standpipes P~esent~N) Date of Last Ad~=quacy Test /3/~ Separation Distance from Absorption Field: To Water-Supply Well /LO~9 ~ To P~ope~ty Line To Building Foundation ~/ To Existing or Abandoned System cn Lot ..;~h~-~ D~>~3&- ~'~ ; On AdjoininG Lots To Wate~ Main/Service Line ~{3/~$~ /~ To Cutbank(if present) To St~e"am/Pond/Lake/o~ Major D~ainage Course To D~iveway, Parking A~ea, or Vehicle Storage A~ea D. LIFT STATION ~ /O O .k3 ~--' Date installed Size in Gallons "Pump On" Level at High Water Alama Level at Tested for Electrical Codes(Y/N) Con~nts Dimsnsions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequa_cy Test, Me. ets MOA ** Check Perq~itted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect on the date~of this inspection. KB1/dS/s [Page 2 of 2] 2-15-84 ALASKA eildlROFlmeilTAL COF1TROL linC. ~r, qi,¢¢rir, q ,8 ~l,ironmcr, tal $1uJics February 28, 1984 Mr. Keith Bandt Municipality of Anchorage Department of Health & Environmental Protection 825 L Street Anchorage, Alaska MUNICIPALI'I'Y OF ANCHORA~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Dear Mr. Bandt: In regards to our inspection of Illiamna Acres Subdivision~ Tract 10-C on November 30, 1983. I have reviewed the field inspection forms and found that the seepage bed system was placed at a total depth of 4' The ground above the system was graded to 1' above the original ground level~ so there is now 4' of earth covering the bed system. I hope that this will clear-up errors in the final inspection writeup. Sincerely, President LCRjr/caj 1200 UJcsl 33rd Aucnu¢. Suil¢ ~, Anchoroq¢, Alosko 99503'(907) 561-5040 ALASKA []LIIROFI[T1E FITAL COFITROL $1EI LJICE $, IFIC. ~nqm¢¢rJn§ 6 ~,uJronm¢.loJ Sludi¢s SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM-ILIAMNA ACRES TRACT 10C 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 THRU 2, SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORICMANSHIP SHALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT AND REGULATIONS. 1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO BE VERIFIED IN THE FIELD BY THE CONTRACTOR. 2.0 THE LIFT STATION (NOT USED) 3.0 SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO THE SIZES INDICATED; 0.5 TO 2.5 INCHES. 3.2 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2". 3.3 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A SECTION OF REGULAR PERFORATED SEWER PIPE MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN-CAP (JIMCAP OR EQUAL) SHALL BE PLACED ON THE TOP OF THE PIPE. 3.4 IF INSULATION IS REQUIRED THE INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAM BOARD INSULATION BOARD OF THE THICKNESS SHOWN ON THE DRAWINGS. 3.5 THE TOP AND SIDES OF THE BED SHALL BE PLANTE]) WITH A WHITE CLOVER AND RED FESCUE MIX OR BLUE GRASS. 3.6 THE SEPTIC TANK OF BED MUST NOT BE CLOSER THAN 100 FT. TO ANY EXISTING WELL SINGLE FAMILY OR BODY OF WATER AND 150 FEET FROM A MULTI FAMILY WELL 3.7 THE GRAVEL SHALL BE COVERED WITH A LAYER OF UNTREATED BUILDING PAPER OR A NONWOVEN FABRIC SUCH AS MIRIFI FIBRETEX 200 GRADE, OR POLY-FILTER X OR EQUAL. 3.8 THE DISTRIBUTION PIPE SHALL BE 4 INCH RIGID PVC PERFORATED PIPE OR POLYETHYLENE. THE PIPES SHALL BE LAID LEVEL. 1200 W¢sl 33rd Aucnu¢, $ui]¢ B · Anchora% Alaska 99503 · (907) 276-1361 ALASKA ENVIRONMENTAL CONTROL SERVICEr 'NC. 1200 West 33rd Avenue ouite B ANCHORAGE, ALASKA 99503 Phone 276-1361 SHEET NO. CALCULATED BY CHECKED BY SCALE / or ~ DATE '////~./~'~ ' DATE _ 2_x z-., '</W' L 7' :[ ALASKA ENVIRONMENTAL CONTROL SERVICF~ INC. 1200 West 33rd Avenu~ .~uite B ANCHORAGE, ALASKA 99503 Phone 276-1361 JOB SHEETNO.. ~' OF CALCULATED BY ~ ' f~"J DATE CHECKED BY DATE SCALE ~ ~ ~ K .