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HomeMy WebLinkAboutKNIK HEIGHTS BLK F LT 13 GAAB-HO- I GE TEE ANCHORAGE AREA BOROL H D~.,ARTMENT OF ENVIRONMENTAL QUALI',. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /~,) ~c.'~Z~-' '/~/~/~ -~/~ff/ ADDRESS Dr/_'Jd LOCATION /Z~,/ 7-/~r~:~'/x',~;/~/ ~x~'__Z/_/~_~<~_/'~'7-:/'P?/~EOAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL /'~ LIQUID CAPACffY_ /'~'~'~-~' GALLONS. .MATERIAL (~' ~/¢/-~' '/~ ~7~:~: INSIDE LENGTH ._ ~;, MBER OF ~-~' ~: '~ ~"'~'-~'~C~JoM p A RTM E N T S LIQUID INSIDE WIDTH DEPTH____ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS J OUTSIDE DIAMETER OR WIDTH /~' LINING MAI'ERIAL //'~'~ ff'~/4x'/d''~''('~';'- /CC'~-2/~/~'~ISTANCE FROM WELL /'~Z~ "~- NEAREST lOT LINE___ '~ /'/~' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH /z?'/' DEPTH_ BUILDING FOUNDATION / SQ. FT. "'fF~E"l~l E L D: DISTANCE /:ROM WELL NUMBER GE LINES ABSORPIION AREA DEPTH: TOP OF TILE TO FINISH GRADE W E L L: TYPE ~d~:/b LOT lINE /~ //- NEAREST TOTAL LENGTH ~,,'~Oth'qOZ~ON , NEAREST LOT LINE , OF LINES .DISTANCE BETWEEN LINES '"~--..---_ ~NCH WIDTH IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ~'~-~. DEPTH OF FILTER MATERIAL BENEATH TILE ABOVE '~~N. DEPTH /6~ L~ ' DISTANCE FROM ~ WATER ,BUILDING FOUNDA110N .... SAMPLE ~ , NEAREST SEPTIC / SEEPAGE / OTHER , SEWER LINE , TANK_ /'L~'~ , SYSTEM / //~-~ ;~' , CESSPOOL , SOURCES___ DISTANCES: DIAGRAM OF SYSTEM S~:\¥AGE DISPOSAL ',¢YSi[M .... APPI.,ICATION AND PERMIT 3500 TUDOR ASCHORAGE, AL. ASKA 99502 Performed For ltubenstein \ Date Performed_2_2 &uAus_t_a_~1922 Leaal Description: Lot .~ Block__?_'__Subdivision___~_~k_l:i~_~_,_ This Form Re~}orts Soils~iYi'q__ '~'~,~K ................. Percolation Test Qesth Feet 1 soil AGra to 5 we;me two units of Gw. There were some layers of pebble ~nd coarse sand but these accounted for less than 5~ of the total sediments. Soil Characteristics The G-m tO Gw was very compact but with a low sllt and clay contempt. I estimated taht for every unit of Gm there Was Ground Water Encountered? No I~'Ves, At what Oenth? Readinq Slope- west ............ [ 1---~~ i --'i'---F--~ .... ', - ~i 4 --'-i-- ~--4 l.--t t- --! .... Date Grnss Time Net Time 9enth to t!20 Met Dr'on Percolation Rate Oenfh ..... of Tn'lef 2~ feet Den'f]~-{ --~}.~ ,q~tt...::;- F~f .PiL. CnM~ENTS. ~ feet 6iii 'b~ Gw at i~'~q ft/bdrm; 1 foot sw at 125 r.,..~ATEi? Af'.IC~!P,~/\GE AREA BOROU, DEPARTI'!EIIT OF EH!/i,ROI,~MEI~I\L 9UAI 3590 I'UDO[',~ ROAD A~ICHORAGE, ALASKA 99502 C A S E ff Performed For Frontier Construction I)ate Perforlned 8/18/72 Leqal Descrintion: Lot 12 Block 'F' Subdivision Knik Hts. This Form Reoorts Soils Loq × Percolation Test ........... F)eoth Feet Soil Characteristics 2~ Orange Brown Silt (ML) 6 ~, -- Sandy Gravel (GW) 8 ~ Silty Sandy Gravel (GM) Very coarse sand (SP) 14 7f 16 ~__ 9 Sandy gravel (GW) ~ottom o£ ~oie Was Ground Water Encountered? No I-F Yes, At what Denth? --I Reading Net Oropl Date Grnss Time Net Time Denth to H20 Percolation Rate ~!inute Prr~posed Installationt Seepac~e Pit x Drain Field De~.th of inlet De~th To Bottom Of Pit Or Trench Cm~ENTS· 120 Sq. f_t._9_f_._dra__i_n_age area is req_ui_red per bedroom below 3' de_pth. Test Performed gw___Fitz__p½~_trick- ............... Para Certified P,y: National Testing. Date: MUNICIPALITY OF ANCHORAGE ~-'~ / '~ '~ 7 / / ~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~..~\~ _ (~._\-"] OF ON-SITE SEWER AND WATER FACILITY 264-472O Application Date _ /~,pr, ( 15-. /9~ 7 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) .L-~,/' 13/ £~lo¢l'= ~ I<~Lf~ I+~hf~ -~ I~ Location (address or directions) (b) Applicant Name~'l~-c/'¢/e~''~ /"¢~/ Telephone: Home _3 ~/.5-- 0¢¢5'- Business ¢..7¢' Applicant Address 1.3 00.3 ~-/-h~r-/~4 /3¢X,.~ /4-~c/~or~e .., /¢-l'~ 995-1g (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); (d) Lendinglnstitution- I'¢''°'''x' ~ ~,~?£ Address I O~ ( ~, (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY Individual Well [] Community [] Public [-I Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [] Public [] 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. 72-025 (I ~ Page 1 of 2 ENGINEERING F'IRM 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 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. Name of Firm f~-(~f'¢¢~ ?-¢c4o~c¢,-/' ~Cer,/'~c~/' Telephone '~/,¢"'- Address 1 ~'.~ 0 ~c ~ -¢~..2 ~rnC~ c~rc~ J ,,~(,~ ¢/~6'- Date ~/~ ,'", / I.~/ t9 6 7 Engineer's Seal DHEP APPROVAL Approved _ Disapproved Conditional Date 'rerms of Conditional Approval 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 WELL DATA . ~,t-~i~_ [,Ci.~A'~ITY OF ANCHORAGE (MOA) ,( 0¥ - ~.~.~, _,o~t\X ~.'~.~'~LTH AUTHORITY APPROVAL (rtAA) ~~ .~HECKLIST- FEBRUARY 1984 . ~1~ Legal Description: ~.-/~ ~ Well Classification Well Log Present (Y/N) __ Total Depth I ~ Static Water Level Casing Height Above Ground . Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ~ ¢-t,,,¢,(~ If A, B, C, D.E.C. Approved (Y/N) N, A. N Date Completed I ~ '/ ~ Yield -7 Cased to ~>' '/,~' Depth of Grouting Pump Set At ~ Sanitary Seat on Casing (Y/N) _ Y' Depression Around Wellhead (Y/N) ,V ti,f;"' ¢~ c.o , ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot lg..~" ¢~ c.o.; On Adjoining Lots To Nearest Public Sewer Line _ N, ,4. To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments __:~' .-~ ~ ~,, B, SEPTIC/HOLDING 'rANK DATA Date Installed I~ ~ ~. Standpipes (Y/N) Y' Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course '~, id, o' Size ¢0oo ~,,~( No. of Compartments J Air-tight Caps (Y/N) '¢ Foundation Cleanout (Y/N) Date Last Pumped 2/'A.I/'87 N, A, ; for N, ,4, Iq. A.. Temporary Holding Tank Permit (Y/N) To Building Foundation I-.t To Disposal Field I..~' To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field t Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test . Separation Distance from Absorption Field: To Water-Supply Weld I:~6~t To Building Foundation ~'~ Lot iN, A. To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field ! '~ Depth of Field J¢~ Gravel Bed Thickness ~ Standpipes Present (Y/N) _ Date of Last Adequacy Test To Property Line 8o To Existing or Abandoned System on ; On Adjoining Lots ~ .?o To Cutbank (if present) D. LIFT STATION N, 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 (luring 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 C~ ~. ~ Date __/"///4,,~/~ 7 Company ~' I~ ,'~/~/ Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 01/84) Engineer's Seal · DATi~ RECEIVED TIME TIME ~- T ,DATE DATE , '~ {~j' (/j DATE I~S~ECTO~ I~SPeCTO~,~ ~g~ / INS~ECTO~ MUNICIPALITY OF AN~HORAG~ MUNICIPALITY OF A~CHO~AGE DEPL OF H~A~TH &  DEPARTMENT OF HEALTH ~ ENVIrONMEnTAL P~OTE~ON~ENTAL PROTECTION 82B L Street - A~chor~e, Alaska 99~0~ ENVIRONMENTALSANITATION DIVISION 00T ~ 'i 1980 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. PROPerTY OWNER ~ PHONE PROPERTY RESIDENT (If differe,t from above~, ~ ~,~_ ~ PHONE 3, I. ENDINSINSTITUT!ON ~ PHONE I MAILING ADDRESS 4. / ~ ~ PHONE MAILING ADDRESS LEGAL DESCRIPTION STREET LOCATION LI SINGLE FAMILY [] . MULTIPLE FAMILY 7. WATER CPPLY ~ INDIVIDUAL* [] COMMUNITY []/PUBLIC UTILITY (~] INDIVIDUAL/ON-SITE** NUMBER OF~BEDROOMS  [] Four [] Other [] Five / ~ Three..~ [] Six * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that, date, give well depth lattach log if available.) / YEAR ON-S'ITE SYSTEM WAS INSTALLED· [] PUBLIC UTILITY NOTE: THE INSPECTION FI-'E MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLF FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX 2, WATER SUPPLY INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size: If Tank is homemade give dimensions: PERMIT NUMBER [] OTHER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line 5. COMMENTS APPROVED FOR ~: BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVFD DATE 72-010 (Rev. 6/79) F' MI~ CHANIC/' ' L Alii D INO0 RPORATE£] ENGINEERS & SURVEYORS Septic System Adequacy Test S.-1 O1 BURVEYINI] I hereby certify that I have made an adequacy test of the existing septic system on Lot 13, Block F, Knik Heights Subdivision. The system was installed in 1972 and consists of a 1200-gallon septic tank and leach pit. The test consisted of surcharging the system with 200 gallons of water and measuring the rate of percolation through the 'inspection vent of the leach pit. The following data was recorded: Before Surcharge After Surcharge Vertical Distance to Water Surface 8'-9-3/8" 8'-4-1/4" 8'-7" 8 -8-3/4" 8 -9-1/4" See'attache~J graph. Percolation capability 3 (lower 1/2 sludge). ~D Z~T l'ime 3:07 2-3/4" 30 1-3/4" 30 3:37 4:07 1/2" 30 4:37 3 gal. per minute. Thank should be pumped System is functional and adequate. ~"Janles B. Rdb6'hts,'~'P.E. ~,O. BOX 4-22~-]5 ANE}HORAGE, ALASKA ~)850~ ( ~07) 278-2115 ,TECTONICS, INC. P.O. BOX 4-2265 ANCHORAGE, AK. -(907) 278-2115 BY; CI-IECKED BY: DATF: ,-'L SHT/OF / PROJECT NO. 5-~/~'~/ I N(30 ~ P ORATED EN(~INEERS & SUIqVEYORS October 3, 1980 Heritage ltomes & Investments, Inc. 207 East Northern Lights Blvd , Anchorage, AK 99503 Tectonics Project S-lO1 Sewer Adequacy Test, Lot 13, Block F, Invoice S-lOl-1 Knik Heights Subdivision TOTAL DUE THIS INVOICE ...................... $125.00 ',0, B©X 4-2265 ANCHORAGE, ALA$t<A 99509 (907) 278-2115 Ochon..r 23, q980 Michaa]./Pamol_a Rubins hain Star Rouhe A Box Anchorage, Alaska 9950'? Subject: Lot ]3 Block F Knik Heights Subdivision Approval for your individual, sewer and water facilities cannot be granted until hhe roi. lo'wing i'telns havc~ been comp] eted: (i) The wa'keu analysis rcporh oe delivered tto this departmenh from Chem Lab, 5633 B Streel:., [or ,,q L_a._ I;ank pumped with a receipt submitted to this doparhmelqh. If there are any l!ut'ther questions, [}].ease call this deparhment &t~: 264.-d720. Si.ncerely, Rober'h C. Prat't, R.S. Associate Specialis h ~ "C" St'reet, Anchorage, Alaska 99503 274-4561 Date Received January 16, 1976 Time of Inspection Date of Inspection ~f4/~] //, REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony, l. Approval requested by: Alaska Mutual Savings Bank % San Grant 4. 5. 6. Mailing Address: Post Office Box 1120, 99510 Phone: 274-3561 Property Owner: Mailing Address: Michael L & Pamela Rubinstein Phone: Star Route A Box 1580H, 99507 274-8942 Legal Description: Lots 12 and 13 Block F Knik Heights Subdivision Location: Atherton Road off o:f Huffman Road Type of facility to be inspected Well Data: Individual A. Type C. Construction Single Family No. of bedrooms B. Depth D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: 2. Manufacturer 2. Material A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line LQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARYMENI' OF ENVIRONMENTAL QUALI-r'Y 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES JAN 'J, 6 !976 RE(;t!iVEP 1. Type of Inspection: CMRO ____ VA 2. Property Owner: _Plichael L. and Pamela Rubinstein Mailing Address: SRA 1580 H, Anchorage, Alaska 3. Name of Buyer: none FHA CONY Day Phone 274-8942 Mailing Address: Name of Lending Institution: Alaska Mutual Savings Bank Mailing Address: P.O. Box 1120, Anchorage, Alaska 5. Name of Realtor or Agent: none Mailing Address: 6. Legal Description: __ Day Phone Phone 2'74-3561 Phone 13, Block "F" ~ik Heights Subdivision tluffman Location: Off ~ Road ~zto Atherton Road. Atherton is located approx~raat~;1V 1 3/4 mi from Seward Hwy off of Huffman Road. 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Private Well & Septic Tank No. Bdrms. 2 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) EQ-037 (1/74) Page 2 of two pages - Re ,st for Approval of Individual ' 'er & Water Facilities Legal DesCription Lot 12 and 13 Block F Knik Heights Subdivision Comments Appr~J__~Valid for one year from date signed Greater Anchor~g~"Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation ef the subject sewer and water 'facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) · .,. ",% /'4:~',0 ' ~[, ......, _ _ ~,/ , [ ~ ','--ri ~"~ ~ /' ~, 5''~v~ "~-~ " '~J '":L I var~.fy proposed b~,.l.c; [i~[.~ ].oeat (.on on. Lot , [~r';lde,~ ,and ut [.L~_E}, OOI~i~aOLLOI~S ,