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HomeMy WebLinkAboutMOUNTAIN VALLEY ESTATES BLK 1 LT 14 GREk. R ANCttORAGE AREA BORu ,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL. SYSTEM NAME ~/~,/-2'///¢~---~/') /~',¢~,~5 MAILING ADDRESS /~¢)/~)4, //_)~_~'~,~'~/~ LOCATION_/2~/,~-)~'m'4/7' -_~-/~'*g' LEGAL DESCRIPTION ~'~'-////~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER NUMBER OF COMPARTMENTS ~' __ INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY ¢~2 GALLONS. SEEPAGE PIT: NUMBER OF PITS BUILDING FOUNDATION ADDITIONAL ABSORPTION DIAMETER __ CRIB SIZE: NEAREST LOT LINE__ OR WIDTH LENGTH DEPTH DIAMETER~___DEPTI-I ~_~ DISTANCE FROM: TOTAL EFFECTIVE ABSORPTION ARFA (WALL AREA) WELL sq. FT. WELL: TYPE __~.,......~ CONSTRUCTION BUILDING ~__~_N EA REST NEAREST FOUNDATION , ~L'O-T--4.~ER LINE CESSPOOL OTHER SOURCES DEP-rH DISTANCE FROM: SEPTIC ¢ SEEPAGE /( -..vi TANK O 'Y SYSTEM ' APPROVED DISAPPROVED REMARKS DISTANCES~ INSTALLED BY: PIPE MATERIAL: ~/4Q-~ ~"'"'~"~'~"~ LOT SLOPE: REMARKS: Form No, EQ-031 DIAGRAM OF SYSTEM G,A,A,B, GREATER ANCHORAGE AREA BOROUGH ~" ' l~ DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, A~SKA 99503 TELEPHONE 274-~561 // SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TeST RESULTS TO BE INSTALLED BY NOTE~ THIS PERMit IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED SEPTIC TANK S'ZE /0o0 TVFE MINIMUM DISfANCES, REOUIREMENT~; FOUNDATION TO SEPTIC TANK ,:,~ I 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. FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL , _/ %~ ~;,/ D.~~ SEPTIC TANI~'~¢~ / .~ SEEPAGE Pit .~;~"J~, DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIKLP ALSO CONSIBKR AREA WELLS. WATER MAiN TO SEPTm TANK f~ f SEEPAGE P~T BRAIN FIELB SEPTIC TANK, , SEEPAGE PIT ff~0F ., DRAIN FIELD TO RIVER, LAKE, STREAM. 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, CONFORM TO BOROUGH REGULATIONS REGARDING CNSTALLATION, CERTIFY THAT FAMILIAR WITH THE REQUIREMENTS OF GREATER..A~NC~ORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, /~ ~I FORM NO, E~l-016 THE ABOVE GREATER ANClIOk/\GL Al(LA UOROU~,,, iJepartlnent of EnvirornnenLa] Qua'liLy 3330 "C" SLreeL /\nchorage, A1 aska 99b03 S()I1,S l,()(; PEI~,OI,ATION TE,ST Perfo rlned for_ Legal Description: ............. lhis form reports: Soils log_~ Del) ~h Feet 3- 4- 5- 6- 7- Was ground water encountered? ..... _}.l.t:..& .... If .yes, at wi)aC depth? . Reading [)ate Gross Time Net Time _.?~_pt!!.._~__o ~at~jL I~et Urof ............................... :iL.-. ~:_-__-Z-" :::._-.:_L}:::L::;~ Z:_:2': ................................................. Percolation rate ininute. ~Proposed inst;alla~'~n-i-~:~.qe Pit Orain Field .......... Dept'l~--t-o"lJ~-t¥ohi'--o'f:-pi t or trenci, l)epl:h of Inlet ......... · .................................. COklNENI$: ............ ] / ., . > / . ~Y: ...... -- =4:~' ...... ~,,~/- ............. ~ .................................. '[F{:~-f-O-~l::d--B~;-:i.':,7_Z.-_'~. _>~_'.: ~ L_~??_.~_c..~_/_._ _Ce rt'i fi e~, By: ................................... ;~ a Le: ............... ................ ., EQ-040 (6/74) erlifie Drtllt g by A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588 OWNER OF LAND .~~. f /: ." ~'/'. ~ ADDRESS LEGAL DESCRIPTION DATE- Started PE~IT NUMBER DEPTH OF WELL STATIC LEVEl_, OF WATER FT, c~ ~:', DRAW DOWN IrT. GALS. PER HR ' KIND OF CAS1NG _ KIND OF FORMATION: From '" From / From / From ;' From .') ~ ' From From From From From From From Fro m From From Fronl Ft. to :" Ft. From Ft. to Ft. Ft. to. /i~ Ft ~..4./, / ~ C:?I&~z?_ From Ft. to __Ft Ft. to [[,:~ Ft. ~, ~1 :;~' (~,.:~r~),:,~. From Ft. to Ft. Ft. to_ .~(3 Ft . ~.,:;' ~ q. (~,?/¢~zYd From Ft. to Ft. ' ; ~/ ,v ~ ~? ~ '~ f ~>q: 4c*v*~?~; From ..... Ft. to Ft. Ft. to : ,¥ Ft. ~-'~/ ? ~'~*~ Ft. to '/:,' Cz. ~.,- >" ///I/ ,-~'mm Ft. to Ft. __Ft. to Ft. " /'~ ~;'i~ 2';':':4~. From Ft. to Ft. Ft. to__ Ft From__.Ft. to____Ft Ft. to Ft. From__Ft. to Ft. __Ft. to___.Ft From__Ft to__ Ft Ft. to__Ft. From Ft. to___Ft Ft. to__Ft. From Ft. to Ft Ft. to Ft. Frmn Ft. to _Ft. Ft. to Ft. From Ft. to ' _Ft Ft. to_ Ft. From Ft. to Ft. ____ Ft. to Ft. From Ft. to Ft. Ft. to Ft. From Ft. to_ Ft Ft. :/7¢~ W MISCL. INFORMATION: DRILLER'S NAME C!:l;i:l']:F"r 'i"HI:::IT ir !:::1i"'1 I:::I:IH ][ I_. ]i FIt:;i', t.,.I]i'1'1,t I'Hli:![ I:;i'.l!ill];!l_l]il;;i:El','t[]i;l'.,l"l'S I::l:ll:;~'. '-It'.,l..,'::;"Tl:: ::;li:l,.lli:l:;i'.lii; i'::1t'.,!1) I,ilii(I.!.:!ii; Fl:i; ~Ur,~LW^HI',' OF ^NCHORAQ~ DEPL OF H~ALTH & ~ ONM~NT^k PROTfCTION 1. General Information Application Date (a) Imflal Desc~riDtio2 (include~l t, t ck,- 'ubdivision, .~ction, township, range) Location (ad. ss o~ directions) (c) Applicant is (che~ om) ~nding Institution (d) I~nding Institution Te lepho~ Addr e s s (e) Real Estate Co. & Agent Address Te le phop~ 2. ~ cf [~esJ. denee Single-Family Number of P~drooT~ 3, Water Supsp~ Dalti-Family ~ Other (describe) Individual Well ~ Con~nunity y__-~ Public I.---~ Note: If cu~u~unity ~11 system, must have ~a, itten confirmation frcm the State Departr~nt of Environmental Conservation attestip~ to t?~ legality and/~%atus. / ! Is the ~11 adequate for the number of bedrccns specified in this H~ (~/~ Is the wastewater disposal system adequate for the cnmber of bedrocks [Page 1 of 2] 2-15-84 . E_~nglneerln~t Firm Providi_n_g~ctions, Tests, Data ~.md Information I certify that..I'-rh~ve checkedj ~v~,rified, or conformed to all MPA HAA Guidelines in effect on th,:~ dat~.o~..ph)s j~.~pection, Date ( 'ENGINEER SFg~_L) Disap~o~d ~-~ 6. DHEP Approval Approved for Approved ~. Conditional~_~[ Ter~ of Conditional Approval %he Municipality of Anchorage Department of [{ealth and Environmental Protection does not guarantee the continued satisfactory l~erformanc~ of the wate~ supply and/c~ the wastewate= disposal system. 'Ibis approval indicates that, as of the validation date shown above, based on the data and infortr~ntion furnished ky an engineer registe:~d in the State of Alaska, the water supply and ~rastewater disposal system is safe and func~ t.~:onal for the numbe~ of bedrocks and ty.ps of structure indicated. (DHEP SFgLL) 7. Mail th/e HAA./ to/th~ following addresS: KB2/d5/s [Page 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 ae Be Well Classification Total Depth~ 4-- Cased to If A, B, or Cd D.E.C. Approved(Y/N)/~//~ ~ Date C~t~leted ~ ~'~ Yield~.-~/~'~/3~ Static Water [~vel .3 J / ~m~'{~' A~/'Ut' ~0 ~ ~ ~ / Casing ~ight ~ Gr~nd /_~ /~ Sanitany ~al on CasingS_. Elec~ical Wi~ing in ~nd%~it~ ~ession ~ound .~l~ead (~ ~p~ation Distance ~ ~11: ~ / ~/' - TO ~ptic~Ta~ ~ ~t /~3 ~ ; ~ ~joini~g Lots /~ To ~a~st ~ge of ~sonption Field on ~t~/~ / ; ~ Adjoining Lots /~ To ~est ~blic ~ nine~ ~ /~ To ~est ~blic Clean~t/Ma~ole ~ /~ To ~st ~ ~vi~ Li~ on ~t Wate~ S~]ple Collected By ~J~'~f~//~; ~te ~--~~/ -'-- Wate~ S~le ~st ~sults ~~/~~ ' ~ '~ . SEPTIC/HOLDING TANK DATA Date InStalle~ ~ ~ ~"+~"~/aSize /~_ No. of Ccr~pa~t~nts Z Standpipes/9~ ~Air-tight 'Caps~ Foundation Cleanout ~ Depression ~ver Tank '~ Date Last P~umped ~.~ ~ ~-%~ _~ /~-'' ...... Holding Tank High-Wate~ kla~m (Y/~////~ ~Tempo~a~y Holding Tank Permit ~ Separation Distances fnom Septic/Holding Tank: ~ To Watch-Supply W~ll ____/ ~ ~2_ To Building Fcundation ~O To Property Line /~ ~/~ To Disposal Field /~ / I~°/°~ ~ To W~f~/Senvice Line /&J ~/~; ~' To Stne~m, Pond, lake, or Major Drainage Course /~ ~ -------~, Com~nts [Page 1 of 2] 2-15-84 Soils Ra~in~ in Absorption Strata _ of System Design Date Installed ~.A ~"~ ' ~-~'.~ ,~/.~'~ Length of Field ~_ ~,~ ~- ' ~©'~1 ~/ ~/~/ / Width of Field .- ~ ~L'~' Depth of Field ~-~/O / - ~/L 'U3' Square Feet of Absorption~ea Depression over Field Results of Last Adequacy Test Separation Distance from Absor~Lon Date of Last Adequacy Test~; /~;/'3PO Field: To Water-Supply k% 11 To BuildingFoundation T~/S~rvico Line TO Property Line //O ~ To Existing or Abandor~ed System cn LOts ~//~/ z~ ~d'~ / To Cutbank(if present) To Stream/Pond/Lake/or Majo~ D~ainage Course To Driveway, Parking Area, or Vehicle Storage Area LIFT STATION Date Installed Size in Gallons f/~ / /~ "Pump On" Level at {l ~J //~ High Water Alarm Level at Tested for Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Electrical Codes (Y/N) Meets MOA ** Check Permitt~edrcom Rating Against HAA l~equest ** I certify that I""ha4e checked, verified, o~ ccnformed to all MOA HAA Guidelines in effect on the date of' thilz~e/~2n./ , ~..,~ ,,!.,- ,,,, ' [Page 2 of 2] 2-15-84- MUNICIPALITY OF ANCHORAGE MUNICIPALFi'Y OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI(~I~PT. ©F ',':,'t; ~, 825 L Street - Anchorage, Alaska 99501 ENViRONMU, :'~ r ZCTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 AAR 2 0 1980 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SER~:~:~I~.I~ DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing, 1. PROPERTYOWNER T PHONE David Alexander [694-3803 MAI LING ADDRESS Alaska Pacific University Anch. Ak. PFIOPERTY RESIDENT (If different from above) PHONE Birdsong Dr. Eagle River, Ak. 99577 694-3803 2. BUYER PHONE Mark Mc Dermott 459-5845 MAILING ADDRESS 755 D NMSH, University of Alaska 3. LENDING INSTITUTION --'[ PHONE Alaska Pacific / 274- 9661 MAILING ADDRESS Benson Blvd. Anch. Ak.~ 4. REALTOR/AGENT AREA Realtors, Inc. Maureen L. Clayton MAI LING ADDRESS P.O. Box 249 Eagle River, Ak. 99577 E. LEGAL DESCRIPTION Lt. 14 Elk. 1 Mt. PHONE 694-9555 STREET LOCAl ION Birdsong Dr. 0, TYPE OF RESIDENCE (~5.3 mi. up Hiland Rd.-Agent will escort inspects: NUMBER OF BEDROOM,~; [~ SINGLE FAMILY [] MULTIPLE FAMILY [] One [] Four [] Two [] Five I~ Three [] Six [~1 Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give we I 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 PROCESSIN(3 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 J__ DIR FCTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS E] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY E] INDIVIDUAL D~P~-H OF WELL E3 COMMUNITY DATE DRILLED E] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~ INDIVI DUAL/ON -SITE DATE INSTALLED Connection Verified INSTALLER []SepticTan,k or J~HoldingTank Size: / 60'¢ If Tank is hornemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTALABSORPT'ON AREA MATERIAL ~, , 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line [ Nearest Lot Lin.e WFLL TO:I " /kbscrptJol~ Area to nearest Lot Line 5. COMMENTS [] COND~I'IONAL APPBOVAL {letter must accompany certificate} [--,I DISAPPROVEI) LEGAL DESCRIPTION 72-010 (Rev. 3/78) DAVID A. SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 CIVIL ENGINEER 694-2979 Area Rea 1 ty~ ATTENTION: ~buree~ ~e~to~ P.O. Box 2~9 Eagle River~ Alaska 99577 Dear ~bureen, March 31, 1980 MUNICIPALITY OF ANCHORAGE DEP1. OF i':'LTFI & EN'W,,,Oi'.,,,'L 7,-L i; C'TECT[ON 1980 RECEIVED. Reference:' Lot 14; Block 1; Mountain Valley Est~-bes Sk~bdivision A sewer system adequacy test ~,ms performed on the referenced property ~rch 27 and 28~ 1980 per your request. The septic tank was pumped and verified to have a capacity of t000 gallons. The seepage pit ~ms charged with 1000 gallons of w~ter and after a 24 hour period all of the water that hsd been added had percolated ou~ of the pit. As a result of the above survey and test it can be concluded that the sewage system is operating adequately at this time to serve the 3 bedroom residence. If we may be of further assistance~ please do not hesitate to ea].l. Sincer~y, ~ Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA