HomeMy WebLinkAboutROLLING HILLS ESTATES BLK D LT 9
GRL rER ANCHORAGE AREA BG. ,'UGH
Q Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
DISTANCE ( ~ NUMBER OF
FROM WELl /~O MANUFACTURER_ MATERIAL '!~'~Z"~'-" COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS.
SEEPAGE PIT:
NUMBER OF PITS __
DIAMETER __ OR WI DTH .__ LENGTH DEPTH
LINING MATERIAl
BUILDING FOUNDATION__
CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL: ~
TYPE~
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH
SEPTIC
TANK
· DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES: /C~¢.:~ ~'~ ~
INSTALLED BY: (~,L(_~'~
PIPE
LO-F SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
G.A.A.B.
GreaTEr ANCHORAGE Area Borough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 'C"STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456 I
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND S~ZE OF FACILITY TO BE SERVED
FINANCED Th ROUG~s~'~'~'~ t[~~
SOIL TEST RESUL .
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 2/1 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT .~ Q} I
SEPTIC TANK tO SEEPAge Pit WALL i
TYPE ,..~- ' ~'~:~ C AREA
., DRAIN FIELD
, DRAIN FIELD
WATER MAIN TO SEPTIC TANK DRAIN FIELD !
SeFT,C TANK, ~(,b SeE.AGE P,T i ~.~.
TO RIVER, LAKE, STREAM.
SEEPAGE PIT ~i~
ALSO CONSIDER ARea WELLS.
DRA, N FleL~ t.C,r_:,
INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
TYPE
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 IN~CH~jAI~F.:~E~.£AST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH Airtight REMOVABLE CAPS.
GR~AVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF SYSTEM
, CERTIFY THAT , AM FAMILIAR Vu'ITH THE REQUIREMENTS OF GREATER ANCHO.~EA BOROUG/~~ /~)-68 AND THAT THE ABOVE
"ATE b ¢ APP''C^"T'B,IGNAT.RE
R&M ENG.xlEERING & GEOLOGIC,-,L CONSULTANTS
~ 229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, AiASKA 99503
TELEPHONE 907-279-0483 TELEX 090-35419
Civil Engineers Geologists Land Surveyors
JAMES W. ROONEY. P. E.
MALCOLM A. MENZIES, P.E.. L.S.
JAMES H. WELLMAN. P.E.
RALPH R. MIGLIACClO
Engineering Geologist
June 26, 1973
R & M Project No. 36627
Mr. George Collins
4720 Mars Drive
Anchorage, AK 99507
Re: Test Hole and Soil Log Report for Sanitary System
Lot 9, Block D Rolling Hills Subdivision
Dear Mr. Collins:
We are submitting herewith the test boring results and our
comments regarding soil conditions encountered at the subject
site. This investigation was performed in accordance with
your request of June 22, 1973, and those procedures outlined
in a letter dated September 13, 1971 by Mr. Rolf Strickland
of the Greater Anchorage Area Borough Department of Environ-
mental Quality.
A single test hole was put down within the Lot 9 area for
the purpose of defining general subsurface soil conditions
for the proposed sanitary system. Excavation was accomplished
with a tractor-mounted backhoe and the test hole was extended
to a total depth of 12 feet below ground surface. The final
log prepared for the test hole has been included in Drawing A-01.
Ground water was not encountered in the test hole.
We appreciate being given this opportunity to be of service
to you. Should you have any questions with regard to the
above, please do not hesitate to contact us.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL CONSULTANTS
JWR: ph
v~ xc: GAAB
u 19/3
GREATER ANCHORAG~ AREA BOROUGH
T.H.- I
6-?..~ -7;5
ORGANICS W/SOME SILT
O .01
SILT TRACE SAND (ML)
Ton
8.51
SILT TRACE TO SOME
SAND, Tan (ML)
No Water Table
12.0'
Note '- Test hole excavated with tractor mounted backhoe.
Jerry Hailer Property
Engineering E~ Geological Consultants LOG OF TEST HOLE
ANC;40,~AOE FAI"BANK~ ALASKA uu.E^u Anchorage Alaskc~
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
GENERAL INFORMATION
(a)
Application Date
(b)
(c)
Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions) ~.~ ~t ~.z~
Applicant Name .~-'~ ~"l--~¢~,~Telephone: Home Business ~--~"~- '~'~L~
Applicant Address ~- '~c:~?F '~~~,,5~::)~z-~--F'~ ~[,.-~c.~,~o~_~ .
Applicant is (check one): Lending Institution~{'; Owner/.bu~der~ Buyer []; Other [] (explain);
(d) Lending Institution
Address /~,
(e) Real Estate Company and Agent
Address ['c~.p~
Telephone
(f)
.Melt the HAA to the following address:
S & $ ENGINEERIN~
SRB 196X
~.A[sLE RIVER, AK
TYPE OF RESIDENCE
Single-Family~~, Multi-Family []
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.
SEWAGE DISPOSAL
Onsite [] Public [] Community [] Holding TankA
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 72-025 (11/84)
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal a~fixed 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
Address ,
Date F_AGLE RIVI:R: AK 99577
Telephone
DHEP APPROVAL ,· ,
c~'*'/~>'~"°'~'~'~'~'' ' ~~' "'~~ Date
Approved for .~oo,.~,,. ~'~?bedrooms by
Approved ~ · Disapproved~/ Conditional ~
Terms 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
~uNiCtp~NI:~I ~h~E A N C H O R AG E (MOA)
,v, DEIq'E,~C.~'~~TY APPROVAL (HAA)
ENvtRON~N~HI~KLIST - FEBRUARY 1984
3
~C~t~ICgalDescriptiOn:~ ~ ~ ~, .~. ,
Well Classification ~ ~ v-6 ~ ~.-~J If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y~ Date Completed ~1;;'~z~p/~, la t¢(o Yield
Total Depth ~ ~"~ Cased to ,~!rC:~ t ..~ Depth of Grouting
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit(~YN)
Separation Distances from Well:
To,,Se~/Holding Tank on Lot
Pump Set At O ~--,
Sanitary Seal on Casing ~N)
Depression Around Wellhead (Y~)
; On Adjoining Lots
'"1~ I..~ To Nearest Public Sewer
~ ~ I To Nearest Sewer Service Line on L~t
To Nearest Edge of Absorption Field on Lot ~ oc::~ ~ ; On Adjoining Lots
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments /~' L, JC~-d..4~
B. ~-E:P:I~A~/HOLDING TANK DATA
Size '~.~2~, (~. No. of Compartments \
Foundation Cleanout (Y~
Date Last Pumped ~\ ~ \ '~- ~(,~
;for
Temporary Holding Tank Permit (~;rN)
To Building Foundation '2.~ t"~-
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Date Installed /'¢' '~'~
Standpipes ~N) Air-tight Caps~N)
Depression over Tank (Y~)
Pumping/Maintenance Contract on File (~)N)
Holding Tank High-Water Alarm (Y/~[~)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well [
To Property Line ~
To Water Main/Service Line \
Course 1 ~c~ ~--
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
'1'o 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
Comments '~~ t~ ~ c~l--~ ~, ~c,
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
LIFT STATION ~-~I~ *q**gc~' ~----~-~,'~ ~,~ ~ ~
Date Installed Dimensions
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments ~"~C) L.-~ ~.. ~""~.~"-'--} Or'--..-'1
** 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.
$ & S ENGINEERING Date
Signed SRB 196X ,~,
Company MOA No. ~ ~'-
Receipt No. [ (~ - ~h ~ ? ~¢'/--~;-/ / ./~" .'
Date of Payment ~-~-~
Amount: $ ~, O0 ~'~~
Page 2 of 2
72-026 (11/84)
HOME SERVICES
15900 Francesca Drive
Anchorage, Alaska 99516
907-345-1890
Date ./l-A?~ ~
Lo t 9 B lk. D
,l- ...... '~ '/ ''/''
I ~ ~.~(.(~,:. ,~:<:l ~._~.~:~ agree to have
A+ HOME SERVICES pump my holding tank(s) on an as
needed basis or on a date specified by me fo~ a
period of one year.
Total volume of tank(s) ::~000
Price per pumping,
)lollh)IF }HI!~ i:
/::-.. × .
· ' :James R. Wingerd
A+ HOME SERVICES
* Price reflect~ pumping during normal business hours.
A+ HOME SERVICES reserves the right to increase their rates
in accordance with any rate increase incurred from the
Municipality or any other agency.
Vc~l ir ~o.r~tic' (-'~qqrw~c~l ~nct f3r~infi~lc~ Prc~f&ccinn~l c~F~rx/ic-~ C'nmn~nx~
GREATFR ANCHO~AG.=- AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-B686
Time of Inspection,
Date of Insoectton
REQUEST FOR APu~{OVAL OF
I.N~IVIDUAL SE;,~Eq & ';~ATE, R FACILITIES
PO9
/
5. Type of Facflitv to be Inseected:_ ~r ,
Number of Bedrooms:
Well Data:
A.
C, Construction
<%~/.4~ D. [lacteria l Analysis ,,,
7. Sewage Dtsgosal System:
C, Septic Tank: 1, Size~-lpC)L~. Manufacturer .
D. Seepage Pit: t. Size& ~ 2. Material ~O ~q¢~ , ,
~. Disposal F~eld: Total Lenqth of Lines
8. Distences:
A, Well To: Seotic Tank
· Absorotton Area , Sewer Lines
· Nearest Lot Line
, Other Contamination
Foundation to gontic Tank
' > Ab,~orDtinn Area
Absorotion Area to Nearest Lot Line
Request for Approval of--A,,divfdua! Sewer & Water Facilitie~
Page Two
9. Comments: ~ ~
Aporova] Valid for One Ymar From Date S!~ned
Greater Anchorage Area 8orouqh, Dec-artment of 5nvfronmental Quality
DIAGR,qkl OF SYSTE1V~
I cert~f',' that the information ~on,.,~,n.. in this request for approval to be a true
and acc:Jrate represcDtat~on of the su'.~iect sewer and water facilities located att
Date