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Home My WebLink AboutSUMMIT ESTATES BLK 3 LT 7 %., ~ MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING ADDRESS LEGAL DESCRIPTION /-7 capacity in gallons IF HOMEMADE: NO. OF ~.~OOMS I Well I Absorption area Dwelling PERMIT NO. DISTANCE TO: Material No. of compartments Insidelength Width DISTANCE TO: DISTANCE TO: Well Dwelling No. of lines We. /O ~¢F" Length of eac~)i~ Material beneath tile ~ .'~s Top of tile to finish grade Depth Length Width Liquid depth PERMIT NO. 'L~q u i d'~ap~ gi~y4n~ o n s PERMIT NO. 2lo 6 Distan e between lines Tot fecti~so~ion area PERMIT NO, Type of crib DISTANCE TO: DISTANCE TO: ribdiamee~/ / ~ Cr.~epthr /J /~lT°taleffectiveabs°rpti°narea Well -- J Building foundation Nearest lot line Depth Driller Distance to lot line PERMIT NO, Building foundation Sewer line Septic tank Absorptip. q are_~a(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALL REMARKS DATE LEGAL RPFq_ I C:F!NT L.OCR'F I CIN L_EGRL HF!L ER 9E: LOT ," E, LL. %: ,4 J_ :].. EFL .... I_IFiHIq E:,I 5,."'D LOT _,I,_E ..,EL, HkE FEE"F THE_1 ENGTH. E:, ]: HEN'-'E; _T ON ]; '_:.; THE L. ENG'T' ','m ,:: _1' N L'::,-,--,.. ~T *.., 13F T.-IE I"F4:EH E:H OF.' E:,F:-.'.R I NF :[ El_E:,. ..... ' .... ZE; ': ' -¢ -' THE [:'E:F'-F'H 3F FI IF[:.,I..t- -R PIT THE £:'!STFINCE: EEETkiE:E:N THE :,L.t~.FF ...E OF THE I]E:F_I_IN[:, RN[:, THE E:OTTCIH OF THE E',:':iCR',/Ffl'ICIN (IN Fc. ET.. .... -'-' _:,E. HIDTH FnF' TF:Ei'..K::HES. '"HFF?F: J..:, NC3 ""-T _. THE GFiFI'--,,'E£_ DEF'TH I'E THE HZN!HUH E:,EF'TH OF GRFI'¢EL BET[4EEN THE: '31!TF£:!LL.. F'IF'E FINf::, THE E:OTTOH OF THE: E'?:;CFt',,,'FFFION FIN FEET>. pF'.E'H T T RPPL. I CFtNT HR:5 THE RE...,I- LIN:,. E, I L t ] r TO I NF'OFtP1 TH £ _, E:,EF'FIRTt'IENT DI...tF? '£ N ":~ TFIE .....Ti"i':;'l"I:l~ LFITTnN tN.:FEL2f IUhL: L-iF FiF,I'T' P-!E£_LL:; RE:,.~RC:EN, T TO THZ'E.- f"-'qF'l:'''r"'T''"r~ . - :r~ r RN[:,.. THE NLh~,!E:EF: qF F.:EE;IE:,EI'.4CE:5 THFt-F ']"FIE F.!ELL k!):LL _,ER E. F-RI'":k'FILI ........ tNIF'~ OF RN'¢ '="":'-FF", ,...,._,, .......... L,Er-FH!'"!UT F'ZNRL. ]'fi':.,F'E-TT-N taN[:, .................... R~:,F:,~:,-~,,c, ~,,, TH.[.:,"'- DEPRR'FHENT kl i L.L E,[ .... LIE,.J ;...L.T TO PF.:O:SEC:UT :[ ON. PIINIHUH DI'STRNC:E BE!:Tt.,.IEEN R klELL RND RN'¢ ON-SITE :SEI.,.IRGE DI~;PO'..E;RL E:'-/E;'TEH I:5 ~_OO FEET FOR FI PRI',/FITE k!ELL OR :t50 TO 2C~EI FEET F'ROf'I ta F'UBL. IC. kiEL. L. E:,EPENE:,_T. NG UPON THE 'T".FPE OF' F'UBL..IC k!ELL. HINIHUH DI'E, TRNCE FROPl R PRI',,,'RTE NELL 'FO .Fi F'RIVFI'T'E :~]Et.qER LINE Z:5 25 FEET TO R COHP1UNIT'¢ SEI.,.IER L..:[NE :[~ 75 FEET. OTNER RELT.!UIREHENTL::; NR'?' RF'F'L'¢. '_E;PECIFICRTZONS FIND CON':_:;TRUCTIO!q C, IRGR£~.f'IS .FIRE RVRILRE:LE TO IN'E, URE F'F..'OPER INSTRLLFITION. l FORTH B'?' THE: MUNICIF'RL.:[T'T~ OF RNCFIORRGE. 2: Z NILL INSTFIL. L 'TFIE S"r':'~;'f'E!"l tN RCCOR[::,F!NCE kI!TH THE COPES. Z: I UNDERSTRND THFr'F THE ON-SITE %E[4ER S'¢:~TEH HR'¢ REC!UIRE ENLRRGEP1ENT RES t DENCE ~[ ~L..~O I NE:L.UDE HORE 'TF!RN Fi: E~EE:,ROC$'I~3;. S I~NEE:,:_ ~~~~...~:: I~¢PLDD~RN'~ /£.lF4b GRFI~;E;ER / ............ r THFI'F I RH FF.!'1IL. IFtR !.4ITH THE F:E£;!UZREHENT'.E, FOR 2H'-EITE 2;E!.'.IERE; RND I.'.!ELL..~ R'.'¢ :.".';ET THE GPL~,.?ER ANCHORAGE AREA BOROV~H HEALTH pEPAI~M ENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N.° 722 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING PHO N E.~'~*~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY .//-) GALLONS. NUMBER OF MATERIAL -=)' ",,~"'/~---~'"'~--~ COMPARTMENTS INSIDE LENGTH / INSIDE WIDTH ~ DEPTH __ L SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL ~' '~ NEAREST LOT LINE ~'~ ~) SEEPAGE PIT: OUTSIDE DIAMETER OR WIDTH ~/~ --~'/1~/~/~ . DISTANCE FROM WEL[ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) TILE DRAIN FIELD: DISTANCE FROM WELL ~-;DATIQ~I~ NUMBER OF LINES ~NCE BETWEEN LINES ABSORPTIgJ~EA. · LENGTH /~ , DEFTH , BUILDING FOUNDATION ~.~ SQ. FT. , NEAREST LOT LINE TOTAL LENGTH , OF LINES TRENCH WIDTH ~ T~T~TIVE SQ. FT. LENGTH OF EACH LINEX~ ~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE DISTANCE FROM ~. * WATER WELL: TYPE ~/~ DEPTH ~(~ / , BUILDING FOUNDATION. /~ ' ~ SAMPLE ~ , NEAREST NEAREST SEPTIC ~ ~ SEEPAGE ~ . ~- , OTHER~ LO~ UN~ ~ ~://'.~: , SEWER UN~ /~ ~ TANK , SYSTEM /~ , CESSPOOt//~~ , SOU~C~/~::~ DISTANCES: DIAGRAM OF SYSTEM HEALTH AUTHORITY ( GREAt'TLR ANCHORAGE' Area BO~'~UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCh 0-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT J NSTALLAT[ON LOCATION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIELD ., OTHER TYPE AND SIZE OF FACILITY TO BE SERVED ~ . . FINANCED THROUGH TO BE INSTALLED BY COMPLETION DATE ANTICIPATED NOTE: THIB PERMIT IS NOT VALID WITHOUT BOIL TEBT FINAL INBPEC:TION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY BYBTEI~ WITHOUT FINAL INBPECTION BY THE HEALTH DEPARTMENT AUTHORITY WiLL BE BUBJECT TO FROBECUTION, SEPTIC TANK SIZE /~ ~'~'--' / TYPE £~.//~/~'~/~-~-~' SEEPAGE AREA SiZE S~/y TYPE ~;~/' l~ ~2//~/~'/~/ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK . , SEEPAGE PIT TO NEAREST LOT L]NE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD DRAIN FIELD SEEPAGE PIT /~ ~ SEPTIC TANK,--'~ ~'"~' SEEPAGE PIT GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING ~NSTALLATION, I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. 'ATE CREATER ~,~C .......... , ~ r STREET 327 Was Ground Water Encountered?~.~__ if Yes, At W?,.at De~th Reading De?ti', Fo Bottom Of P~t ~ tes¢' performed $~: ~~ ..... 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 4-18-86 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 7: Block 3.' Summit Estates S/D Location (address or directions) 5520 E. 98th Avenue_. Anchorage. Alaska 99516 (b) Applicant Name Stewn g. Stielstra Telephone: Home 346-1927 Applicant Address 557(l F. 9gth Avenue; Anchorage: Alaska 99516 (c) Business 278-3695 Applicant is (check one): Lending Institution []; OWner/builder []; Buyer []; Other [] (explain); Telephone 264-5652 (f) ring address: ,ne applicant for pickup when HAA is complete. Use telephone numbers under "B" above. TYPE OF RESIDENCE Single-Family[] Multi-Family[] Number of Bedrooms 3 Other WATER SUPPLY Individual Well [] Community[] Ppblic [] 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 ; On~ite iX1 Public [] Community [] Holding Tank [] I'~e:af community well system, must have written confirmation from the State Department of Environmental Conservation at~es~ng'to th'~ legaiity and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING~fNSPECT ONS, TESTS, FILE SEARCH, DA~'A/AND INFORMATION As certified by my seal affixed'hereto and as of the validation date shown belOW, I verify that my investigation of this Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adeqt~.~e for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtainJ~d 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 Telephone Z~0~' - --~:~/~--'~ Engineer's Seal Approved for '~-~-,~'? ~- ~/'_; .bedrooms by~/~/i~' ~'~"/,~'i-'?"7~'~:¢~/~''//i (? ~{/~'? Date ~/ t .. Approved ,~ Disapproved Cond~bonal / 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 72-025 (11/84) WELL DATA MUNICIPALITY OF ANCHORAGE (MO%~r~ HEALTH AUTHORITY APPROVAL (HAA) /~L~P.~Ty OF ANCHOJ~,GE ~EP~. OF HEALTH & CHECKLIST - FEBRUARY 1984 ~gCYi~ONI~ENTAL PROTECTION 264-4728 Legal Description: ]Lot 7, Block /~° Summit Estates RECEIVED Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot N/A (2) ~2.0 GPM Well Classification Individual If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) NO D~Cem~eted 1971 Yield Total Depth __86'__ _ Cased/~nkno~w~' Depth of Grouting Unknown Static Water Level Unknown / ~ Pump Set At Unknown 18" Sanitary Seal on Casing (Y/N) YES YES Depression Around Wellhead (Y/N) 76'~1) ; On Adjoining Lots ~, 100' To Nearest Edge of Absorption Field on Lot 105' ; On Adjoining Lots ~ 100' To Nearest Public Sewer Line N/A To Nearest Public Sewer Cleanout/Manhole N/A To Nearest Sewer Service Line on Lot N/A Water Sample Collected by F.D. Rast ; Date 4/18/86 Water Sample Test Results Satisfactory Comments (1) At time of construction, 50' separation was allowed. (2) Well flow test not performe~; past usage indicates yield in excess of 2.0 GPM. B. SEPTIC/HOLDING TANK DATA Date Installed 5/12/71 Standpipes (Y/N) YES Depression over Tank (Y/N) NO Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) N/A Separation Distances from Septic/Holding Tank: TO Water-Supply Well 76 ' TO Property Line ~ 30' To Water Main/Service Line N/A Course Size. 1 ~ 000 GallonNo. of Compartments 1 Air-tight Caps (Y/N) YES Foundation Cleanout (Y/N) YES Date Last Pumped~'"- - ~-~3u~¥-~::1'9814~i(1) N/A ; for Temporary Holding Tank Permit (Y/N) Comments (1). Pumping records available at A-Plus Home Services; homeowner a~r~%~nA this month, was recommended by pumping service to delay until ~ _~.~~.. property improves. To Building Foundation 28 ' i0'+ lo Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 10/2/81(1) Width of Field 36" Square Feet of Absorption Area Depression over Field (Y/N) 130 Ft2/BDRM 400 Ft2 NO Type of System Design Trench Length of Field 40' Depth of Field I0' Gravel Bed Thickness 5 ~ Standpipes Present (Y/N) YgS Date of Last Adequacy Test 198]. Results of Last Adequacy Te{t~'A,~'u-~-e Separation Distance from Absorption Field: To Water-Supply Well I05' To Building Foundation 37' Lot 15 '+ To Water Main/Service Line N/A To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments _(1) To Property Line 10 '+ To Existing or Abandoned System on ; On Adjoining Lots ,,~ 100' To Cutbank (if present) _ N/A N/A 90'+ Upgrade to original crib system installed 5/12/71. D. LIFT STATION Date Installed N/A 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 Date Company MOA No. Receipt No. '~ ~ ¢~- ~-~'~ ~ Date of Payment ~ ~_~.~ Amount: $ ~;~/'~ ~ Page 2 of 2 72-026 (11/84) ~Sea, October 22, 1986 Municipality of Anchorage Dept. of Health and Human Services P.O. Box 196650 Anchorage AK 995~9 Re: Lot 7 Block 5 Summit Estates RECEIVED Dear Health Authority: An application for Health Authority Approval for the on-site well and septic system on the above property was submitted to your office on April 25, ~986. As of October 2J, the status of the ~pplication was "On Hold" pending the following: *septic system adequacy test *pumping of septic tank *depth of well casing *up-dated water analysis On October 29 an adequacy test was performed in accordance with guidelines set forth in "In-situ Testing of On-site Sewer Systems" (Reid & Mc Farlane). Six hundred.seventy five (675) gallons, or 1.5 times the expected daily usage for a 3-bedroom house, were intmoduced into the system via the septic field monitor tube. The water level in the septic field raised only a few inches. The septic system thus passes for a 3-bedroom house. A copy of the receipt for having the septic tank pumped is attached. The depth of the well casing was measured. It is 40 feet. Results of the analysis of a water sample taken October 2J are attached. I have verified that the water and septic systems conform to MOA and HAA guidelines. If you require further infor- mation for approval, please call me at 22~-3589. Please mail the approval to the homeowner, Steve Stielstra, whose address is in your file. Sincerely, Shelley Williams, P.E. P.O. Box 2396 Seward AK 99664 · ~ ~ L;~.,~. R EC EIV ED --,' ~ ~J INSPECTtON APPOINTMENTS TIME ~-~" TIME . * TIME }ATE DATE DATE MUNICIPALITY OF ANCHORAGE MUNICIPALHY OF ANCHORAGE ( ENVIRONMENTAL SANITATION DIVISION SEP 8 "1981 ' Telephone 264-4720 4 REA T / ~ ~)[~/~ , . PHONE MAILING ASDRESS ~ ( ~ / ~ STREET LO~,~ ON 6, T~'PE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five ~, 'Three [] Six [] Other 7. WATER SUPPLY ~ IND[VIDUAL~ [] COMMUNITY [] PUBLIC UTI LITY * 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 (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE'~' [] PUBLIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY ~" . , 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [~] SINGLE FAMILY [] ONE ~'"~TH R EE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~]-Hq~IVI DUAL/ON -SITE DATE INSTALLED E~PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: /o° ~) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding/~Tank Absorption,/O Area~ Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ,.[~APPROV ED FOR ~:::>B ED ROOMS ~ CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) I . TF, EE1 825 ....~7 "- - ANCttOHAGE, ALASKA 99501 (907) ~6 , 4111 /J[PAIlt~,.']ENFOF IlEAl rll AND ENVIRONMENTALPHOT[CTION Sepeember 14, 1981 Hal Graser 411 East 36th Avenue Anchorage, Alaska 99503 Subject: Lot 7 Block 3 Summit Estates Subdivision Approval for the individual cannot be granted until the completed: sewer and water facilities following items have been (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. (2) The standpipe to the seepage area needs to be repaired. The depressions over the or around the standpipes needs to be filled in with dirt. The septic tank pumped with a receipt submitted to this office for our review. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our ~review. Please notify this office for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, James S. Roberts Associate Environmental Specialist JSR/ljw cc: Lomas and Nettleton GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 7,/~ ,~ '-/ ~-~-~ ~7~''~'5-/W~ Time of Inspection ...... i~ate of Inspection ~DUAL SEWER & WATER FACILITIES ~FOR Mailing Address Property Owner: Mailing Address Legal Description: Location: 5. Type of facility to be inspected Well Data: A. Type N~_~ ~ B. Depth No. of bedrooms C. Construction (~ ~ D. Bacterial Analysis Sewage Disposal System: ~ -h~ ~ . ~/~u~c ~-//~/~Y A. Installed ~,70~7/' B. Installer C. Septic Tank: 1. Size /aat3 2. Manufacturer ~-7~ D. Seepage Pit: 1. Absorption Area ~1~ZT* 2. Material E. Disposal Field: Total length of line~ Distances: A. Well to: Septic tank Nearest l.ot line B. Foundation to septic tank C. Absorption area to nearest lot line , Absorption area /J-o , Sewer Lines Other contamination , Absorption area ~5- / EQ-034 (1/74) Page 1 of two pages Page 2'. two pages - R ~ for Approval o~: Ind~wdual S'~-~& Water Facilities Comments Approved ~x~4 ~-.,~oJ/l~-~-~Disapproved Date ~_/////7~' 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. SIGNED ~ ~~ Date £Q-o34 (]/74)