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Home My WebLink AboutSKYLINE VIEW BLK 1 LT 1LO'T' ~' . MUNICIPALITY OF ANCHORAGE e DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENI'AL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 _, ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~C~-~% ~ ~ UPGRADE LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS DISTANCE TO= ~ Well Absorption area ~ Dwelling PERMIT NO. ~Z ~ ~ Material No. of compartments ~ Liq. capacity in gallons Inside length~ Width ~1~ ~,~ IF HOME'DE: ~ Liquld depth ~ ~ DISTANCE TO: ~W II DwelHng PERMITNO. ~ Manufacturer %~ Material Liquid capacity in gallons Q Well Foundation Nearest lot line PERMIT NO. ~ Z No, of lines Length of each line Total length of Ii Trench wi Distance between I - ~ ~ ~ Top of tile to finish grade t Material beneath tile Q ~ ~" ~ ~ ~, Total effective a~t~n area inches Length Depth ~ Widt~ PERMIT NO. ~ Type of crib C~ Crib depth Total effective absorptio, area ~ DISTANCE TO: Well Building foundation Nearest lot line s~ ~ Depth Ddller Distance to lot line PERMIT NO. ~ DISTANCE TO: Buildin~ foundation Sewer line Septic tank Absorption area(s} OTHER INSTALLER ~L_~ R EMAR KS ( ~ ~ C 'F 72-013 (Rev, 3/78) ,: ....... L. STREET, RNCHO, R. FIGE., RK. S,S,5~:,. F'ERMII' NO, < 788986 .., ¢ PiPFI..IL. HNF RRItlUB =,R~LE=, ST R'F E'OH 2%'? E. R. LOCATION OLD GLEN LEGAL L-i B-:L SI(~'L..ZNE VIEI.,~ ~ Iu' =-~. LOT -, t ,~.E "I"'t'PE OF _,( fL RBSORB'rlON ~"q =, ~... TEN l.:,. TRENCH / I"IRXIMUM NUHBER OF BEDROOMS = 4 SOIL RRTING <S6:! FT,.'BR::,= THE REO. UIRED SIZ. E OF:' THE SOIL RBSORPTION S'¢STEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN F:EET) OF' THE TRENCH OR DRRINFIEL.D. "FHE. DEPTH OF FI TRENCH OR PIT IS THE' E'.'I':;TRN(.":E DETWEEN THE SURFRCE OF' ]"HE GROUND RND THE BOTTOM OF TME E,~qCR'qRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTFI IS THE MINIMUM DEPTH OF GRRVEL BETP.IEEN THE OUTF.'Ftl...I.. PIPE RND THE BOTTOM OF'" THE EXCRVRTION (IN FEET). F'ERMI]' RPPLICRNT HRS THE RESPONSIBIL. I T't' TO INFORM THIS DEPRRTMENT DLIf;;'.ING THE INS'I"RLLRTION INSPECTIONS OF RN'¢ WEL. LS RDJRCENT TO THIS PROPERTY' F:IND "FHIE NLIMBER OF RESIDENCES THRT THE WELL WILL SERVE. BFtCKFILLING OF RN't' S'¢STEM NITHOt.IT FINRL INSPECTION RND RPPROVRI... B'¢ THIS DEPFIRTMENT WII..L BE SUBJECT TO PROSECUTION. HINIMUM DISTRNC'E BETWEEN R WELL, RND RN¥ ON-SITE SENRGE [:,ISF'OSRL S"r'S'T'EM IS :,tOE~ FEET FOR R PRIVRTE NEL,.I_.; OR 2t, 50 TO 200 FEET FROH R PUBL. IC NELL DEF'ENDING UPON THE T'¢PE OF PUBLIC I,,IELL,. NELL. LOGS ARE RE(~UIRED RND MUST BE RETURNEI) TO THE DEPARTMENT' I.,IITHIN OF THE NELL OOIdPI..ETION. O"I'HER RE~qUIREHENTS f'lRb' RPPLV. SF'ECIFICRTIONS RND CON2:TRUOTION [:'IRBRRMS RRE RVRILRBL. E TO INSURE PROPER ~NSTRLL. RTION. I CERTIF°¢ THRT i: IRM FRMILIRR WITH THE RE[.&JIREMENTS FOR ON-SITE SEI.4ERS FiND NELL% FIS SET FORTH BV THE MUNICIPRL. IT'¢ OF RNCHORRGE. 2: I NILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE ~EWER :~;'¢STEM MRY RE6!UIRE ENLRRGEMENT IF TFIE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. ' 8N"r AR~.IL~: SR'¢L. ES 0 8. E GE(, Russe#Oyster 694-2774 Soils ~ Foundations Performed for: 'ECHNICAL 8- DEVEL,2PMENT Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 CO. SOIL LOG 688-2280 A....,/~,~ Land Development Name: ,,.~'7/~__ ~ ~, c~_ . S~tl Cha~'a_c~teris_t 1 c~ 4 5~ 6~ 8.___. 11__ 12~ 15 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: ~_~'Y~ ~-~ ~-~ ~ ~ ,~ .---~9 Drain Field Performed by: 0SE Russe# Oyster 694-2774 Soils ~ Foundations GEOTECHNICAL DEVELOPMENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 .SOIL LOG Performed for: Name: ~-"H~I<' //~/~/7-'~-/~//~' _.Tel. No. Mailing Add~'~ /~, ~x ~ , ~'~/~/~, Legal Descrtptton..~, ~L~ /,. ~//~ ~/~v~ ~)~. Depth (feet~ So~1 Characte~sttc~ 0 1 3 4 7 8 9 l0 12 Ground Water Encountered: Yes__No. ~ If yes, what depth~ Proposed Installation: Seepage Pit___Drain Field.._____ Comments: Performed by: Oate:_~f,~/~z~ /~f~ CO. Ear/Ellis 688-2280 Land Development ALL AU~CA KODIAK, AIg / KIND OF CA~IN~ k.~.../.a,,' ....... ,,...',.,. ...... ~...~-~ ................ FROM ................... FT. TO ...................... FF ................ FROM ...................... FT. TO .............. FT FROM ....................... FT. TO ...............Irt. ;~ ........ FROM .................. FT. TO ............ FT....,,,'.;., ...... FRO~ .................. Fi'. TO .......... FT, ,... ........ FROId .................... FT. TO ............ FT. ,...,... ....... FROM .................. FT. TO ......... Fl' ...... ... FROH ..................... FT. TO ........ FT.. MUNICIPALITY OF ANCHORAGE DEPARTMENTO "EALTH HUMANSE.V,CES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL Application Date. A/[~/~"~) 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner .?~/2E4'/')L. X,'///"'L. /Yo, fT, Telephone: Home Mailing Address /¢¢'20 (c) Lending Institution ,)~=~',,'1'r.¢- "¢4'~,:'t'-~¢~- T6lephone Mailing Address (d) Beal Estate Companya'~d Agent Address Business . (e) Telephone Mail the HAA to the f~)ll'owina address: or: Check here J~, if hold for pick up. TYPE OF RESIDENCE Single-Family~ Number of Bedrooms WATER SUPPLY We?~ Community [] Public [] Individual 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 Tank [] 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 fRev 81861 Front 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, ~ 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 ~¢t~,,f'¢-- ¢--~/.,,~? ~'./~ Address ~ ~.¢~)'" ~¢'~;~-/I ~ Date_ '7/¢/~'¢' Telephone DHHS APPROVAL ~.~ Approved for ¢ _ bedrooms by Approved - ~'. Disapproved Terms of Conditional Approval Conditional Engineer's Seal _-,-..~.%. .... CAUTION The Municipality of Anchorage Department of Health and Human Services /DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-075 fRev 81861 Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) MUNICJPAUTY OF ^NCHORA~I~ALTH AUTHORITY APPROVAL (HAA) ~.NViP, ONMENTAL SERVICES DNISIONcHECKLiST . FEBRUARY 1984 264-4744 2 6 1988 Legal Description: ~'~ RECEIVED Well Classification Well Log Present (Y/N) Total Depth_ ?~¢'~¢~'2~' Cased to _ Static Water Level /¢*=?/'¢- Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot If A, B, C, D.E.C. Approved (Y/N) Date Completed _ ~/,.,,¢/7t~ Yield ,/' Depth of Grouting Pump Set At '2~'~ ~ Sanitary Seal on Casing (Y/N) _ y Depression Around Wellllead (Y/N) ~/r¢¢ ,z~,/:- ;On Adjoining Lots On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Man hole Water Sample Collected by _/7~',¢/,"/.,~ /~ Water Sample Test Results Comments _ B. SEPTIC/HOLDING TANK DATA Air-tight Caps (Y/N) Date Installed . Size 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: Water-Supply Well /¢ ¢ ?¢~L TO TO Property Line To Water Main/Service Line Course /¢_ ~ Comments No. of Compartments Y Foundation Cleanout (Y/N) ~'' Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026 fRev. 8/86~ Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /¢'7~ Width of Field ~¢~ ~¢¢~- Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot '¢~7.~¢¢/r~:~ Type of System Design Length of Field Depth of Field /'2- Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test '~--,? - ¢) /'? To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) 4/,~ Comments D. LIFT STATION 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 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. Date Signed Company Receipt No. Date of Payment Amount: $ MOA No. / Page 2 of 2 72 026 fRev 8/861 Back Location: BESSE, EPPS & tKTI~S 2220 EAST 88 AVENUE ANC~{IRAGE, AK (39507 (9o7) 349-6451 Subdivisio~: Lot: Block: Client's Name: Address: Initial Reading on Meter: GAr,noNS TIME GPM h YO~ ~ VOLOM~ ~"~ ~, 3 ~ ,~ /~,'~'~, ~, 3 ~ ~ /~, ~ I Production Rate: ~. ~ GPM' 24-Hour Capacity~/k~ Gallons May 26, 1988 Municipality of Anchorage Department of Health and Human Services Environmental Services P.O. Box 196650 Anchorage, AK 99519-6650 Re: Lot 1, Block 1, Skyline View The septic tank serving the above referenced property was pumped on June 24, 1987. The property has belonged to Fannie Mae and has been vacant since that time. Please accept the enclosed pumpJ, ng receipt as a current tank pumping. L. John Epps Partner imm Enclosure ENGINEERING, PLANNING, SURVEYING 2220 E. 88th Ave./Anchorage, Alaska 99507/Telephone 907-349.6451/344-1352 "Providing a quafity personalized service to those building Alaska's future" Besse, Epps, &Potts -~.0 East 88th Avenue Anchorage, Alaska Attn: Andy Ports Source: See Below Date Arrived: Time Arrived: Date Sampled: Time Sampled: Date Completed: 05/10/88 1420 05/10/88 1145/1350 05/16/88 Sample ID#: A051088-18,19 Parameter Unit A051088-18 A050188-19 ADEC ............ LTA B5 Walter Pimple hl B1 Skyline View Fr~]cois Hodigari, Anchorage Operations 51anaEer ~ MCC = Maximum Contaminant Concentration INC. Cid, ,. ,,., Quality Control Report ====================== Client: B.E.P. ID#: A051088-18,1§ Listed below are quality control assurance reference samples with a known concentration prior to analysis. The acceptable limits represent a 85% confidence interval established by the Environmental Protection Agency or by our laboratory through repetitive analyses of the reference sample. The reference samples indicated below were analyzed at the same time as your sample, ensuring the accuracy of your results. Sample # Parameter Unit Result Acceptable Limit EPA 378-12 Nitrate-N mg/'l 7.32 7.17 - 8.01 Reported By: ~ ~ ~ Date: 05/17/88 Francois Rodigari, Anchorage Operations ~%lanaKer APPLIC ~iT FILLS OUT UPPER HAL ONLY Realty Co. &Agen ,- v ~ / ' " /Z. Legal Description /,.~ Street Location /h Type of Residence [~ Single Family L~ Multiple Family ~ Otl~er Water Supply ~ Individual [] Community [] Public Utility Sewer Disposal ~ Individual t~ Public Utility [~ Holding Tank Zip Code z~p Code '?' Zip Code .('.?~ Zip Code '::-' / Phone :/: Phone /5. ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For ',','ells drilled prior to that date, give well depth (attach Icg if available). Year Individual Installed: / When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Dais Da,e Dete Dat~ --2~1- %~((~::__ Inspector Inspeclor Inspector Inspector FieldNotes.~ ..~[~ C. O. ~.j).,,v~ .... ( I,-"~PPROVED BEDRooMs ( ) DISAPPROVED "CONDITIONS OF APFROVAL Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank ~_ ~- Well Log Received Septic Tank Size I ')''' ~" (~'~' DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR 274-2533 Michel e Reynol ds P. O. Box 670832 Chugiak, Alaska SUBJECT: Lot 1, Dear' Sir': 99567 Block May 13, 1985 MUNICIPALITY OF ANCHoRAor- DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAY 1 ,! 198{, RECEIVED 1, Skyline View Subdivision, Chugiak, Alaska The Department has reviewed the operation at the subject location and has reached the following conclusion: As long as your' family lives at the subject business and runs a family business out of this residence with no sewer' or water, services available to the general public, we will consider this an approved private well and sewer system. Any future expansion or' change from the present operation may require an upgrade of your' sewer/water system. Si ncerely, Environmental Engineer SE/dd cc: Susan Oswalt, DEHEP ADEQUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND F LOW TEST SITE PLANS ROAD DESIGN SOIL TEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK ROBERTA. SHAFER February 7, 1984 CIVIL ENGINEER 694-2979 ERA Finis Realty Mile 20 Old Glen Highway Chugiak, Alaska 99567 REFERENCE: Lot il Block il SKyline View Subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1250 gallons. The absorption trench was tested by a continuous flow of water over a period of 48 hours without any adverse effect on the system. It can be concluded from this test that the waste water disposal system serving the four-b~droom residence located on this property is currently functioning adequa~lyo However this system cannot be guaranteed against subsequent failure~i It should also be noted that an inspection of the well casing was performed and the well wires were placed in, conduit. If we may be of further service~..~lease do not hesitate to contact us. ~RA ,S//S S cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 99577 ;' DAZF'E RECEIVED OATE ' %-_/---~ ..,.~,~ 2D~,T E . ~' ~UNICIPALI~ OF ANCHORAGE MUNICIPALITY OF ANCHORAGE ENVIRONMEHr/d. ;,,., DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street-Anchoraga, Alaska 995(11 MAR ENVIRONMENTAL SANITATION DIVISlONTelephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIREOTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. P~OPERT~ OWNER MAI'LI~ ADDRESS ' PROPERTY RESIDENT (If different from above) PHONE PHONE MAILIN~ PHONE MAILING ADDRESS 4, REALTOR/AGENT PHONE MAltinG ADDB~SS 5. LEGAL DESCRIPTION STREET LOCATION ' $. TYPE O~ RESIDENCE NUM~EH OP~BEDROOM$ [Z~' SING LE FAMILY [] One [~]'"~Four [] Other [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATE R.~SUP/PLY LG~ INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM ~INDIVl DUAL/ON-SITE** since June 1975, For wells drilled prior to that date, give well depth (attachdog if available.) YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EAC, ~QUEST~ ~S~SI N/~G;~N BC~E i~D. ~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] 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 [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwE LL TO: Septic/ H~di~..~ n k.g Absorptionl/~)Area Sewer Line}1 Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] CONDITIONAL APPROVAL {letter must ac/m[~an¥ certificate) ~DISAPPROVED ~_~ ~),~F/ / DATE ,~ __} }~ ~)4,~ By 72-010 (Rev. 6/79) 825 "L" STREET ~ ANCHORAGE, ALASKA 99501 (90'7) 264-4111 GEOflCiE M. SULI._IVAN, MAYOR DEPAF{TMENf OF IlEAL'iH AND ENVIRONMENTALPt?OTECTION March 12, 1980 Arthur F. Sayles Star Route Box 21.7 Eagle River, Alaska 99577 Subject: Lot 1 Block 1 Skyline View Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (1) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. (2) The top of the well casing sealed with a sanitary seal so that it is water tight. This needs to be re-inspected by this department. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw