No preview available
HomeMy WebLinkAboutSKYLINE VIEW BLK 3 LT 2I0 o00 LOT' l~ 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 NAME PHONE I []NEW MAI LI N~ ADI~P~4¢S ~r,. f~ ~) ~ LEGAL DESCzRIPTION ~ LOCATION ' - , NO. OF __~ ] Well Absorpti~ ~rea I Dwellin~ PERMIT NO. ,' ~ Menufacturer/Z __ ~ ~rial / No, of conlpartmen~ Liq. c~pacity~--Mi gallons ........... Inside length( ~¢ ~ Ih HUIVIblVlAUb: ~ Widtl~'~) Liquid deptl~ 0 ~ ~ Monufacturor Material kiquid capaciW in ~allons ~ We~ O0 Fou~3~ Neares~i.~ PE ,~ O~ ~[_ No. of liaes / Length o,~cpin¢~ .... Total Icon, of ~nes~ ~ Trench~Oth~o /Cinches Distan~e/oe~e~ ~' Length Width Depth PERMIT NO. ~1- Type of crib Crib diameter Crib d Total effective absorption area ~ Well Building fo~ndati~; Nearest lot line ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER ~ PIPE MATERIALS t ,2~? SOIL TEST RATING ~X % 72-013 (Rev. 3/78) DEF'RF.:TMENT OF HEFILTH FIND ENVIRONHENTFIL PROTECTION 825 L STREET., FINCHORFIC~E., Fit,:: 9950J. 264-4728 PERM I T NO: [:,FITE T C,=l IPT:,. APPL I CFINT: F-K..~D F..E.=,_-,: CONTRCT PHONE: 840451 Id~_,,, ::L ~.," ~.,4 C,./O S & S ENGCG. SRB 196X EFIGLE RIVER, FII< 694-2979 F'FIt. IL. MYERS 9957? LEGRL [.'E_,CF.. I F: LOT s'rZE: MRX "- ~ '"' E;,E[. F..IjOM_,: SUBDIVISION: SKYLINE VIEH SECTION: i6 TOHNSHIP: 15N 27000 (SQ. FT. OR FICRES) LOT: 2 E, LUL. K: _. F.:FINGE: J.P.I L.I=,TLB E,'ELCH FIRE THE OF~flDN=, FIVRILFIBLE TO YOU IN [:,E'qlGNING YOLIR :~EFTI.. _,Y_,TE!I. C. HUOz, E THE OF'TI~DN THRT BEST FITS 'T'OitF.' SITE. T E.' E {'4~ L--: H BEE:, DEPTH TO PIPE BOTTOM (FT.) 4. 0 4. 0 GRFIVEL DEPTH (FT.) 4. 0 0. 5 TOTFIL DEPTH (FT.) 8. 0 4. GRFIYFL PJlDTH <FT. ) 2. 5 J. 7. C4 GRFIVEL LENGTH (FT.) 47. 0 34.. 0 GRAVEL VOLUME (CI.J. YDS. ::, :L9, 5 2t. 4 T~NK SIZE (GRLS) i, 000. O :+::~: ~, 080. 0 :~ SOIL RRTINO (S6~. FT. /BR) 125 4.0 2-:.5 7.5 5.0 4:L. 0 3'0. 2: 000. 0 ~::+: TRNK MUST HR',,,'E RT LERST THO L. CMFHF. TMEI'~Tz. I C:ERTIFY THAI': ±. I FIM FFIMILIRR NITH THE: REQUIREMENTS FOR ON-SITE SEWERS; FIND HELLS RS SET FORTH BY THE MUNICIPflLITY OF RNCHORFIGE (MOR) END TIqE S;TFITE OF FILASKR. 2. I WILL INSTFILL THE SYSTEM IN RCCORDFINCE NITH FILL t,'IC~FI CODES FIND REGULFITIONS., FIND IN COMPLIFINCE HITH THE DESIGN CRITERIFI OF THIS PERMIT. 3. I WILL FIDHERE TO FILL. MOFI FIN[:, STFITE OF 8LRSKFI REQUIREMENTS FOR THE SET BECK DISTFINCES FROM FINY EXISTING HELL., WFISTEHRTER DISPOSFIL. SYSTEM OR PUBLIC SEHERRGE SYSTEM ON THIS OR RNY FI[:,JFICENT OR NERRBY LOT. 4. I UNDERSTFIND THFIT THIE; PERMIT IS VRLID FOR FI MFIXIMUM OF ~ BE[:,ROOMS FIND FINY ENLRRGEMENT HILL REC4UIRE FIN RD[:,ITIONFIL PERMIT. IF FI LIFT STRTION IS INz, TFILLE[. IN RN FIREFI CO',,,'ERE[:, BY MOR E:LIILDING I~:I]IDES., THEN (:t) RN ELECTF.:IC:FJE]PEF.:MIT FIND INSPECTION MUST BE OE:TFIINED.~ (2) FIS-BIJILTS HILL NO'F BE FIF'F'F.:OVCD ~I~_T.,I~OUT FIN ELECTRICRL INSPECTION REPORT.~ FIND (.7:) ]'PIE ELEC:TRICFIL PlCIR. K M~IS~T B'F,/.C.,.E;R2k~j~'~'t' FI ,LICENSED ELECTRICIFIN. FIPPL. I_FINI: ",.". S ..... EN.'~ .3. F'R.L rlCEF.'._ I :,z, IJE[. B'T' PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19- 2O COMMENTS PERFORMED BY: 72-OO8 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ~ SOILS LOG [] PERCOLATION TEST WASGROUNDWATER ENCOUNTERED? IF YES, ATWHAT DEP'rH? FT TEST RUN BETWEEN FT AND CERTI Fi ED~~~~ PERCOLATION RATE /~/,/~ (minutes/inch) Gross Net Depth to Net Reading Date Time Time Water Drop D~PT. OF ~NVIRONMENT~L CONSERVATION SOUTHCEi;TRAL REGIONAL OFFICE 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 June 26;~ 1984 Mr. Robert A. Shafer, P.E. S&S Engineering SRB 196X Eagle River, Alaska 99577 BILL SHEFFIELD, GOVERNOR Telephone: (907} Address: 274-2533 ~cIpALI'[Y O~ ANcHORA~5 Dear Mr. Sharer: Subject: Lots l, 2, 3, 4, and 5, Block 3, Skyline Subdivision Class "C" Water System (8421-FA-369) and (8421-DA-346) Your May 27, 1984 request for plan approval has been reviewed. We have two concerns which should be addressed for the water supply system. First, the system should include sufficient storage to limit pump cycling rates to within design specifications (usually around 15 cycles per hour). Secondly, consideration should be given to a water utility easement across those properties for which the public water supply is provided. The waste disposal facilities are approved for other than restaurant use (would require more detailed calculations of waste loading). Before a Certificate to Operate is approved the appropriate water sampling will be necessary as well as engineered as-built plans. Also, it will be necessary to demonstrate that the concerns of this letter have been addressed as well as verification of proper abandone- ment procedure for sources of contamination within the 200 feet pro- tective radius. Should you have any questions, please do not hesitate to contact me. Sincerely, District Office Coordinator BHL/msm cc: Robbie Robinson (MOA) MUNICIPA[.ITY OF ANCHORAGE DIVISION OF ENVIRONMEb~£AL HEALI~t D~~ OF HFAL~ ~D E~IR~MENTAL PR~ECTION APPLI~TI~ ~R [~t ~J.~HOR~TY ~PRO~ CE~IFI~TE 1. ~zal Infor~tion Applieation Date _~~_~ (a) ~gal[ ~s~'ip~ion (in~u~ l~z bl~,subdivisi~, ~ction, t~ship, range Location (ad.sss o~ directions) Applicants ~ddress (c) Applicant is (check o~) Lending Institution (d) lending institution Addre ss (e) l%~al Estate Co. & Agent Address Telephone 2~. T~.~ ~.. l~e s J.dence o ]. ngle--~ amkly Ntimber of ~dr~ Othe= (~s~ibe) Note: If cc~m~unity wall system, must have written confirmation frc~. the State Departmsnt of Environmental Conservation attesting to t~ legality ~d status. Is ~%e ~11 adequate fok~ the ntn~r of l~dr~ s~cified in this ~ (Y~) Is the wastewater dis~sal system adequate fc~ the ~n~r of ~ (Y~) [PaG%~ 1 of 2] 2-15-84 ~E_n~j._neerin_q Firm ProvidincL=I_n_sjoections, Tests, Data and Inforn~.~tion I oertify that .I.~ve cbzecked, verified, o~' confo.rn~d to all MOA [i~A Guidelir~s in effect o'6 the/date/of tJTis in~spe, etion. .~I ././ ~;-'//- / ...... Signed..~.~.'~/_ ~/~.~-x~. ~- ' '~ ...... . Date Nan~ of LFii~n Telephone Signed biz __+,,.~~LJf. 5?? Da te ....... 6. DHEP A~p~roval Approved for ~ Approved [~_q Disapproved C~ Conditional Te~a~¢; of Conditional Approval 5he Municipality of Anchorage Depa~nt of Health and Environmental Protection dces not guarantee the continued satisfactory [~rfo~manc~ of the water supply and/~~ the wastev~ter disposal system. This approval indicates that, as of the validation date shc~m above., based on t~ data and information furnished ky an engineer registered in the State of Alaska, the water supply and ~astewater disposal system is safe and fun.c- tional for the mimber of kedrcoms and type of structure indicated. (DHEP SEAL) 7. Mmil the HAA to the following address." KB2/d5/s [Page 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAQE DEPT. OF HEALTH ENVIRONMENTAL PROTECflON MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Well Classificati~L_.Q_~ ~ Well Lcg P~esent~Y//~), Total Depth 7~Z~'~ Cased to Static Water Level /~L~_ / Casing Height Above Ground.~ Electrical Wiring in COnduit (~/~) Separation Distances f~om W~ll: To Septic/~-Tank on Lot RECEIVED ; On Adjoining Lots To Nearest Edge of Abso=ption Field on Lot /00'~- ; On Adjoining Lots To Nearest Public Sewe~ Line /t7 //9 To Nearest Public Sewer Cleanout/Manhole /6J //~ To Nearest Sewe= Service Line on LOt Wate~ Sample Collected By~-'~ ,3 ~wT~/;A~//l~/ Date Water Sample Test ~sults ~ ~g Cc~ents Date Installe~ ~___ ~ f/Z/Size /~O N~. of Colt~pa~tmsnts / Sta~dpi~s~ / e~[~ Ai~-tight Cap~ _ Fou~d~t%on Clea~out (~ ~ession~ Ta~ (~ ~te ~s~d ~J~ ~ P~ing/Maintenan~ ~n~a~ on File. (~/~; fo~ ~ ~ x//_ ' Holding Ta~ High-Wate~ Ala~ ~/~ ~a~y Holdi~ Ta~k ~mit (Y~/~ ~p~ation Distan~s ~ ~ptic~ol~ing Tank: TO Water-Supply ~11 /OO ~ To Building Foundation TO Property Line /~) To Wate~ ~;'Se~vice Line Course TO Disposal Field ~ / To Stream, Pond, Lake, c~ Majo~ Drainage Comrents [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed -~ i//y~.~/.~ ~ Width of Field Feet of Absorption/~ea Square Depression over Field (~f~ Results of Last Adequacy Test /~.~--~ Type of System Design~4~. ZLength of Field Depth of Field Gravel Bed Thickness Standpipes P~esen Date of Last Adequacy Test Separation Distan~ from Absorption Field: To Water-Supply W~ll /~O .~- To P_~_operty Line To Building Foundation ~"~'-'( TO Existing or Abandoned System cn Lot /~ /W% ; On Adjoining Lots To Water M~J~/Service Line /~ 7~ To Cutbank(if p~eSent) To Stream/Pond/Lake/or Major Duainage Course To D~ivewa~y, Parking A~ea, or Vehicle ~to~a~ C~nts ~/~4t . ~ ~~ ~'~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Pumping ) Di~e ns ions ~nhole/Access (Y/N) VeLevel at nt (Y/N) ~cl~sh~u~ing Adequacy Test. Meets MOA Counts ** Check Permitte~_d~Bed~oom Rating Against HAA Request I ce~tif t~ checked, verified, or conforrred to all MOA HAA ~i.~.lir~s in effect 2-15-84 DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HICKEL, GOVERNOR REC:IVED FEB 1 2 191)1 Municipali[y ,')f Anch0','age Dept. Health & Human Services .... :-' .... /icy; Subi{vision, Chuglak, ,Lot o, }3_i_o0!~ 3, ~,.l' ~;''~ ' - ~ ~ -' . ..... " .. ~e -,~ n~. installation o;. a ~xs A ;lc, ~-,.ourkland: , .: ~,_ ~, ec~, ,~n in this off-;.~ on -'~ ~n}, you "~ .... sted to !)':~' ~] ~ A pu:,i~c .... - ' -' .... ' Al serve the iatl~(,ro:~ztt, showers, all.: ~ L e ~o~.c o~ ~ ';:.'~ - ellcal .Ou · -- ',.. ' r.c~z g.<~,~, S El!~ or. -c.l J. S -:)reject, and other · · this o._; .*'~ ~ , . . , ~ .:-- c~?:.la~ [otl. Olli'..' the ~oca~aon ~": D C~ ~ '~Y ~'q .... ' . ~ ~..~ .... ~- ~ ~ &";lOX .u~,t..~ .z.t~ ...... _ .: .... ' i:.li ted a-)OL'OV'~:-, ~,:-~lficate, CO~:3~tltl~g ~13. s ~ ........ ~on i$ ~-i . ~g'"':'"! ~:,eO]' o2 ,, agreement wi-" the owner of N]O p~o;: .... · ~ 1 W?.~ i b~ ] ooa~-~a ,',.L.L-~ hhLs oi:zice 2.,~3_o.. to "cili:lng ~;'~ ',,~ .............. og scan t a:ai~2at ion ?, :.!:itten veri~5, sacxon Lna~ no ood.~o . I I , ': 'r tlt~: eric' '~ 230 .{oo~ .o:cot,_ctzve ~ - ~ ~t¢ ~ to ti;Az o~ the test r~su!ts an'] a copy o2 ute w3l.], log. oatlzfactOry ~'aw water ana_!,.ytica~ reoul~., for inoz-ganic ..... will. need to be prov~,~.~- to this o~.~ contamlna ~o orior to serving water to the public. ~ -,..- -.~ a SanzcaCl .~'~'-~ ~. -~' :ties ~.~.~u -,- 1 qql, it appears ~i~{}..-~'~-- Lac: of ..~m-cer , ~,e~llg ClOSed ~!~y ...... again opened once u.,~ the showe:: facilities are ' Pubifc ,.7~%er has been connec~e~ to the new 0! ~ss A i - ~'l~ water sy~e.,, w} ..... - ~ '-' ~f the OUD.LiU ""~' - ~ . -~n .... 0 ~ ..... , , ~ _ a ,-~ i'hlS O~~= .... ' p~rofe-ssional ln~o !.neet .~u ..... ~u, ...... ~-' ,., information shou]..l be design ca~culati°ns for ~:==,..,, - componm~ts of tho water sis'em' · . -~..~..tiile~lh kha"a was no~. .... ~':' ~0 ~i'l ''= J~'~'*~ ' , .... ..~, ~,./Or~.:~ ~ a ~ OA ~1C2 ~il;tOLl[!C OL W~~- ~ '.-t---" dis;~osa~ sy:,~:-,, ~-~ ~, .~.-'~.-, .,_.,. th~ e::~stznd ,,,~¢u~,,p $ .... --oramend tna'c you {e.,la~,q ,,-llhh CdC OWA ~/~. " waker the dl;,~.gn oz the Raw cub!is .. ~. ~ -, the granting of an~ additional ~' - ' , ~ '.-, ,-~ ~n~ state, foderal, or local r,.~ulatOfy ~Ais apP~Ov"~z ' - ' · ~ · author isa'ions . author J. zat ion:s · , ~ - to 9zanh ~eciu~rel ...... . !f you 'nave ..... ion w'=h th:.s )e2a;tmen~ ~'~-~" yOU for your coOD.2i~ - · ~4~ e~ kO CO~tac~ · any :lue~zu ~' Sincere.il, !~3ven i. iiiew.3no , , 'Cn~/inee r Nnv~ronmenta~