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~