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HomeMy WebLinkAboutNORTON PARK LT 17 GRE^,t:R ANCHORAGE AREA BOR,,., GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS "J)//~-G ~J~" '7~'~¢~ PHONE LEGAL DESCRIPTION ~..oT / ~ flo'~:"¥~ '~/.D SEPTIC TANK: DISTANCE FROM WELL_,/O0 INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATE R I AL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY_/O¢''~ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL j?-¢~._C) FOUNDATION NUMBER OF LINES DISTANCE BETWEEN LINES ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE TOTAL LENGTH NEAREST LOT LINE __OF LINES (./{~; i' TRENCH WIDTH (~'~/IN. TOTAL EFFECTIVE IN. WELL: TYPE ~ CONSTRUCTION ~¢-L~ ~)J~ DEPTH BUILDING NEAR EST NEAREST SEPTIC SEEPAGE FOUNDATION_____ LOT LINE ___, SEWER LINE__ TANK_ SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL' LOT SLOPE: DATE "~,-¢~'qn APPROVED G,A.A.B. Feet 2 8- lO~ ll - 12- 13- 14- Was ground water encountered? yes , at wlmk depth? f!eadin9 Date Gross lime hel: rime iJept;h to Water flet Drop [ / I~ercolattion r'ate nlinute. I~roposed insl:al latlon: ,)e(.l}a.le il. I]rain Field MUNICIPALITY OF ANCHORAGE MEMORANDUM DATE: TO: FROM: SUBJECT: November 2, 1993 Kathy Johnson, Building Safety Susan Oswalt, On-Site Services///~ Lot 17, Norton Park S/D, P.I.D. 016-151-30 I am sending this memo at the request of Frank Bethard, who is the builder for the owner of the above lot. He has provided the department with several supporting documents. DHHS has a record of the upgrade to the sewer system which was installed IJuly 28, 1977. The upgrade was installed and approved for a three (3) bedroom single family dwelling. The well was drilled prior to the implementation of our well ordinance} therefore, no log is required. In addition and although not required by this department, Mr. Bethard had a private engineer perform an adequacy test on the sewer system and a well flow test. Both the sewer and the well meet the department's minimum requirements for a three (3) bedroom dwelling. We have no objection to the constuction of a new dwelling utilizing the present sewer system and the well. We will request that a new foundation cleanout be added one to four feet from the new foundation. For the record I would also like to note that the sewer and well may not serve the old and new dwellings simultaneously. It is my understanding that you will require a notarized statement from the owner stipulating to this. /so508 cc: Frank Bethard Nov. i '~ 16:27 3~33 BCI TEL 907-345-1354 P. 1 12801 Reata · Anchorage, Alaska 99516 · (907) 3454615 FAX # FAX (907) ~45-1354 FACSIMILE TRANSMITTAL SHEET ~66[ g A0N NUMBER OF PAGES INCLUDING THIS PAGE, IF YOU DID NOT RECEIVE ALL OF THE PAGES, PLEASE CALL (907) 345-1615 RECEIVED REFERENCE~ Lot 17, Norton Park ~/D NOV 2 199;3 ~ ~.Umc,pahty of Anchorage uept, ~ealth & Human Services ~e~ wa~ performed on th~ ~ptic ~ymtem ~e~vihg the rmfe~e~ p~opmrty on Jul,? ;~8, 1993. Ware= was added to ~he through ~he leaohfteld ~onitort.nq ~ub~ and mop, lo ~ank July ~8~ 1993, ' the ~efe~enoed ~ropeI'ty i~curr~nt;ly f~nctio~i~g P~oDerly for against gubgequent f~ilure, My wa~er system oomponenl:~., The top of the well casin~ ia in a poured ~oncrete pit appro,~:tmately ~en fee~ de A ven~uri ~mp i~ set adjao,nt to ~h¢~ top of the oa~tng~ V~e weight of p~event ~emoval of the w~,lt cap by hand, The pit oontaining th~ w~'~.l, preseure tank, well ptu~p and assooia~sd plumbing do(b~ nat, ~eet Municipal re~irement~ as A well driller can lift the Pllimbing from the well oastng and flow te~t to d~erm:tne J.f the w~3.1 m~ats Munioipal If the well meet.~ d~pt?~, flow. bacteria and nit,ate ~equi~emanta then two op'~ionm a~ possible. If the well meets depth, f.~.ow, bacteria and in the pit would ne~d to k.,~', ~emov~d before filling, 170~4 NDNTH I~AGL~ I~IVt;",R ~..~:~<.";[-' * ~IJI'I'F.. r204 , EAGLE RIVE. R, Nov. i '93 16:28 3333 BCI TEL 909-345-1354 P. 2 August 18, Two Alternatmly, with approval by th~ Muni~ipality of Anchorage, abov~ ~h~ ~loor of th~ pi't; and a aayliqh%ing d~ain may ~ RT A. SHAF~R, ~.~. Nov. 1 '93 16:29 3333 BCI TEL 907-345-1354 P. 3 Ir~R ,t. W~-Te~A pdIADD~f,?JOAf Municipslhy of Anchorage Nov. i '9~ 16:~0 ~33 BC! TEL 907-345-1354 WI~ IN~PIIOYION P. 5 Nov. 1 '93 16:52 3333 BCI ~il:',l~.,. Z-',~it TttIJ ,~': 59 TEL 907-345-1354 P, ? P, O3 WO[{~ 0~, ~er Report CO],.1 e¢c6~ :08131/93 ~08/25/93 Pro;~ec~ : Rece£ved ,~08126/93 e 09~45 hr OC ~low~le ~xt. ' .,Par~q~K R~ults O~ Ur~ta : Methyl Lbqi%~ '~te Oatl Ini' Nitrate~N 3 20 t~j./L ~3,'A 3u3.2/~00.Q ~0 08/27 RE[EI,VEO NOV · ,, ,'ht¥ o~ Anchorage Mumc,p,~ _. -,.,~a8 Services Dept. Health ~ DEPARTMENT;OF HEALTH & HUMAN SERVICES . Division of Environmental services . 'On-Site Services Section Parcel I.D. 1. GENERAL INFORMATION Complete legal description P.O; aox 196650 ~Ar~chorage, Alasl~'~' 99519-6650 343-4744 ' · ;' CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING """ Lot ~ ? ~ No~to~ ~ Location (site address or directions) 4~0 r,~tt.t ~oad ~'- Anchorage. · Mailing address '"¥c./o Be.t/~rd ¢o~tAue.,~on '- ;" ' Lending agency ~ : Mailing address - Day phone 12801R~a Anehora~ AK 9951~ Day phone Add~eS'S ,~:' L:-: ~: '-,"-',..'": · ' .... ' ........ :,~ ;~ . .,. ?,; !~ Unless othe.rw~se-~,equested,~HAA will be held for pickup...~_, '.'..'- 2..~:NUMBEROFBEDROOMS. ~;' · ~.3 . =~ .,. ' . · -. 3. ~PE OF,WATER SUPPLY: ,_ ,-~., - Individual well · -:.:-'.~ ...... XXX' ~ ~ NOTE: If community well system, provide wri~en confirmation from . ing to the legali~ and status of system. 4. ~PE OFWASTEWATER DISPOSAL: ..~:......:-..~ .?'.~./ ;':;~ ':":'dndividual on-site -~ ... X~ -. ".= ~..; .~ Public sewer~ . ~,.,,: N~E~if ~o~n'~'wasteWater Sys tem,~)~v[de'Wri~en Co~firm~ti~ a~esting to the legali~ and status of system. 72-025 (Rev. 1/91) Fronl MOA#21 ,g Legal Description: Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. Well Data If A, B, or C, attach ADEC letter. ADEC water system number ,/L.-).~ Date completed ~FoCF~ ~/::2-~ Driller Cased to ¢'//0 "/ Casing height % Well type ~"/~ I Log present (Y~) Total depth Sanitary seal (~/N) Date of test Static water level Well flow Pump level1 Absorption field on lot Public sewer main Sewer service line Wires properly protected C/IN) FROM WELL:I~ ~;q' AT INSPECTION ' g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /~0 ,/ /Ob .~ /d 'k ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanoul Petroleum tank WATER SAMPLE RESULTS: Coliform ¢~ Nitrate / Date of sample: _~ {1~ !c~ C~ ~- ~/} '7 B, SEPTIC/HOLDING TANK DATA Date installed Cleanouts (~) High water alarm (Y/~ Date of pumping ¢Q, f ~).~ m~& Other bacteria Collected by: Tank size Foundation cleanout /d~ ~c Compartments '~ /~'/~' Depression (Y/~)) /~e~ Alarm tested (Y/I~ ,/U//~ Pumper ~¢- 7[-,~/¢~ ~~-7¢~//c~¢J' (''~ SEPARATION DISTANCES FROM SEPTIC/H~FL~;)~NG TANK TO: Well(s) on lot /©O /- On adjacent lots /¢O '~- To property line /~ ¢- Absorption field /0 Surface water/drainage I00 '~ Foundation /0 ~J Water main/service line /d ~- 72-026 (3~:J3)° Front CONTINUED ON BACK PAGE Date installed ~. Manufacturer ~..~ ... ~ . Size in gallons " Vent (Y/N) "Pump on" level at-"~j~~ "Pump off" Level at High water alarm level Meets MOA electrical codes (Y/N_.~ SEPARAT~'-A CEI~FROM LI FTSTATION TO: ~..~ W.~IFoh~ On adjacent lots Sudace water "---. D. ABSORPTION FIELD DATA Date installed _ '-~I~ I-7~- Soil rating (GPD/Ft2) /~:~ g~j~ Systemtype ' ~'~I" .~ ' Total depth ~ / Length /-/0 Width Gravel thickness Depression over field (Y/I~ '~ Total absorption area _ Date of adequacy test '~.J- I ~-.~/q~ Water level in absorption field before test Peroxide treatment (past 1 2 months) (Y/I'~. ~'~53- for ~-~ Bedrooms After test L/, If yes, give date _ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Sudace water Curtain drain On adjacent lots ,/6o '-~ Property line I 0 '> To existing or abandoned system on lot Cutbank_ /~J/~ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION · I have checked, verified or conformed to all MOA and HAA guidelines in eff~C.~~ ~..~.,::~ate~f this inspection. I certify that ~.~,n~o ,~ H~ Fee $ ~ ' ~ Waiver Fee $ Date of Payme~ ~/~/~ ~ Date of Payment Receipt Numar ~'1 d? ~: ) Receipt Number 72-026 {3/93}° Back CT&E Environmental Services Inc. Laboratory Division ~,~,'~~.~'~'m.~'~J~-~-~.~.~J~a~'z~:~ CT&E Ref.# 95.0636-1 Client Sample ID Li? NORTON PARK tabot'atory Analysis Report Client Name S & S ENGINEERING WORK Order 12713 Ordered By R,J.S. Printed Date 02/20/95 ~ 10:57 hrs. Project Name Collected Date 02/14/95 ® 13:40 hrs. Project~ Received Date 02/15/95 @ 10:10 hfs. PWSID UA Technical Director STEPHEN C. EDE Sample Remarks: ROUTINE SAMPLE COLLECTED BY: J,W. QC Allowable Ext. Anal Parsl]~ete~ Results Qual Units Method Limits Date Date Init Nitrate-N 2.03 m~/L EPA 353.2 10. 02/15/95 CMR * See Special Instructions ~d~ove UA ,= Unavailable ** See Sample Remarks Above NA = Not Analyzed L~= Undetected, Reported value is the practical quantification limit. LT = Less Than D~= Secondary dilution. GT = Greater Than 200 W. Potter Drive, Anchorage, AK 99518-1605 -- Tel: (907) 562-2343 Fax: (90'?) 561-5301 M,W DRILLING, IN(' P. o. Box [0-375 ~ ANCHORAGE, ALASKA 995t LETTER To (907) 349-8535 Mr, Jim Williams, P.E. 20 Feb 95 Date Subject [.17 Norton Park Domestic Water Well Dear Sir~ Following are the pe~nent installation facts on the above referenced water welll Well Dep~h~ 56' - T,O,C. (top of cas~ing) Static water Level: 41' to Pump Sett~ngl 52' T0~ to intake We did not perform any kind of ¥~eld tests. [] Please reply No reply necessary e--vp Ir1111aL Oo • Driller,_„_„ loll ow"r- '0 Looat On r c lies s of ons L :ATM IDLE MILUMS LOG FrjWi*! i Itatis ester level foot (abow)(below) land snrfaoe. eos) lip" ted Sarson ( ): Perforated ( ). aoaeeib aeaeer p.rt"WA& na p bil rint teat at per des er,,_ / riot of drasdoea frac statin level to to to 2 Or T. MIEW - M ' be of or dim oo�ra sno. �" Finish of tell (oheok Nw55A' 04i065�45. t