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Home My WebLink AboutNORTON PARK #3 BLK 2 LT 3 GAAB-HD I GR' 'ER ANCHORAGE AREA BOROU DEP/~RTMEI~T 0F ENVIRONMENTAL OUALIT'~ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl_ SYSTEM _ADDRESS. '/x ~"t-/~/6'- / /4¢..5- / PHONE LEGAL DESCRIPTION ./'' ~: ~;'..r' -'~ ,' ~ SEPTIC TANK: DISTANCE FROM WELL. '-~- LIQUID CAPACIIY / '-'~ (~'' GALLONS. NUMBER OF .MATERIAL ('~~'/(y.,<Z~Z[/%~-' COMPARTMENTS INSIDE LENGTH ,~.--INSIDE WIDTH LIQUID DEPTH __ SEEPAGE SYSTEM: NUMBER OF PITS / __OUTSIDE DIAMETER LINING MATERIAL/ NEAREST LOT LINE.___ '&'? _ OR WIDTH · DISTANCE FROM WEU -//~'~; TOTAL EFFECTIVE ABSORPTION AREA (WALt. AREA) , LENGTH~.?~2- ..$' , DEPTH____ ~:'z¢: z~j' BUILDING FOUNDAIION'~*~ ':~/:~ [ SQ. Ff. TILE DRAIN FIELD: DISTANCE FROM WELL____ ~.,__F_OUND-A~ION__ , NE'~'.'.'A'RET LOT LINE NUMgER OF LINES .-~--'-/"~'"~'~--DISTANCE 8EIWEEN LINES_ IR H WIDTH ABSORPTION AREA__ SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTFI OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE ~'/-"/."-//~7-'~, , DEPTH_ ,¢.~' ' / NEAREST SEPTIC LOT LINE .~i' , SEWER LINE ~:.--- , TANK DISTANCE FROM WATER , BUILDING FOUNDATION. -/-'~':,%.~', ._ SAMPLE_ /~//)/(//"~., NEAREST ~ ./? /,/ SEEPAGE / OTHER./~'/~/1/2: , SYSTEM_,~.~2-.? , CESSPOOL~3//~-~ ' , SOURCES,':->':V'/~ DIAGRAM OF SYSTEM DISIANCES: ,x ~, ~ ~-.,/.,-.,~- /,~l,Zi)(.: .u/M ?" /.~> j' //. ,3 ~'~zx 3 1~ 141 I"= · L), ~-/-, MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRON~NTAL HEALTH DEPARt, tENT OF I~ALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR I~%LTH AUTHORITY APPROVAL CERTIFICATE 1o General Information Application Date February 26, 1985 (a) Legal Description (incIude lot, block, subdivision, section, township, range) ~of~ .~.B:Lgck 2, ~or~o Park Subdivision ~/3 Location (address or directions) (b) Applicants Name Marvin l~usk~ Telephone Home344-0~25 - Business (c) Applicants Address 431 West 123rd Avenue (d) Lending Institution Telephone Address (e) Real Estate COo & Agent Address (f) Telephone MaiI the HAA to the following address: 2. T~_e of Residence Single-Family~ Number of Bedrooms 3° Water Sup_~l_~ Multi-Family~ three Other (describe) Individual Well '~ Community ~ Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4o Sewage Disposal Onsite F -[ Public ~] Communit~ ~.~.~:/ // Holding Tank Note: If community well system, must have writte~ confirmation from the State Department of Enviromnental Consa~atiQn attesting to the leKality and status. [Page 1 of 2] ~ ~1>~.. I, /,:/: ~n~.ineering_Firm Providi_n_$_In_~ections, Tests~ File Search, Data and Info~nnation As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the ou-site water supply and/or wastewater disposal system is safe, f~ction~ and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtain~ from the ~nicipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance ~th ~1 Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm A. W. ~qurfitt Company_ Telephone 349-753l Address 8010 Kip~ Street, Anchorage, AK 99502 ~~_ Date February 26, 1985 DHEP Approve]. ' ~ ~ / ~ ~ %o .o~' ~ Approved for ¢~ bedrooms :~ ,~. ~ .X/ ~ f~/ Q~90~SS/O~ Approved /~ Disapproved . ~ition~ Te~s of Conditional Approv~l CAUTION THE I<UNICIPALITY OF ANCHORAGE DEPARTMENT OF ~LEALTH ANI) EN-VIRO~fENTAL PROTECTION (DtlEP) ISSUES HEALTH AUTHORITY ~PPROVAL CERTIFICATES BASED SOLELY UPON T~LE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY fiN INDEPENDENT PROFES~-~ ENGINEER REGISTERED IN THE STATE OF AI~SKA. THE DHEP DOES THIS AS A COURTESY TO P[gRCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN I~',DERM~ ~WD STATE REQUIRE- MENTS. E~IPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA. BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ~JqCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN S~{E PROFESSIONAL ENGINEER'S WORK. (DHEP SEM.) RR4/ej/Di8 ~ ~ [Page 2 of 2] 7-19-84 Be WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Park Subdivision #3 MUNICIPALrlY OF ANCHORAGI~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION' FEB 2 RECEIVED kot 3~Block Well Classification _Single Family Well Log Present (Y/N) il0 Total Depth 55 feet * Cased to Static Water I~vel ]5 feet Casing He ight Above Ground . ] ,, .5 f~et Electrical Wiring in Conduit (Y/N) YeS Separation Distances f~om Well: To Septic/Holding Tank on Lot N/A To Nearest Edge of Absorption Field on Lot Fro Nearest Public Sewer Line 50 feet ~. If A, B, c~ C, D.E.C. Approved(Y/N) N/A Date Cc~91eted late 60's Yield_ 3. 09pm . 55 feet Depth of G~outing unknown Pump Set At 52 feet Sanitary Seal on Casing (Y/N)Yes Depression A~ound Wellhead ,(..Y/N) No. N/A ; On Adjoining Lots !~/.A ; On Adjoining Lots To Nearest Public Sewer Cleancut/Manhole 65 feet ~ %b Nearest Sewe~ Service Line on Lot 50 feet Water Sample Collected By C~aro] Uh] ; Date 2-18-85 at 2:00p.m. Water Sample Test Results .Satisfactory Cc~nts *Depth of well estimated by Anch0raqe Well and Pump. Pump test for 4 hours average yield 3.0gpm on 02/22/85. May require sewer line separation distance variance, however, well apparently installed before public sewer. ~,;~¢~ .~,,m~ ~.~ ~ CP~'~] ~. SEPTIC/HOLDING TANK DATA ~/A Date Installed ~ Size No. of Cc~a~b~nts Standpipes (Y/N) A~i~-tight Caps (Y/N) Foundation Cleanout (Y/N) Depression ove~ Tank (Y/N) '~.Da~ te Last Pumped Pumping/Maintenance Contract on Fil~-IY/N) ; for -~' Temporary Holding Tank Permit !Y/N) Holding Tank High-Water Alarm (Y/N) '~'..~ Separation Distances f~om Septic/Holding Tank-: To Water-Supply We 11 To Bui~'di~ng Fc~ndation To Property Line To Water Main/Service Line Course Co~l~ nts To Disposal~.-Field To St~e~, Pond~.J~nke, c~ Major D~ainage [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA N/A Soils l~ating in Absorption Strata Date Installed Width of Field Square Feet of Absorption A~ea Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes P~esent (Y/N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Wate~-SupplyWell To Building Foundation Lot To Wate~ Main/Service Line To P~ope~ty Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank(if present) To Stream/Pond/Lake/o~ Major D~ainage CoLu~se To D~iveway, Pa~king A~ea, o~ Vehicle Storage A~ea Comments D. LIFT STATION N/A 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) PumDing Cycles du~ing Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. Signed Date c~ 2~..~. Company A. W. Murfitt Company MOA No. ST85-015 KB1/d5/s [Page 2 of 2] 2-15-84 A.W. Murfitt Cornpa gy CONSULTING ENGINEERS 8010 King Street · Anchorage, Alaska 99502 · (907) 349-7531 March 8, 1985 Municipality Of Anchorage Department of Health and Environmental Protection Pouch 6-650 Anchorage, AK 99502-0650 RE: Marvin Huske, Health Authority Approval Lot 3, Block 2, Norton Park Subdivision #3 Anchorage, Alaska Our Job No. 85-130.01 To Whom It May Concern: We are satisfied that as of this date, the water supply from the on-site well to the abandoned trailer at the referenced site has been disconnected. Disconnection has been accomplished by severing and capping the line. Yours truly, Allan W. Murfitt, P.E. Civil Engineer 4977-E DEPT. OF HEALTH & ENVIRONMENTAL PROTF~ION RECEIVED MUNICIPALITY OF ANCHORA~I] DEPT, Of HEALTH & ENVIRONMENTAL PROTECTION MAR RECEIVED Murfitt Comp_a__n_y_ CONSULTING ENGINEERS 8010 King Street · Anchorage, Alaska 99502 · (907) 34%7531 February 26, 1985 Marvin Husky 431 West 123rd Avenue Anchorage, AK 99515 RE: Well Test Lot 3, Block 2, Norton Park Subdivision #3 Anchorage, Alaska Our Job ilo. 85-130.01 Dear Mr. Husky: Please consider this letter an invoice in the amount of $375.00 for services rendered on the above referenced project. Should you have any questions, please feel free to call. Yours truly, Civil Engineer 4977-E Time Time Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Are~ Well Log Received Well to Tank APPLICANT FILLS ouT LOWER HALF ONLY Proper~y Owner ~V~/~r,'~ ~-~/~ (~7'{~R"~~ Mailing Address ~-%/¢'/q 1 ?~ ~ ~ cA, ~/~ ~¢~o ~ Buyer i~hA-~/~ ~', tt{t~ ~.~ Phone Lending Institution Phone Address Realty Co. & Agent Phone Address Type~¢' Residence [] Single Family [] Multiple Family [] Other E] Individual [3 Community _~P?._uu blic Utility No. of Bedrooms ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available,). Sewage Disposal I ¢t '] L-] Publlc~'lndividualUtility WhenYear IndividuaIconnectedlnstalled:to Public Utility: [] Holding Tank 6.~.~._~¢...%.~ ?:~',~._; NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, June 7, ]982 .~ubjeet: I.ot 3 Block 2 Horton Part: Addition Unit_ No. 3 Approval for 'the indivl, dual sewer and war. er facilii;ies na!xrlot be granted unCil the fo]lowing items have been c. omD!eted: 0 ~Dae top of f_he well c;at~inq sealed with %hat i-t is water- '?¼e depre~sion or pit around t'he well easinq need~; to be filled with imDervious type soil no that it slopes away from tho. well. oasinq. Nxposed electrical wirer~ to tzhe well head e~re in violation of the Hunicipalit. y of Anchorage codes and mu$~t b~.~ encased in conduJ t. o Pub]it (;ewer is available to your- re~idence m'~d will to !'>e conn(,c:ted to prior to hi~ Depar't. men%' s approval Please notify this Denartrqen% for a reins~pection when the noted discreDancie.~ have been correct:ed. If l:here ar-e any fu~?ther quest, ions, pl~ase call fi'tis office ~i7 264-4770. Sincerely, Robert C0 Pratt. Associ, a'te N~v.ironmenta] SpecJali{~t .... ~' ~'e request that the'successful ~i~der'be ln~or~ed c' the requirer. j . ' - ' _ DEP~.~F HE~.~ & ' ;_-..,. ~: ~o~ St~l~n~ . E~IRON~NTAL.._. P~OT~IO~'} ~: : . ...-.::-;:- _ .... ,~ - . --1;:,~ ' '' ' .1-. ..... ': .';' .'"-..::'RECEIVED:...-~ .. ;.~. - .... .. ~ ",?-.;.'.~ . . . . - . .' '- ': ..':. :.'-.. ;-'. .-'~-. :- ", "- ~ .q '.'._V ' Dite~ pt~ l~t~on f~ Top R~ffst RIght-~f-~a~ $~t~o~ to 6, i~uest RlghtL~f-~iy S~t~on to 10~ R~uce field ~etes' ,; '~ Ig~' ~ke pencil dr~Ni~s ;f Plan ~;~;:~ ,Central Alaska Utilities "L~ ." ~c~rage) Alaska 995~ · ' He, ~lf R, Strlckla~ MUNICIPALITY O~ ANC,~ D~PT. OF' HEAl;IH & ENVIRONMEN:~AL ~ROTECTiO~ 'MAR 6 '1985 RECEIVED., - ~. · , ANt~H