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Home My WebLink AboutOVERLOOK ESTATES BLK 1 LT 5 MAILING ADDRESS LEGAL )ESCRIPTION "~:-z 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 PHONE ~..~ EW [~UPGRADE Well~ ~:~ I Absorptiod area DISTANCE TO: Li~::>I ~ ~,s~,c~o:I~'' ~ ], ~,,,n~ Manufacturer ~,S~A.C,~O: ~,, ~, ~o..~tion ,_ o,,,.. ILength of~e~ch ~ne Total le t t lines Top of tile to finish grade ~ Material beneath tile I Length Width Depth Well Building foundation DISTANCE TO: CI pt Driller Width NO, OF BEDROOMS~L PERMIT NO, No, of compartm~ Liquid depth PERMIT NO. Material : Liquid capacity in gallons Nearest lot I~ne Trench widths> inches inches PERMIT NO, Distance b e tJ~ ~/)j,n es Total effecti~ ~area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. Septic tank Absorpt on area(s) OTHER PIPE MATERIALS SOIL TEST RATINC~ INSTALLER pl~. 69~2979 72-013 (Rev. 3/78~' DEPARTMENT OF FIEAL..]:FI AND ENVIRONMEI'.ITAI... F'ROTECTIGN 82".5 L STF~'.EET, ANCHORAGE, AK 99501 21 6.q.'""q.'7 :~ 0 I::'ERM J T IqO: DA'I"E ISSLIED: AF:'P[.'. I CANT: ~DDRESS: CONTACT F'HONE: LEGAl.. DESCRIP: iLO]' SIZE:~ ~MAX BEDROOMS: 10102185 NORMAN C[ZNST. % S&S ENGINEERING EAGLE RIVER, Al< 99577 694-R9'79 ,SLIBDIVISION: GVERLGOK EST. SECTIGN: ,2.5 TOWNSHIF': :[4N 486:59 (SQ. F.'T, OR ACRES) LOT: 5 BLOCK: 1 RANGE: 1W ..~si..e:l be].c~w are .the opti(:~ns available t.o yc~u :i.n designing your septic system. Cho~:)se the c)pt. ior~ that best ~i'l:s your site. ~ ~-,~ ~.-_ ~ ~,~ E.'. ~-~ · .k E= ~.~ ~ ~ .D F~ A ][ ~ DEF:'T'H TO P~ F:'E BO'I'TOM (F'T.) 4, 0 4.0 4..0 GRAVEL DEPTN (FT,) i0,,0 0.5 3,,5 I"OTAL DEPTH (F'T,,) 14.0 Zl., 5 7.5 GRAVEL. WIDTH (FT.) 2.5 :':?0.0 5.0 GRAVEL LENG]"H (FT.) 25.0 38. ~) 54.,,0 GRAVEl_. VOI...UME (CU. YDS. ) 24, 4 28.2 40.0 ~"I'ANK SIZE (GALS) 1,:~'.50,,0 ~* 1,:~750,0 .e* ].,}'.~0.0 ~-.e ~S[]IL RA'TING (SQ.F't"~ /BR) l~Z5 1:~75 125 ~.m "FANK ~tt.J,m[ HAvE A'T LEAST TWO COMF'ARTI~,EI'-,ITS IT Certi~'y that: ' :. I,, I am {ami].iar wit..h 'l'he require, ments For c~n-sit, e sewers and wells.as set Forth by the Municipal:i. ty oF Anchorage (MOA) and the Grate oF Alaska. 2. I will ins'Lat!l 'l:.he system in i~ccorda~nc:e with all MOA c~:des and regL~latJ.(~rls~ and in 'compl:~.ance with t. he design criteria o[ thi~ p~rmit. 3. I will adhePe' to all MOA and State o{ Alaska requirements ('or the set. bat:l< distances From any existing well, wastewater disposal system or public sew~rage system on th:i.s 'or any adjacent or nearby :l. cr~. 4. I understand that this per'mit is valid Lot a maximum oF 4 bedrooms and any enlargement will require an additio~al permit. IF A LIFT S'T'ATIC)N I~, IN,:~TALLED IN At4 ARE~-¥ COVERED t:Y tlOA EUILDtN: C!~DES~, ' 'T'HEN (1) 'AN EL. ECTRICAL. F'ERM]:T AND 'INSF'ECTION MUST BE OBTAINED~ :WILL. NOT BE AF'R'ROVED WITHOUT AN ELECTRICAL INSPECTION REF'ORT;'AND (3) TFIE EL. ECTRICAL WORK MUST BE DONE BY A LJ. CEII~ED ELECTRICIAN. AF'PL.. ~ CAN T: :l: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~ ~ V (.,,~ ./~_¢, ~'~ ~"" ~'~,~'~ ~' ~~ DATE PERFORMEI - LEGAL DESCRIPTION~' ~/ O~O~ ~ Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17- 18.~ 19- 20- SLOPE SITE PLAN ENCOUNTERED? IF YES, AT WHAT O DEPTH? p E Depthto Waler After ~ Moniloring? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop ~/ TEST RUN BETWEEN -- FT COMMENTS .............. AOOORDAN~;t;I~;A;~~'~;NIOIPALGUIDELI~/EFFEOT ON THISDATE. DATE: 72-008 (Rev. 4/85) oOO uJ ._J : o ,co L!J _J 0 r~ ( ~ MUNICIPALITY OF ANCHORAGE ~.~.z MUNICIPALITY OF ANCHO~.AG~. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION~EPT. OF HEALTH & DIVISION OF ENVIRONMENTAL HEALTH ~'NVIRoNMENTAL PROTECT~O,~I CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVA~_/~ OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) (b) (c) Legal ?~cription (i.~nclude lot, block, subdivision, section, township, range) ,'t .. Location (address or directions) / ~ . Applicant NameC~,~ ,~'~XJ¢¢¢'-~ Telephone: ~'ome .~3,~'" ~ ~'~ .x// Business Applicant is (check one): Lending Institution []; Owner/builder/~('; Buyer []; Other [] (explain); {d) Lending institution~'/~-~'~-~ (e) Real Estate Company and Agent Address Telephone · Tel~e~hone (~/~lq? e HAA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms ¢ Other WATER SUPPLY 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. 4. 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. 72-025 (11184) Page 1 of 2 ;¸5. ENGINEERING FIRM PROVIDIN~~'~ISPECTIONS, TESTS, FILE SEARCH, DAY'AND INFORMATION. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th~s i ~,~,~m Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe. functional and adoqua~,t for the 'number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from {he 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 o! Firm Address g,,,~ ~ Date Eagle Telephone 6. DHEP APPROVAL Approved for F~,~ Approved_ Disapproved 'ferms of Conditional Approval Date CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOAT HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 ~Ut4%C%PALi'F~' Oi: AHCHOP, AGE DEPT. OF HEALTH & E,NvJ~ONk~N'rAL ?I~oTECTtO~ Legal Description: WELL DATA Well Classification Well Log Present ~;~N) Total Depth \/5¢z:~' Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit~!~TN) Separation Distances from Well: To Septic/l~Tank on Lot ~, {¢:~,. IfA, B, C, D.E.C. Approved (Y/N) , Date Completed '¢~ ~-~r' - f~>~' Yield ~/-'JCC~ Depth of Grouting '"---' Pump Set At ".-), ¢--, ~¢¢:3¢ ~ Sanitary Seal on Casing ~N) Depression Around Wellhead (Y,~ t ~..~ _~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Llot \ \"-¢'~; On Adjoining Lots \ ;J l:~r"~' To Nearest Public Sewer To Nearest Public Sewer Line ~ Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by '~ ~ ~ ~'~ ~,r,.~ ~ ; Date Water Sample Test Results ~ Comments B. SEPTIC~ TANK DATA Date Installed Standpipes (~/N) Depression over Tank (Y/~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/~ Tank: To Water-Supply Well ~ ~:::)~ ~ To Property Line ~, ~'>~J¢ I To Water Main/Service Line ~, _¢~ ~ Course ~.c> - ~:~ ~,S; Size ~'2.~-'O No. of Compartments 'Z- Air-tight Caps ~1) Foundation Cleanout ¢~/N) ~ate Last Pumped ~ t3/~ ; for ~ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed t..,r..p_ ~ Width of Field '~l,p Square Feet of Absorption Area Depression over Field (Y/~j) R~st,~ts of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present ~) Date of Last Adequacy Test Separation Distance from Absorption Field: TO Wa(ir-Supply Well To Building Foundation "-lC: Lot ~ To Property Line \ To Existing or Abandoned System on ; On Adjoining Lots To Water Main/Service Line /,t;:,1 ac' To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Cutlpank (if present) 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,overified, or conformed to all MOA and HAA auidelines in Signed S & S ~.gl.e~r,~ Date ~!~ ~./~;r~_~/~ ~ SEE, 1~6x " ~, ~ / / Company r:~..f. ~,~ . MOA No, ~,~ ~ ~ ~ Receipt No, Date of Payment ~ ~ ~ .~ Amount: $ ~~D~ Page 2 of 2 72-026 (11/84) effect on the date of this inspection.