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Home My WebLink AboutOVERLOOK ESTATES BLK 4 LT 3 MUNICIPALITY OF ANCHORAGE '~ DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT .ar.e DISTANCES ~d,, '~ ~/~7 ~ TANK FIELD WELL J ~/~~ermit No. / No. ol ~ed~ms LEGA~OESCRI~ION LOT LINE Township. Range. Section AS-BUILT DIAGRAM (Sh~w location of we]l. septic system, property lines, foundation. ~ ~/~ 'r~ 2~ driveway, water bodies, etc., 'TANKS ~-- Menu,act .... Capacity in gallons m~{ Material ~ ' ' No. of Compadments T.E.c. g BED g W.D.A . gOT. R Depth to pipe bottom from Total depth from original grade ' Fill added above original grade Gravel depth beneath pipe ~ Gravel length Gravel width Distance between lines ~ Total absorption area ~O 8~ ET (~ FT Soil~ Pipe malarial Installer ~ ~ i J ~ Dale InstalJ~d 'WELLS ~ PRIVATE ~ OTHER fldenlifv) Classification (A,B,C) Total Depth ~ Cased to installer REMARKS: ~ ~; ~/~ ~ ~' ~ 72-013 (3/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION:/~c~-,...~/2~//~4j ~,~_¢/~o~ ~:~5'~a~'._5T°wnship' Range, Section: /~/~ ,, / ~., SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19- 20- WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth Io Water Alter Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN ,~NDj / FT COMMENTS S & ~ ~ ..... ~er Loop Roa~ No. 204 PERFORMED B~O34 Eagle R -a9~5~1 4~' ~ ~' ' CERTIFY TH~T THiS TEST WAS PERFORMED iN 72-008 (Rev. 4185) ROBERT SHAFER, P.E. ROGER SHAFER September 21, 1990 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN Ms. Susan 0swalt Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 3; Block 4; Overlook Estates MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION SEP 2 6 1990 RECEIVED De~r Susan~ This letter is to address the location of the septic system that wus installed on the referenced property. The initial test hole was dug on the property prior to the sale of the property. The design was completed from this soils test. At the owners request, the location of the leachfield was moved to save trees and convenience of installation. The soil was verified and the system installed. Per our conversation a soils test was completed within 10 ft. of the leachfield on September 13, 1990. Groundwater was not encountered. After 7 days of monitoring, the test hole was dry. See attached sodZs test. We have found no problems with the reserve area and this area did not change. Also attached for your information is a copy of the sewer and w~Z1 permit. If you have any questions, or if you require additional information, please contact us. A. SHAFER, P.E. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION:/-- E~ ~!~'4 ~ ('-A.~O'[r~eo_~' .~.-'~.~. ~ Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN S L IF YES, AT WHAT O DEPTH? p E 1 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O Deplh to Waler Alter ,~ ' / MonitorinD? -- '¢[/'~ Da~e: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ : TEST RUN BETWEEN ~AND FT COMMENTS S & ~, '~,n~-~!Ni=l~-~-II"J~/ /// 17034 Eagle River Loop Road No. 204 ..~ ~' Eagle River, Alaska y~.~/'7 ~//..~//~ 72-008 IRev. 4/85) PERFORMED IN MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: SW90~AA~ Date Issued:~-/7-~O Design Engineer:S45 Owner Name:ZFZf ~0 Owner Address :2900 ~Om;Fm¢~ PM~F Parcel ID:O - Lot Legal: Subdivision:OVE~0OK~$~ Lot: Section: 2~ Townshi~/~/ Range: Lot Size:6 4/ ( or acres) Max Bedrooms: This Permit:4 Total Capacity:~ Permit Type:~E~/£~ ~ ~ Expiration Date:/2~~/-~ Day Phone: ~ Block: SEPTIC TANK: Minimum septic tank capacity:/2~ gallons. Each septic tank must have at least 2 compartments, insulation is required if depth to top of septic tank(s) is less than 4.0' Lift stations require an appropriate electrical inspection. WELL LOG: A copy of the well log must be sent to DHHS within 30 days of the well's completion. I CERTIFY THAT: 1. I will install the .~n-site sewer~ system and/or well in accordance with all codes and re9ulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system, or surface water on this or any adjacent or nearby lot. 3. I understand that this permit is va~id for a single family dwelling with a maximum of ~ bedrooms2 I also understand that any enlargement will require an additional permit. ~. I understand this permit is issued for the calendar year and expires on December 31 of the year issued. 5. I will notify DHHS prior to all inspections by .the engineer or well driller. · (own..er/desi~ee) db/ll5 ' Municipality of Anchorage 825 "L" Street, Anchorage, Alaska 99502-0650~~ so,~s co~ - PERFORMED FOR: · E~AL DESCR,PT,ON:Z3 5 F: Oc,,epzo~ ~'~ ~' Township, Range, Sectipn: SLOPE ~ SITE PLAN O/2 1 2 3 4 5 6 7 8 10- 11 12 13 -- 14- 15 16 17 18 19 WASGROUNDWATER ENCOUNTERED? IF YES, AT WHAT DEPTH? p E- Depth lo Water Alter ' · Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop 20 Ne. 1457-E PERCOLATION RATE ./ tmmutes/i~HOLE DIAMETER TEST RUN BETWEEN ~ AND ~FT ........ ~/ // S & S ENGIN~ ~X /~ ~ Alaska ~5~ D MUNI IPAL GUI~ EFFECT ON THiS DATE. DATE: ACCORDANCE W~'~'E AN C 72~8 (Rev. 4/85) hy DOC Co. 0Ba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 ADDRESS t c/P, '~ c~,. C~ t 7~I ~'/~'d X L) STATIC LEVEL OF WATER Fr. LEGALDESCRI~ION ZoT ~- ~z_~ .:~ t>o~:4~zo~< ~d~'~tDRAW DOWN FT. DATE- Started Ended ~/~O GALS. PER HR (~' 0 PERMIT NUMBER - ~ ~ ~ tO~ -= KIND OF CASING KIND OF FORMATION: From (~) Ft. tofg~ Ft. (.~St,O(,~ ,~"/"ICL~EL,) From.. From ~" Ft. to'<l Ft. r)t )t.~iTd ~70e~r~:','~ From Ft. to~ ~4 ~ From Ft. to From~Ft. to Ft. ~,{~ ~ at~ ~ 3~' From Ft. to From ~;~ Ft. to ["] Ft. ~[&~[-~ ~=t4~°~ ?'e~'t~°~mn Ft. to~ From~Ft. to~Ft. T) 6J~T' ~,<&rD From~Ft. to~ From ~ Ft. to ~ Ft. t~c.> ~L ~,.~ From Ft. to~ From /_~ Ft. to 2~ Ft. From ,; ~' Ft. to /.fir5 Ft. From /~>-~' Ft. to c'~ ;~ O Ft. From (~ '~c3 Ft. to ~ 7 .~Ft. Fro~Ft. to ' (:,~3 Ft. From:)'-(-$ Et to ~ (3t~- Ft. From'- i' From Ft. to Ft. From Ft. to__ From~Ft. to From ~ Ft. to~ From Ft. to~ From Ft. to Ft. Ft. Ft. Ft. .Ft Ft Ft. Ft. Ft. Ft. Ft Ft. Ft. Ft ~UNIClPAtlTY OF ANCHORAffi ~T, Og H~ALTH 8, ENVIRONMENTAL PRO'FECTION Ft. · FtSF_p 7 lgg,0 MISCL. INFORMATION: RECEIVED DRILLER'S NAME /"q / ~'~' '~ ..... MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING ,(~/0~- I~')L\ \~ /~ NAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 3; Block 4; Overlook Estates Location (address or directions) NHN Vantage Avenue (b) Property owner WAKELAND CONSTRUCTION Telephone: (home) 694-2661 Mailing Address SRA Box 2415 Ea~le River, Alaska 99577 (c) Lending Institution Telephone Business Mailing Address (d) Real Estate Company and Agent Address Telephone (e)'Mail the HAA to the following address: (or check here.[~ if hold for pick up.) · L st. contac{ Person and day phone number below: · :'.'. , .. S & s. ENGINEER!NG "-'ili :' ;:" .17Q34 E~qle ~.iver Loop Road "Eagle River, Alaska 99572 2. TYPE OF RESIDENCE Single-Family ~x. Number of bedrooms 4 3. WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation .from the. State Department of Environmental Conse}'va'tion attesting'to th legality and status. ~ 4. SEWAGE DISPOSAL On-site~x 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 (Rev. 7/88) Page 1 of 2 8 ,to 8 abed '~JOM s,Jeau!Bua leuo!ss~boJd aq), u! SUO!SS!LUO JO S JO J J@ JOb alqISuodsaJ hou s! aBeJoqouv bo/q!led!o!unlAl eq.L 'penss! s! aleo!b!lJ@o e @Joj~q m, ep az/q eue Jo suo!loadsu! ionpuoo hou op SHHQ Jo saaXold~U~ 'shueLuaj!nbaJ ahehs pue leJapab u!elJeo ,~Js!hes oh ~apJo u! suoBnhBsu! Bu!pusl J!eqh pue SaLuoq bO sJaseqoJnd oh Xsapnoo e se s!qh saop SHH(] aql 'e~lSeIV bo m, ehS aqi u! paJms!B~J Jesu!Sue leUO!SSajoJd ~,uepuadepu! ue ,~q aAoqe S qdeJBeJed u! USA!6 suoBm, uaseJdaJ aq$ uodn ,~lUO peseq pm, eo!j!Jeo leAOJdd¥ Xl!Joqlnv q~,leeH s9nss! (SHHQ) sao!^JsS uetunH pue qhleaH jo ),uauJiJeda(] @6eJoqouV jo X~!led!o! unlA! aqj. leuoB!puoo euoqdal@2 sseJppv wJ!_-I bo auJeN 'uoRoedsu! siq), jo ahep eqh uo loelbe u! suoBeln6aJ pue 'seoueujpJo 'sepoo pue led!olunlAl lie q~iM eoUe!ldLUoO u! s! uJelSXs leSOdS!p Je),eMelSeM Jo/pue Xlddns JaleM ehis-uo eq~ 'uoBoedsu! pue uoBeSIlSeAU! Xm moji pub Sal!i eBeJoqouv lo X~!led!oiun~ eqi ~o~ pauIe~qo uoBe~Jo~u! eq~ uo peseq leql XJIJaA JeqiJnJ I 'uieJaq peleo!pu! eJnIonJls ~o edX~ pu~ s~oo~paq ~o Jeqmnu eq~ Jo~ e~enbepe puc leUOBOUn~ 'ales s! ~elSXS lesOdsip JGlBMG~SBM Jo/pue Xlddns JG~eM elIs-uo eql leq~ sMoqs leAoJddV Xl!Joqlnv qlleeH siql jo UOBeBBSeAU! ~m ~eq~ XJIJeA I 'MOleq UMOqS elep uoReP!leA eq) jo se pug OleJeq pexij)e leas X~ Xq pelJ!lJeO sV NOI&~MO~NI aNY ~zva 'HOM~aS ]31J 'S&S]Z 'SNOI$O~dSNI 9NlalAOMd ~UIJ 9NI~I]NISN~ 'S A. WELL DATA Well Classification ~ MUNICIPALITY OF ANCHORAGE (MOA) /,~,~ Health Authority Approval (HAA) ~L['[Y OF AN~I~HEC~(LIST - FEBRUARY 1984 ENVIR'"O'~"~EN'rAL SERVICES DW~SION 343-4744 Legal Description: /--' ~"~ ~ i RECEIVED Well Log Present (Y/N) (~ Date Completed (_~. Total Depth z¢~_.O 'Cased to ./_:z, ~' ~Z'~Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Yield Static Water Level I L~O ' Casing Height Above Ground / '~-" Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot Pump Set At ~ Sanitary Seal on Casing (Y/N) 0'1 Depression Around Wellhead (Y/N) NI / ; On Adjoining Lots f CO Jr ; On Adjoining Lots ! (20 To Nearest Public Sewer Line ~0/~, To Nearest Public Sewer Cleanout/Manhole I To Nearest Sewer Service Line on Lot ,2.. ~, Water Sample Collected by ~ ~ ~ E~,~ i~.lc~a/'/'~o~_~ ; Date Water Sample Test Results ~"/t~i&'~'~C-"¢-~¢'c/ -- ~C-"il-~¢'"fA' Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~-z¢'EO Size ! Z~-O No. of Compartments Standpipes (Y/N) [1 Air-tight Caps (Y/N) Depression over Tank (Y/N) /O Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) tO/IA Foundation Cleanout (Y/N) Date Last Pumped t,J/~ ~ ;,or Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line ! To Stream, Pond, Lake or Major Drainage Course Comments To Building Foundation To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ' ,~ 2 Width of Field ~ Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test To Water-Supply Well To Building Foundation Lot fO/Pr To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area SEPARATION DISTANCE FROM ABSORPTION FIELD: / ~ To Property Line ~--o To Existing or Abandoned System on ; On Adjoining Lots ~O '_f_ / /' O To Cutback (if present) & 0 - Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at__ Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this 17034 EagLe River Loop J~oad No, 204 inspection. Signed Company Date MOA No. Receipt No. Date of Payment _ Amount: $ 72-026 (Rev. 7/88) 8ack Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORA!ORIES OF ALASKA, INC; 5633 B STREET · ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SIMPLE for ~'?ork Order ~ 26810 Date Report Pxinted: SEP % 90 ~ 09.:19 Cllm~ Sarap[e ID:L3 B4 OVERLOOK ESTATES PWSID :UA Collected AUG 28 90 ~ 18:20 hrs. Received AUG 29 90 G i4:SO hrs. Pzosorved with :AS REQUIRED Client Name : S & S ENGINEERING Client Acct : SNSEtlGP ~.0.$ NONE RECEIVED Req ~ Analysis Cor~p].eted :}UG 29 90 Send Labozatory Supervisor :STEPHEN C. EDE 1)S Special · Instruct: Chei.~d. ab Re£ ~: 903310 Lab Srapl ID: i ~{atrix; WATER Allowable Parent er Tested Result Unit~ [,[ethod Lir~it s NITRATE-II ND(O. 10) ~,~/1 EPA 353.2 10 Sample SMILE COLLECTED BY RDJ. ROUTINE Te~ts P,~foxmed ' gee gp¢cial Instzuctlons }boYe Uh-UnaYailahie None Detected '* See Sample Remarks ~bove !~ot Analyzed LT-Less Than, GT~Greater Than