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Home My WebLink AboutNORTH WOODS UNIT 3 BLK 13 LT 7 MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENI'AL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS Lof 7 LOCATION Well '"-) ~: DISTANCE TO: J Cotr~r~ti,.~ ~-;~ I Manufacturer ~ ~1 Oreer ~ [Liq. capacity in ga ohs ~ /0~0 IF HOMEMADE: ~,-~ ] DISTANCETO' IWell ~ ~ ~ Manufacturer Q I I Well_, ~X I DISTANCE TO: I ~ ~ Z No. of lines ~ Length of each ine ~ ~ Top of tilo to finish ~radei ~ .~ ~ ~ [Length 'Width ~ ~ / Type of crib Crib diameter ~ ~ISTA~Cfi TO: ~ /Class Depth ~ / DISTANCE TO: Building foundation Absorption area Inside length Dwelling Foundation Total length of lin~t~6, i IPHONE [] NEW ~' ~'~-2 ~'~/ [] UPGRADE Dwelling Material JWidth NO. OF BEDROOMS3 Material Nearest lot line ITreneh Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT. N O./7/~/1//~ ~'/ff~OJq Distance between lines ~. t Material beneath ~ i~h~s f40 ft ~ Depth PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Sept c tank Absorpt on area(s) OTHER PiPE MAT ER I A L~) j/,,,E SOIL TEST RATING INSTALLER REMARKS APPROVED DATE LEGAL (,-.2f-g3 Lof 7 ~¢/~,1¢13 No~fL~,o,,,l~. eS 5~/brj. 72-013 (Rev. 3/78) ' ~ Department of Health and Environmental Protection 825 .~%~ Street, Anchorage, AK. ./"~501 264-4720 * * * HANDWRITTEN PERMIT * * * Permit ~ W_5~L AND/OR 0N-SITE SEWER PERMIT Location: Phone Number.. v~ i~~' >¥ ~,~, ?-'~ Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: ~ Holding Tank Maximum Number of Bedrooms: ~_~ Soil Rating(sq.ft/br) DEPTH The Required Size of the Soil Absorption System Is: 5~ LENGTH /~'-50 GRAVEL DEPTH & ~' WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /O'-CP~ GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the nu~er of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departmen~ will be subject to prosecution. Minimum diStance between a well and any on-site sewage disposal system is 100 fee~ for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days Of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 3 * * * I certify that: (1) I ara familiar with the requirements for on-site sewers and wells as 'set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. : C~q~ Issued by: aPplic~ ~' SOILS LOG PERFORMED FOR: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST [] PERCOLATION TEST LEGAL DESCRIPTION: SITE PLAN 1 2 3 4 6 7 8 9 10 11 SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 12 13 14- 15- 16 17 18 19¸ 2O COMMENTS .~/-~?~--~ /~T' Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) FT AND ~ FT PERFORMED BY: 72-008 (6/79) CERTIFIED BY: ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERALINFORMATION (a) LegalDescription(includelot, block, subdivision, section, township, range) Lot 7 Block 13 North Woods Subdivision #3 Loc~ion(addressordi~ctions) SR 3 Box 102 Live Alder Road, Chugiak (b) Applicant Name Bill Lane Telephone: Home 688-4168 Applicant Address SR 3 Box 102 Live Alder Road Business 552-2036 694-4070 (c) Applicant is (check one): Lending Institution []; Owner/builder ~ Buyer []; Other [] (explain); (d) Lending Institution Lomas and Nettleton Address Telephone (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Other Number of Bedrooms three (3) WATER SUPPLY Individual Well [] Community l-~x 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 I~ 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. Page 1 of 2 ?2-025 01,84) ENGINEERING FIRM PROVIDIN( JSPECTIONS, TESTS, FILE SEARCH, DA', AND INFORMATION 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 on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the 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 of Firm Telephone Address Date Engineer's Seal This department has received written confirmation from the engineer regarding the Conditional Approval of January 30, 1986. The corrections have been accomplished and an inspection has been completed by the engineer. The subject property meets with Municipal standards and is now approved. (S & S Engineering) DHEP APPROVAL Approved for three (3) bedrooms by Approved XXXXXXXXXXXXXDisapproved Terms of Conditional Approval Conditional 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 72-025 (11/84) HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SiTE PLANS ROAD DESIGN - SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT A, SHAFER Ju~y 31, 1986 CIVIL ENGINEER 694-2959 Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 ATTENTION: Susan 0swalt REFERENCE: Lot 7; Block 13; Northwoods Subdivision I~tUNIcIPALiTY OF ANCHORAGE DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED You are currently holding final approval of the Health Authority Approval application on the referenced property pending water monitoring of the water table adjacent to the seepage bed. In addition to other work performed relative to this HAA application we installed a monitoring tube adjacent to the existing seepage bed on July 24, 1986. We monitored the water level relative to the bottem of the seepage bed through July 31, 1986. Readings of the water level at its highest elevation in the monitoring tube was 9.2 feet below the surface. Readings at the bottem of the monitoring tube installed in the seepage bed was 4.6. These readings being relative shows a separation between the water table and the seepage bed of 4.6 feet. It is our opinion based upon information gathered that this system is in compliance with Municipal codes. Request you issue the final Health Authority Approval on this property. cc: Mr. Bill Lane SRB 196X EAGLE RIVER, ALASKA 99577 ROBERT A, SHAFER July 14, 1986 CIVIL ENGINEER 694-29Z9 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 ATTENTION: Susan 0swalt REFERENCE: Lot 7; Block 13; Northwoods #3 In January, 1986, you issued a conditional Health Authority Approval for the residence located on the referenced property. Recently Mr. Steve Skaggs replaced the mo~toring tube and excavated an area to allow us to determine that the system was no,frost free. No frost was encountered and an adequacy test was performed on the system. The results of the adequacy test were satisfactory for a three bedroom residence. In accordance with the terms of the conditional approval additional fill was placed over the system in an attempt to prevent the system from freezing up again. As a result of the test performed by us and the work performed by Mr. Skaggs request you remove the conditions and issue a final HAA for the referenced property at this time. If w~e of further service, please contact us. SRB 196X EAGLE RIVER, ALASKA 99577 NCHORA~E/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BI~.L SH~FF~E~D~ GO~/ERNOR T~'/~pi~o~e: (907) Address: 274-2533 DATE: To Whom it May Concern: ~a~(/ Water System is in compliance with the State Drinking Water Regulations Sincerely, & Nettleton Lomas Memo Date April 9, 1986 lo From Re: Susan Oswalt ~ Beth McCracken/ ~ Lot 7, Block 3, ~s, #3, (Lane) At DEC - Municipality of Anchorage At 4300 "B" Street, Suite #103 Per our conversation this date, please be advised that the Lc~as & Nettleton Company is holding monies in escrow for the complete upgrading of this system should one need to be done in Spring of 1986. The DEC was conditional upon your receipt of this letter, and should now be valid. Beth McCracken Loan Closer MUNICIPALITY OF ANCHORAG,~' DEPT.' OF HEALTH ENVIRONMENTAL PROTECTION APR l 0 RECEIVED 1150 (P~v. 9/82) rep~acemen~ sz~e on your properr_y. Inere appears r.o ~0e at, equate roc.~m on your lot to do this, and soils tests we have done in the area inclicate the soils ~;ill support the new leachfield. The septic tank is (of adequate size to serve a four bedroom home and should not require any additional work other than occasional pumping. A new soils test in the area of the proposed leachfield as well as an engineer-drawn site plan will have to be performed to obtain the necessary permits. I estimate the total cost. of the above mentioned work to be approximately $4,000.00. It is inter"esting to note that since yOLH~ septic system and many other"s in the Northwoods Subdivision were installed, the Municipal Health Department has several times changed the formula they use for calculate;rig the size o~ a leachfield, and today the leach~ield on your property wc)uld have to be half again the size that was initially required. I have take~ this into consideration when I calculated the absorption area of t~+~ new leach+ield and feel it will be adequate. But while the city issued permits stating the size of the absorption area required and appr~)s,.~ Lhe installation o~: the~e systems, they will not accept any responsibil~.ty for ~ailures o~ septic systems that they now consider to be too small. If I can be of any further assitance to you~ please do not hesitate to cali me. James Har key . ~ _.. Applicant Address .. (c) Applicant is (check one): Lending Institution (e) Real Estate Company and Agen[ ....... ':'-~'~ Address "' :: : .-.. Telephone "(f) ' ~ the HAA to the following address: S & S Engineering Ead[e ~Jver, Alaska 99577 TYPE OF RESIDENCE Single-Family,~ Multi-Family [] Number of Bedrooms '~ Other WATER SUPPLY Individual We~l [] Community,~ Public [] Note; If community we system, must have written confirmation from [he StaTe Department of Environmental Co nservation attesting to the legality and status. 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. Page 1 of 2 72-025 (I 1/84) ENGINEERING FIRM PROVI:~[[~, G INSPECTIONS, TESTS, FILE SEARCH:"~TA AND INFORMATI'C~ AS certified by my seal affixed eto and as of the validation date shown below, I ver fy that my investigation of this"~l~a ¢ w~o~w~[er ul~posal sy~[em IS sere, runc[Ional and adequat~ for the number of bedrooms and type of structure indicated herein. I fudher verify that based on the information obtained from the 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 of Firm $ & S Engineering Eaale River, ~lasEa 99577 Telephone ~ ~bert A. Sharer DHEP APPROVAL '/~ for/~ ('~../ bedrooms by Date Approved Disapproved , C/~ondi[iona~l Terms of Conditional Approval ~ The Muncipality of Anchorage Depa~ment of Health and Environmental Protection (DHEP) issues Health Authority Approval ce~ificates 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 cou~esy to purchasers of homes and their lending institutions in order to satisfy cedain 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 omi~ions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MO,.,/ HEALTH AUTHORITY APPROVAL (HAA) MUNICIPAUTY OF ANCH(~G DEPt. OF HEALTH ~NVIRONM~NTAL PROTEC~TiON CHECKLIST- FEBRUARY 1984 284-4720 RECEI (ED Legal Descdpti~n: ~ r'l ~'~'~2~ WELL DATA Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring m Conduit (Y/N) Separation Distances from Well: TO Septic/Holding Tank on Lot A IfA, B, C, D.E.C. Approved~N) Date Completed Yield Cased to ~ I~lepth of Grouting A Pump Set At I, Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Man hole Water Sample Collected by Water Sample Test Results Comments "~, ~.J, ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/I=iOL'~G TANK DATA Date Installed Standpipe,s~N) Air-tight Caps~¥N) Depression over Tank (Y~) Pumping/Maintenance Contract on File (Y/N) ! Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/l~ Tank: To Water-Supply Well ~ I To Property Line t To Water Main/Service Line ~:~ "' '~ ' ~ Size [ ~ No. of Compartments Foundation Cleanout ~[~)'N) ~/~ Date Last Pumped ; for "--'- Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond. Lake, or Major Drainage Course~ Comments Page I of 2 72-026111/84) C. ABSORPTION FIELD DATA SOils Rating in Absorption Strata Date Installed Width of Field Type of System Design Length of Field Depth of Field Square Feet of Absorption Area Depression over Field (Y/~) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line Gravel Bed Thickness Standpipes Present ~{~N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On AC joining Lots To Cutbank (if present) To Stream/Pond/Lake/or Msjor Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments O t.~,,~t.-E_~ '"T'-~ ~ ,~,.,i"2~.~.~___j_4 '~.~'~' / Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pure p On" Level at { "Pump Off" Level at High Water Alarm Level at ~,"~ ~ Vent (Y/N) _ ¥'J /~ rln Tested for Pumping Cycles du ' g Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** 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 inspection. Date Signed S & $ End;neet]I'll Receipt No. ~~1 ~ Date of Payment I - ~-~ Amount: $ ~ %~ Page 2 of 2 72-026 (11/84) DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR Telephone: (907) Address: 274-2533 To Whom it May Concern: According to records on file in this office the /~.~-'~/~e~J ~//~ Water System is in compliance with the State Drinking Water Regulations Sincerely, of Pages Page No. ENVIRONMENTAL P~OTE~6x, EAGLE: RI~eR, ALASKA 99577 PHONE: 907/694-2979 JAN 2 V 1986' PROPOSAL SUBMITTED TO CITY, STATE AND ZIP CODE ARCHITECT RECEIVED DATE OF PLANS PHONE DATE JOB NAME JOB LOCATION We hereby submit specifications and estimates for: ]~lt~ ~l'OpO~g hereby to furnish material and labor -- complete in accordance with above specifications, for the sum of: Payment to be made ad'follows: ) ' All material is guaranteed to be as specified. All work to be completed in a workmanllke manner according to standard practices. Any alteration or deviation from above specifica- tions involving extra costs will be executed only.upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. ~NN e~.' This~roposal rflay be withdrawn by us if not accepted within days. Ar eptanre of roposal- he above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Signature FORM118-3 COPYRIGHT 1960- Avai~ablelrom~lnc.,Groton, Mass. O1450 APPLIC?'NT FILLS OUT UPPER HAL ' ONLY Buyer .~ ~ .~? ~ Address Zip Code Lending Institution Address Realty Co. & Agent Address Zip Code Zip Code Phone Phone Type of Residence ~e Family [] Multiple Family No. of Bedrooms [] Other Water Supply .o 'mVidual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. munity For wells drilled prior to that date, give well depth (attach Icg if available). [] Public Utility Sew~er ~osal LIc[.,4ffdividual Year Individual Installed: [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ( ~ APPROVED BEDROOMS~ *CONDITIONS OF APPROVAL ( ) DISAPPROVED DATE . BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received (~"x/,~2/~-7~ Well to Tank Septic Tank Size 72,023 (3182) · ' , APPLI¢ 'NT FILLS OUT UPPER HA[ ~ONLY Property Owner .~ ~L(~ O~/.O ,~. ~~ ~)Or,12c/~C~,~ Phone MalllngAddre~ p~L~x ~ (Jt.,:~. ~ ~ ~'pCode ?~:~ /~~! Buyer Address Zip Code Lending institution Phone Address Zip Cods Realty Co. & A~nt Phone Address Zip Code Legal Description LO~ :, ',~/~e~ /5I ~0~ ~ ~*'~ ~(~.:~ Type of R~nce ~e Family ~ Multipl~ Family No. of Bedroo~~ ~ Other Water Supply ual A~ACH WELL LOG. ~ ~1 log is required for all wellJ drilled since June 197~. unity For wells drilled prior to that dat~, gJv~ well depth (attach log if available). Utility Sewer Disposal ~ Public Utility When ~onnected to P~blic Utilily: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG ~AN BE INITIAT~. Time Date Inspector Field Notes: Time Date Inspector /~'~I~ROVED BEDROOMS ~) ) DISAPPROVED ) CONDITIONAL APPROVAL* BY: Time Date Inspector Pector JUN 5 01983 "Municipality cf A~ch~rage" "Dept. of Heallh & Environmental Protect~io~,, *CONDITIONS OF APPROVAL Well TO Absorption Area Welt to Tank tWell LogReceived Septic Tank Size Soils Rating D a t e .~/er(~%e d 72-023 (3182)