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Home My WebLink AboutPARK PLACE #1 BLK 2 LT 1Parr. I locK 2 e '~J' 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 NAME -- PHONE [] UPGRADE MAILING ADDRESS LEGAL DESCRIPTION - ' LOCATION NO. OF BEDROOMS Absorption area Dwelling PERMIT NO. ~ ~ DISTANCE TO: //~ / ~ / /~ / ~ Z Manufacturer Material No, of c ~ ~ G~'¢~ ~G~ %partments ~ Liq, capacity in gallons Inside length Width ~%O IF HOMEMADE: ,-- Liquid depth ~ ~ DISTANCE TO: Well Dwelling ~ O ~ ~ ~ PERMIT NO. O Z ~ Manufacturer · -- ~ ~ Material ~, Liquid capacity in gallons Well Foundation 'Nearest lot line PERMIT NO. DISTANCE TO: ~ ~ -- ~ ~ Z No. of lines ~ Length of each line Total length of lines Trench width -- Z ~ '~ Distance between lines ~ ~ _ inches Top of tile to finish grade Material beneath tile ~~ ~ TotaJ effective absorption area - inches Length ~ / Width Depth ~ ~ / ~ / PERMIT m--~¢ Type of crib ~/~ Crib diameter ~/~ Crib dept~[A Total effective absorption area//ff~¢ DISTANCE TO: /~ '/ Building foundation Nearest lot line ~ 01~, I} Depth Driller Distance to Iot line PERMIT NO. ~ DISTANOE TO: Building f~undadon Sewer line /3~ / Septic ~ank / } ~5 / Absorption 8re~(s} OTHER PIPE MATERIALS ~ SOIL TE~ RATINGi~L ¢/i6 ~.~ APPROVED DATE LEGAL NUNICIFALITY OF ANCHORaGeS GEPARTFENT OF HE~LT~I AN') ENViRONF'ENTAL P~OTFCTION 825 L STREET, ON-SITE PERHIT NO: DATE iSSUED: 9~5Cl APPLICANT: CONTACT ~HONE: LEGAL DESCRIP: LOT SIZE: LOT LOCATION: MAX qEDROCMS: SCOTT SCHIEFELSE[N SPA 9OX 1763E AN SHO¢.AG£, AK 99516 34~-4425 SU.gDIVISION: PAR'< PLACE Ul ~,'cCTICN: ~ TOWNSHIP: 11N 64751 (SG.FT. OR ACRES) STONE R~GE ROAD LOT: I qLOCK: ~ LISTED EELON A~E THE OPTIONS AVAiLAbLE TO YOU I~ DES.'.~NZNG YOL~ SEPTIC SYSTE~. CHOOSE TH~i OPTION THST ~EST FITS ~CLJR SITE. ....... - - -. .... ...... DEPTH TO F!~E ~30TTOF: (FT.) GRAVEL DEPTH (FT.) 2.0 TOTAL DEPTH (FT.) 6.'] GRAVEL bI~TF (FT.) GRAVEL LENGTH (FT.) 2CO,O ~-~ GRAVEL VOLUF'E (CU.YDS.) 46.2 TANK SIZE (GALS) SOIL RATinG (S~.FT./~) 200 ** GRAVEL LENGTH > 75 FT. R£QUIPES t~ULTimLE RUNS (NOT ~* TANK MbS1 HAVE ~T LEAST TWO I CERTIFY THAT: 1. ! At~ FAMILIq~ ~,~iT,~t THE REQUIEE?q~!NTS FOP ON-SITE 8~,~,~S ~k,~ WELLS AS SET FORTH [Y THE MUNICiP,~LITY G= cNCFORAG~ (PGA) AND THE STITE 3F ALASKA~ 2. Z WILL INSTALL THE SYSTC~ iN ACCCRCA~CE WITH ALL MOS CODES AND REGUL~TI AND IN COMPLIANCE WITH THE gLSIGN CRITERIA OF THIS 2ER?,ll, 3. I WILL ~DHERE TO ALL MCA AND STATE OF ALaSkA REQUi~E~ENTS FO~ T~E SET ~ DISTANCES FRCq A~Y E~ISTING NELL~ ~ASTEN~TER DiSROSA~ SYSTEH OR PUBLIC SEWERAGE SYSTEN CN THIS CR ~N~ a, DJ~CENT gq NEqR~Y LOT. ,. I bNDERSIAND THAT THIS eERNZT IS VSLIg FOP ~ MAXZF!U~I OF & gEDROCMS ~NC ANY ENLAPGEMENT WILL REQUIRE AN SgDZIZGNAL PEFq~'iT. IF A LiFT STATION I$ iNST.:~LLED ]N AN ARE~ COVERED ?Y ~-'OA ,EUILD!NG CODES. THEN (1) ~N ELECTRICAL PEEFI~T AND iNSPECTION FUST ~E O~TAZ:q~; (2) AS-EUZLTS wILL NOT ad APPRONEO ~ZTHCUT ~N ~L'ECT~tCAL INSmECTZON qFOCRT; aND (3) THE ELECTRICAL ~OEX ~UST EC )CNf ~Y A L~CEN~E~ EL~CT~-~AF,. AFPLICANT: S~CTT iSSUED ElY j ~ ~ SOILS LOG MUNICIPALITY OF ANCHORAGE .~! DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION ~ PERCOLATION TEST 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST 2 3 7 8 9 10' 11 12 13 14 15 16 17 18, 19- 20- COMMENTS PER FORMED BY: Z~/,~/~ ~ F~-O08 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ,/ v ~: SL O P E IF YES, AT WHAT DEPTH? . / ' Gross Net Depth to Net Reading Date Time Time Water Drop TEST RUN BETWEEN CERTIFIED BY: J (rqinutes/inch) FT AND "~ FT CONTROL SERVI~...~., INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. OF CALCULATED BY CHECKED BY DATE DATE July 3, 1985 Attn: Allen Re: Lot 1, Block 2, Park Place #1 Dear Allen: The following is the information conversation of July 3, 1985. you requested as per our 0 To 3 Feet 3 7 7 15 15 21 21 50 50 63 63 70 70 91 91 107 107 1'18 118 167 167 181 181 200 Top Soil Sandy Gravel Silty Sandy Gravel Gravel Sand, Gravel, Casing Stops Gray Sandstone Gray Shale Gray Sandstone Shale, Silica Streaks Gray Sandstone Shale, Silica Streaks Gray Sandstone Shale, Silica Streaks 2~0.0.__~ e ~,~ ~o~ a.~_l Depth × ' 50 '~'.] Please note tha~ Casing stops at Also, Level at 20'-- \. / the Static Water ~23, 1984 ...... MUNICIPALITY OF ANCH09AGE · DEPT, OF HEALTH & ;. - Scott Sheplb lend ....... ENVIRONMENTAL PROTECTfoN Box 1743-E Jerome-Klatt Rd Anchorage, Alaska 99516 NOV ~ ~ Dear Mr. Sheplblend, ~ECEIVED The following information is your copy of the well log for the property located at Lot 1, Block 2, Park Place #1, Anchorage, Alaska. This should be retained as your permanent record of improvements to your property .... 0 To 3 Fe~t 3 7 7 '15 .15 21 21 50 50 63 63 70 -~0 91 ;91 107 ~107 118 118 i67 ~ 167 181 181 200 Top soil Sandy gravel Silty sandy gravel Gravel Sand, gravel Gray sandstone Gray shale Gray sandstone Shale, silica streaks Gray sandstone Shale, silica streaks Gray sandstone Shale, silica streaks 200 Feet Total Depth Well producing aprox 1 gallon per minute, this could increase as water f-l~ws i~ ~t~ru - ~.he-~ands~one. POLb~c,'H 6-650 ANCHORAGE, ALASKA 99502-0650 (90'/) 264-4111 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit ~: 840372 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 1 Block 2 Park Place Subdivision #1 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincere ly, Keith E. Bandt, Supervisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 ~- 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 GENERAL INFORMATION (a) (b) Application Date (c) (d) Lending Instrtutioo, · ~'~i ~' '? Address '"~ ~' ' '~' (e) Real Estate Company and Agent (f) Legal Description (include lot, block, subdivision, section, township, range) Location (~ ~-~j~clions) Applicant i~(~heck o~e)j,Lend ng~ nst tut on ~ · Owner/builder ~'; Buyer ~ · Other ~ (explain); Telephone Address Telephone Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family ~ Multi-Fam Number of Bedrooms Other t ~ .r / 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. 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 I of 2 72-025 (11/84) ENGINEERING FIRM PROVIDII~NSPECTIONS, TESTS, FILE SEARCH, DI-.~.~ 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 Date ~C ~~ /~ / DHEP APPROVAL Approved for ~/~- (/~/~"?) bedrooms by .~'/ Disapproved Approved ~. ~ Terms of Conditional Approval Conditional 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 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: Well Classification I/V ~1,//~(,//¢'~ If A, B, C. D.E.C. Approved (Y/N) Well Log Present (~i) Date Completed ~ -2.~-~ 4// Yield Total Depth 2~tO / Cased to ,-~,~)" Static Water Level ~_O ~ Casing Height Above Ground Electrical Wiring in Conduit (I~N) Separation Distances from Well: To Septic/Holding Tank on Lot ,2_/ Depth of Grouting /V//~' Pump Set At Sanitary Seal on Casing ~N) Depression Around Wellhead (Y,(~/ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results ~' I ~ / ; On Adjoining Lots / ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot Comments Date Installed ~/2'~/'/~Z7/ Standpipes ~/N) Depression over Tank (YG SEPTIC/HOLDING TANK DATA Size /~0 NO. of Compartments Air-tight Caps ~N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /V/lOc Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property'Line t To Water Main/Se~i~,e Line N//~ Foundation Cleangut ~N) Date Last Pumped ~/V'///-~ ~ · / Temporary Holding Tank Permit (Y/N) /~//~ ° / To Building Foundation To Disposal Field '---~ / To Stream, Pond, Lake, or Major Drainage comments Page 1 ol~ 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 7/~.7/~g/ Width of Field 2-r¢ I q/ 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 ~¢..) t Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field ~'//~ ! Depth of Field Gravel Bed Thickness ¢' Standpipes Present t(~N) Date of Last Adequacy Test / / ..,.,¢.~ To Properly Line /O l.../- To Existing or Abandoned System on ; On Adjoining Lots / OO To Cutbank (if present) / - 10o' Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) .- J _ "Pump Off" Level aUJ { \~/ /~.-,'~ Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that Lhav~0~O..eqked,v~ified,,or conformed to all MOA and/HAA guidelines in effect on the date of this inspection. Signed Q ~"~/¢~~ Date ~' -I, I ' Company ~'-~'/~C,.~ //I['O_:... MOA No, c~ Receipt No. L Date of Payment Amount: $ ~10 Page 2 of 2 72-028 (11184) 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 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~']'~/JC..';,'7~Z~,~.~' Telephone: Home ~'7~/'' ¢~250 Applicant Address ~.4). ~k ¢'-7.~(~ /~L~/~'/ ~- ~¢~' (c) Applicant is (check one): I'"ending Institution []; Owner/builder~]~; Buyer []; Other [] (explain); Business (d) Lending Institution ~-t~t'¢~ ~L~¢'¢*¢~;~¢ L(:bCJ''~Teleph°ne Address (e) Real Estate Company and Agent ~'} ! .~- Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~l~ Multi-Family [] Number of Bedrooms ~' Other WATER SUPPLV 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 r"l Community [] Holding Tank [] Note: If community well system, must have w~itten confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 {11/84) L~,~./ ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the vaiidation 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. f Name of Firm ~ w~c~6gJ~ ~ ~ p~ , /~JO. Telephone Address Date Approved for ~::¢c"'¢--(/¢) bedrooms by Approved ~ Disapproved Conditional Terms of Conditional Approval 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 ~r MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST ' FEBRUARY 1984 2..-.,2o R EC EIVED Legal Description: WELL DATA Well Classification Well Log Present ~N/) Total Depth ~ Cased to Static Water Level ,;ff~O ? Casing Height Above Ground Electrical Wiring in Conduit (Y~___~ Separati'on Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line A//,~' Cleanout/Manhole ~i If A, B, C, D.E.C. Approved (Y/N) Date Completed ~ ~'~-~-~'¢" Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (~./N) Depression Around Wellhead~fil) Water Sample Collected by Water Sample Test Results Comments '~'~ ~zc~l'f ~J SEPTIC/HOLDING TANK DATA ; On Adjoining Lots l~Z2 ; On Adjoining Lots /dC To Nearest Public Sewer ,/ To Nearest Sewer Service Line on Lot Date lnstalled '7''¢''~''~/' Size /'~'~"~ ~""(¢~ Nc. of Compartments ~-- ~,0.L, StandpipesbN) .... Air-tight Caps(/~N) Foundation Cleanout/~/N)-- _.. ~ ~ _ L/ '/[ L./ Depression over Tank (Y~ , Date Last Pumped ~('~/¢ , Pumping/Maintenance Contract on File (Y/N) '~'t/¢ ;for ~~'~ Holding Tank High-Water Alarm (Y/N) W/~¢ Temporary Holding Tank Permit (Y/N) To Building Foundation /-~ '¢ To Disposal Field ~ To Stream, Pond, Lake, or Major Drainage Separation Distances from Septic/Holding Tank: To Water-Supply Well "~ To Property Line To Water Main/Service Line Course Comments ~-,- /¢¢~j~J*F'/,¢ 1 Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ?'°~-¢" ~¢ Width of Field 2?4 / Square Feet of Absorption Area _ Depression over Field Results of Last Adequacy~Test ~/)/~ Separation Distance from Absorption Field: To Water-Supply Well "'~ / To Building Foundation Lot ~'//-¢ Type of System Design Length of Field Depth of Field Gravel Bed Thickness o .5" Standpipes Present(~N) Date of Last Adequacy Test To Property Line To Water Main/Service Line ,4///'I To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments-)~' /~/~-/l~g~gZ~)l~'~f$ ~ ..¢7",~',~ ~t )~-~'$ To Existing or Abandoned System on ; On Adjoining Lots / ¢O To Cutbank (if present) LIFT STATION D~4 Dimensions Size in Gallons ' -~.~ Manhole/Access (Y/N) "Pump On" Level at ~~ "Pump Off" Level at High Water Alarm Level at ~ Vent (Y/N) Tested for ~ Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom'Rating Against HAA Request ** I certify that I have checked,lverified, or conformed to all M CA and HAA guidelines in effect on the date of this inspection, Signed /~-~?//J/--~'~ Date Company ~-~ MOA NO. Receipt NO. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) ALASKA ' c ulRonrnenTAL CONTROL SeRViCeS, Inc. ~n§in~fin~ ~- ~nuironm~nlal $1~dies November 15, 1985 Municipality of Anchorage Department of Health & Human Services 825 L. Street Anchorage, Alaska 99501 Dear Susan: ""~ I~OT£~rlOAI This is in regards to Park Place Addition #1, Block 2, Lot 1. In July 1985 a Health Authority Approval was done on thJ. s lot and everything was found to be in order. However, by now the water sample that was taken in July has expired. Therefore, on November 14, 1985 I took another water sample, with satisfactory results. These results are enclosed, along with a plumbing inspection dated April 11, 1985, showing that inside plumbing was not hooked up until that time, so that although the septic system is over a year old it has not been used for that long, and therefore a pumping receipt is not needed. If you have any questions please feel free to call. Sincerely, Darcy ~vens Engineering Geologist Approved by: Leroy C. Reid Jr., PhD, PE President 1200 ~est 33rd ~uenue. Suite B- ~,chornq~. /~ln,ko 095o3 o[0o7) 561-5040 NAME: .";'COTT ~CH)'I]F:'I:i].BEIN~ '1-!.~':I',~ '.?7 ,.~TREET ADDRES,'.',': :.,"f'ONIi!iIR [DGI:- I?OAD I.[~(~AI.: PARK F't. ACH, COMMENT: INSF'ECTT. ON,~ RF'Q ..F'S'~f ED: I * S~ F'LBG FINAI * C3MME) 1,~: , [N,$..ECTION ~ APF'RI]VED CI:)NDI:'rlONAI FOR .* START TIMF~{)?~ WORK IN]'TS"./~ .... ! OT i BI..OCK ..'2. DATE': I I r;ORRECI'I(ON$ E$$1ENTI:AI., Ag K.'×F't,.AT. NEI1 ABOVr: I I l)'f) NOT 60N.,EAI. UNTIlI,, IRF'[NS'P~CTF'D I)AYg ~o~ 0