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Home My WebLink AboutKASILOF HILLS BLK 4 LT 9oGRE'S'ER ANCHORAGE AREA BO[ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 'UGH N A M E LOCATION INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS ,,//~,,¢~,/~'~"- LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH ,~/', ~ ~ NUMBER OF MANUFACTURER ' ~1 ('~.~---~. -- MATERIAl -/~-~:~-, COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/~.~'"~'-"~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER__ LINING MATERIAL'~'"F~.¢-.- I^}//'~.¢CRIB SIZE: DIAMETER BUILDING FOUNDATION NEAREST LOT LINE OR WIDTH _, LENGTH DEPTH C¢ DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL. AREA) .SQ. FT. TYPE . CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE_ TANK SYSTEM REMARKS DISTANCES: INSTALLED BY: d/4')~//~ Form No. EQ-031 DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA BOROUGH DEPARTMENT O[~ ENVIRONMENTAL (~UAL, ITY 3330 "C" ~TREET ANCHORAGE, ALASKA 99503 TF~LEPHO NE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLiCAtION AND PE:P. MIT NAME OF APPLICANT~A/ ]NSTALLATION LOCATION '-EGAL D SCR,PT,O. XP' ? , PHONE COMPLETION DATE AN': C PATED __._./.~7~/ NOTE: THiS PEr, MIT IS hlo'r VAt,ID WITHOtlT SOIL FINAL INSPECTION: 2.4 HOUR NOTICE RECJUI~-'~ED, DACI~:FILLING OF Ar, lY L'~¥':;TEr\,I WITHOUT FINAL IN.~PEC'FION BY THE ¢ TYPE MINIraUM DISTANCES, REOUIREMEI~.TS FOUNDATION TO SEEPAGE Pit DRAIN FIELD ~EPTIC TANK 'FO SEEPAGE PIT WALL ._ . , S~EPAGE PIT ~ , DRAIN W~LL TO SEPTIC TANK ~ ~ SEEPAGE PIT w~ ~A~ TO S~P~CTANK _~ / GRAVEL BACKFILL CONFORM 'i'O BOROUGH REGULATIONS REGARDING INSTALLATION. GREATER ANCIIOId\G~ Uepartinent of Environment. a'l Quali 3330 "C" Street Anchorage, Alaska Dep th Feet 5- 6 - 9- ]O.- ll - 12- 13- Was ground water encountered? _PI_O_ ....... If .yes, at what. depth? Reading Date Gross Time Net l'ime k)epth Lo Water Net -Proposed installa~ii~--g~5~}a~e Pit Drain Field Depth of Inlet . Depth to bottom oF pit or ~rench Perfor, ed D3 , Ccrtified By: bate: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROV/',,.L 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 ~)O&-) ~AFJg-,J~ Telephone: Home Busi n ess - ~'A"7~ ¢ 5'5 Applicant Address I0/::~,¢'0 /¢--451Lo AVp (c) Applicant is (check one): Lending Institution [] ; Owner/builder [] ; Buyer [] ; Otber [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail tile HAA to the following address: TYPE OF RESIDENCE Single-Family'l~ Multi-Family [] Number of Bedrooms '~ Other WATER SUPPLY Individual Well J~ 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 [] Flolding 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 {11/84) ENGINEERING FIRM PROVIDI ~NSPECTIONS, TESTS, FILE SEARCH, D , AND INFORMATION As certified by my seal affixed hereto and as of the validation d.ate 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 cf 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 systero is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection:~ Date [)HEP APPROVAL Approved for '-/~-~"~-E (~?bedrooms by A~r~ "X' Disapproved Terms of Conditional Approval Conditional Date CAUTION The Muncipal[ty 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 (MO. HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: /- MUNICIPALITY OF ANCHORAG;~ DEPT. OF HEALTH & ENVIRONMENTAl. PROTECTION WELL DATA Well Classification Well Log Present (Y/N) Total Depth '~) Static Water Level Casing Height Above Ground I ~ ~ Electrical Wiring in Conduit (Y/N) Separation Distances fi'om Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line i.k..i/~l Cleanout/Manhole ~k'///~ tf A, 13, C, D.E.C. Approved (Y/N) /kJO Date Completed '~ Yield Cased to ¢"¢O~ Depth of Grouting ~' ~' Pump Set At ~'~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots \ ~ ¢ ; On Adjoining Lots To Nearest Public Sewer _ To Nearest Sewer Service Line on Lot Water Sample Collected by '~65'~(, ¢C¢¢S '~'~°-~"L$ ;Date Water Sample Test Results ~ I~'~ ~- Comments ~0 ~ ~ ~A[(~¢~ ~ B. SEPTIC/HOLDING TANK DATA Date Installed ~'/~ '''~ Standpipes (Y/N) __ ~/ Depression over Tank (Y/N) Size Air-tight Caps (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course ~ No. of Compartments Foundation Cleanout (Y/N) _ y Date Last Pumped Temporary Holding Tank Permit (Y/N) ~v///~ To 13uilding Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11t84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata 150 $'~ ~(¢~'-/1~.~/~ Type of System Design ~,4~ PIT' 7¢ - Date Installed ¢/,¢,z~ z Length of Field Width of Field '~'~J~Uf,~$~ t 4~)' ~f¢)'C~ Depth of Field ~ :?>~x ¢/ ~< ~// ~ ~1 Gravel B.~d Thickness /~/ Square Feet of Absorption Area ~ O o¢0,/~tandpipes Present (Y/N) Depression over Field (Y/N) ~0 Date of Last Adequacy Test Results of Last Adequacy Test ,¢./(I/~ Separation Distance from Absorption Field: To Water-Supply Well '¢"'/0~ To Property Line To Building Foundation 4- '~O To Existing or Abandoned System on Lot ~/'~ ; On Adjoining Lots -f'/~;)O / To Water Main/Service Line ¢'~'O / To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course (g//~ To Driveway, Parking Area, or Vehicle Storage Area "~ ~ / Comments ~ ~"~¢_~b'~ ~--¢JC,ldC-.~TCO/J ¢--L¢~o(-~'~ 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 t ha~[,have checke, d, verified, or conformed to all MO,~ and Signed ( ~ Receipt N . ~'~.(2~' I I' _~C°mpanYo~~) MOA No. bate of Payment Amount: $ 6~"~ Page 2 of 2 HAA guidelines in effect on the date of this inspection. 72-026 (11/84) Location: Client's Name: Address: BgSSE, EPP$ & POXES 2220 EAST 88 AVENUE ANCHC~AGE, AK 99507 (907) 349-6451 WATER ~ELL TEST Subdivision: Lot: Block: loF~k9 K/~t~oF Initial Reading on Metar: c~r,r~Ns :07 :1~ , ~% lq qo 0¢~4 j prc~tm:tion ~a~.: '~7 GPM 24-Hour Capacity~2~ Callc~s FOR DATE M OF PHONE MESSAGE SIGNED N_° 3252® ",,,¢~,~ ~ ,~,.~ v ~ ~r~ SEWER AND DRAIN ® PO. 8ox4.2847 PHONE 345-25~3 CLEANING SERVICE ANCHORAGE, ALASKA 99509 Job Address ~ /-/Rs PLUMBING REPAIR CHARGE TOTAL FOOTA G ECL EANED OR THAWED~ BLaDEs USED LINE CLEANED ~ c~_,~ ,- GUARANTEED FOR FOLLOWING REASON WORK ACCEPTED 8Y R&M C/vil Engineers ENG dEERING 8, GEOLOGIC. .L CONSULTANTS 229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503 TELEPHONE 907-279--0483 TELEX 090--35419 Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E., L.S, JAMES H. WELLMAN, P.E. August 11, 1973 RALPH R. MIGLIACCIO Engineering Geologist Messrs. Leo Sawyer and Bob Guina Box 10105 Klatt Station Anchorage, Alaska Re: Test Hole and Soil Log Report for Sanitary System Lot 9, Block 4, Kasiloff Hills Subdivision Dear Sirs: We are submitting herewith a description of the soil stratifi- cation at the subject site and our comments regarding soil conditions encountered. This investigation was performed in accordance with your request of August 10, 1973, and those pro- cedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Envirorm~ental Quality. A single test hole was put down within the Lot 9 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 14 feet below ground surface. The following stratification was determined from s~tples provided by the driller and left at the site for subsequent inspection by R & M personnel on August i0, 1973. D~epths Soils Classification 1' - 7' 7' - !4' Organic sandy silt - Silty fine sand trace gravel SM ~'¢~ Fine sandy silt trace gravel ML Auger refusal was met at approximately 14 feet on a large cobble according to the driller's oral communication of August 10, 1973. Ground water was not encountered in the test hole, ANCHORAGE FAIRBANKS JUNEAU Messrs. Leo Sawyer and Bob Guina August 11, 1973 Page 2 We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to con'~act us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS' R~ W. Huck Senior Staff Engineer RWH: p h xc: GAAB ~/ R&M ENGINEERING & GEOLOGICAL CONSULTANTS