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Home My WebLink AboutKENO HILLS #6 BLK 2 LT 5 ~,~ 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 MAI LING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS IWell ~ Absorption area . Dwelling ~ ~ Manufacturer Material ~.~ ~o~partments Liq. ~a~ in gallons IF HOMEMADE: Inside length ~/~ Width Liquid depth 0 ~ ~ Manufacturer Material kiquid capacitg in ~allons ~ DISTANCE TO: Well ~. ~ I Foundatio~ ~ , Nearest ,~n~ PERMIT NO. No. of lines Length of each line~ Total length of lin~s Trench width /~ Distance between Jines = ~ ~ ~ ' ~ ' ~ inches ~ ~ ~ Top of tile to finish grade Material 5eneath tile Total effective absorption area Length Width Depth PERMIT NO. ~,~ Type of crib ,~ Cdb diameter , Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class ~ Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE ~: f ~ilding foundation Sewer line Septic tank Absorption area(s) OTHER '~~ PIPE MATERIALS ~' ~ SOl L TEST ~ATI NG I~STALLE~ - ~ REMAR KS - , . '~ i / APPROVED DATE LEGAL 72-033 [Rev. 3/78) ~lU~-I I IS I PAL I T~' OF A~C:HORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET., ANCHORAGE.. AK -gD50i 264-4?20 Ci~--sIte SE~ER & ~ELL PERi, IT PERMIT NO: DATE ISSUED: 840~28 0571i784 APPLICANT: ADDRESS: CONTACT PHONE: JOHN & STEPHANIE CHRISTAL i7440 SPAIN DRIVE ANCHORAGE~ 8K 9~SiG i65-6500 ~ LEGAL DESCRIP~ LOT SIZE: LOT LOCRTION~ MAX BEDROOMS: SUBDIVISION: KENO HILLS SECTION: ii TOWNSHIP: 20000 (SQ. FT. OR ACRES) SPAIN DRIVE LOT: 5 BLOCK: RANGE: ~W LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SY$~TEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE~ TRENC:| | BED DEPTH TO PIPE BOTTOM (FT.) 4.0 4.0 GRAVEL DEPTH (FT.) 8.0 0.5 TOTAL DEPTH (FT.) i2.0 4.5 GRAVEL WIDTH (FT.) 2.5 22.0 GRAVEL LENGTH (FT.) 4~.0 44. 0 GRAVEL VOLUME (CU. YDS.) ~. 8 ~5.8 TANK SIZE (GALS) 1,000.0 ~ t, 000.0 SOIL RATING (SQ. FT./AR) 225 2i~ TANK MUST HAVE AT LEAST TWO COMPARTMENTS 4.0 ]:.5 ?.5 5.0 ?-~. 54. 000. 225 I CERTIFY THAT: ±. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALRSKA~ I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MO8 CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. ~. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL~ WASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF ~ BEDROOMS AND ~N¥ ENLARGEMENT WILL REQUIRE 8N ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN ARE8 COVERED BY MOA BUILDING CODES, THEN (l) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED~ (2) AS-BUILTS WILL. NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT~ AND (~> THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED APPLICANT~ JOHN & STEPHANIE CHRISTAL DATE: ISSUED BY DATE: Departmen~ Health and Environmenta~rotection ~_u~ ~v~ 4 ~ 825 ~I Street, Anchorage, AK. ~9501 ~j~ ~~ ' 264-4720 ~ ~ ~ 0~ * * * HANDWRITTEN PERMIT * * * Permit ~-~ WELL~~ON-SITE SEWER P~RMIT Location: ~ ~(/¢ ~fl ~)/~ Phgne Nu~er:,~~~~--~~ Legal Description: ~~~ ~~ ~ . . Lot Size: ~ ~ Type of Soil ~sorption System Is: Trench: / ~- Drainfield: ._ Seepage Bed: Holding Tank: Maximum N~b~r of Bedrooms: ~ Soil Rating(sq.ft/br) /~ The Required Size of the Soil ~sorption System Is: DEPTH /,~l LENGTH ~AI ~= GRAVEL DEPTH ~t' WIDTH The length dimension is the length(in feet) of the trench or drainfield. ~he 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 minim~ depth of gravel between the outfall pipe and the bottom of the excavation(in feet). · * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. · * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. ~inimu~ distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. ~inim~ distance from a private well to a pri~ate sewer line is 25 feet and to a co:unity sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completzon. Other requirements may apply. Specifications and construction diagrams are available to znsure proper installation. ~( · * * PERMIT EXPIRES DECEMBER 31, 1 9 ~ I certify that: (t) I ~ failiar 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 Bquire enlargement if residence is remodeled to include more nppl~c~h~ ...... SWP/024 (1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVI RONIVIENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: SLOPE DATE PERFORMED: SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 ~e~xw~s o'~ Cle:o~n I ENCOUNTERED? , O P 13 14 15 16 17 18 19. 20 Gross Net Depth to Net Reading Date Time Time Water Drop 4- ~V/~ ~:°~--~r'~ ~ ~ o~ 3 ~:~ ~3 070 /~y~ /0 ~ .,07 COMMENTS PERFORMED BY: 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: ~/,~/' C~/~",~;;~ DATE P~E~FORMED:_ LEGAL DESCRIPTION: ,~2~/~I ~/~//$ ~'~ 1 2 3 5 6 7 8 9- ~d~7' .5': ~,,~y,,~ ~_,~'~¢_ SLOPE SITE PLAN 10- 11 13 14 15 16 17 18 19 20 COMMENTS WAS GROUND WATER S ENCOUNTERED? ~(//~) ~ P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ,~/~, .(mi' PERFORMED BY: --~3~ "~ ~-~O~'~',v~A/ 72-008 t6/79) CERTIFIED r~-~-1~ o DRILLING, Inc. *'" ~,.o. Sox ~?~ ~o.~oo o~ s,~ ,i~hw, y (~ ~ ~ Size of casing 6*' Static water level 60 screen (?'); · ~}~Describe screen or Well pumping test JOH~ & ~TEPHANIE CHRISTAL Owner B~tion {ad~ .off ~omhip, ~ge, ~t 5 ~ock 2 ~no'~lls Depth of Hole 290 feet C~ to 100tg0 feet ft. ~erforated 3f~ 0 land surface. Finish of well (check one) oPed end ( of drawdown from' static (minute) WELL LOG size of material, color and hardness cobbles 1. General Information MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL NgALTH DEPARTMENT OF ~-~ALTH AND ENVIRONMENTAL PROTECTION A~PLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) l .'l ~ t2 ~ ' Tele?.o~e - Home' BusineSs Applicants Address / (c) Appli~ant~is (check one)'Lending Institution ~--~ ; Ow~er/builder~; Buyer ~ ; Other { I (explain); Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Single-Family~ Number of Bedrooms 3. Water Supply- Individual Multi-Family~-~ Other (describe) 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 1 of 2] En~ineerin~ Firm Providing Inspections~ Tests, File Search, Data 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 regula- tions in effect on the date of this inspection. Address DHEP Approval Approved for Approved ~ Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS 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 REQUIRE- MENTS. 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 ~ MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AD~I~ORITY APPROVAL (EIAA) CHECKLIST - FEBRUARY 1984 Well Classification Well Log P~esent ~.~N) Total Depth 2 q Cased to Static Water Level go Casing Height Above Ground Elect=ical Wiring im Conduit ~/N) Separation Distances frc~ Well: To Septic/Holding Tank on Lot If A, B, c~ C, D.E.C. Approved(Y/N) 4A Date C~Eolete d IOO, ~0 Pump Set At ; On Adjoining Lots 5 oo ~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewe= Line A/'/% To Nearest Public Sewer Cleanout/Manhole N A To Nea=est Sewer Service Line on Lot Water Sample Collected Byz)~y M~c5 ; Date ~w]~, /~/8W Water Sample Test Results , - i5 , ~, , , B. ~PTI~HOLDING TANK DATA Date Installed S- 2- - 8 ~ Standpipes ~/N) ~ Depression ove= Tank (Y/N) Size lo o O No. of Compartments Air-tight Caps ~/N) 7 Foundation Cleanout ~/N) ~ Date Last Pumped N A Pumping/Maintenance Contract on File (Y/N) WA ; for NA Holding Tank High-Water Alarm (Y/N) NA Temporary Holding Tank Per,alt (Y/N) ~J Separation Distances f=cm Septic/Holding Tank: To Wate=-Supply W~ll_ ! .~>~. ~3w ~To Building Foundation ~ S To P~operty Line 5 To Water Main/Service Line Course ~ ~ To Disposal Field ~ To St_~eaa~, Pond, Lake, c~ Major D~ainage [Page 1 of 2] 2-15-84