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Home My WebLink AboutMCMAHON BLK 3 LT 20 ~L L~ Date Drilled, Static Water Level 76 feet Gallons Per Minute Draw Down._ N/^ feet Total Feet of Uasin~ Tyoe M~...$erial. Drilled, Ofee't. to D~eoefle¢} ..me t ] , to to __ ~t,.,/-~ o~ ~iZ~' .- ..... S.R.A, Box 1553 H Anchorage ,Alaska 99507 RECEIVED JUN 1 3 1995 Mumc,pality o~ Anchorage Dept. HeaJth & Human Services GRE;"-"'ER ANCHORAGE AREA B01;, !]GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM N A M F_~2~F//~____ g.~/{/~.~r2~-. MAILING A D D R ESS~7/~ LOCATION~ -~//'~/~,/~// ,~'~.¢ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL_//---P INSIDE LENGTH NUMBER OF MANUFACTURER /,~'~"~--~Y~//~JV1ATERIAL ~F~-p'~--- COMPARTMENTS / INSIDE WIDTH LIQUID DEPTH -- LIQUID CAPACIT~/~7~2 GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL/~]~ / NUMBER OF LINES ~ DISTANCE BETWEEN LINES TRENCH WIDTH~ IN. ABSORPTION AREA - ~' ~]/--~ SQ. FT. LENGTH OF EACH LINE '~ FOUNDATION..~.~ / NEAREST LOT LINF~>~ / TOTAL LENGTH OF LINES TOTAL EFFECTIVE WELL: TY PF_///f'/~////,~ P'/~-/~ CONSTRUCTION DEPTH [~l~"~- DISTANCE FROM: BUILDING / NEAREST NEAREST SEPTIC / SEEPAGE FOUNDATION /~ ~LOT LINE'/~ ~ LtNF/~ ~- TANK , , SEWER , CESSPO0~/'~/~ , OTHER SOURCES APPROVED DISAPPROVED REMARKS //~ DiSTANCES:./~-72~ _,~'~----/.//~' / INSTALLED BY: SEWER LINE DEPTH: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM APPROVED G.A.A.B. Form EQ-032 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH COMPLETION DATE ANTICIPATED ~ SEEPAGE PIT-- , DRAIN FIELD ~ OTHER .¢ / ¢':~ / NOTE: THIS PEE~IT IS NOT VALID WITHOUT SOIl.. FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION bY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL be SUBJECT TO PROSECUTION. / FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL ,(.~ / SEPTIC TANK ., SEEPAGE PIT TO NEAREST LOT LINE. ~ WE~L~TO SEPTIC TANK J ~-~'' C' / DRAIN FIELD /d? ~-~ ~' W~TER MAI~ TO SEPTIC TAN~w~ /00 ' SEEPAGE PIT ALSO CONSIDER AREA WELLS. ., SEEPAGE PiT TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURSED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GF~AVEL BA(~KFILL CONFORM TO BOROUGH REGULATIONS REGARDINg INSTALLATION. TYPE ~ DIAG~ I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUgh ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIbEDlo~SYStEM~/q~Is IN ACCORDANCe WITH SAID CODE. DATE ~ APPLICANT'S SIGNATURE T.H. 1 10-15-73 Organics Silt, Trace Sand (ML) Gravelly Sand, w/Trace Silt (SP) Silt, Trace Snad (SM-ML) No Water Table 0.0' 0.5' 5.5t 15.0' T.D. NOTE: Test hole excavated with tractor-mounted backhoe. Engineering ~ Geological Consultants ~.NC~O~,~' ~'~,N:~S ALASKA ,~UN~,~U RA~PE EXCAVATION PROPERTY LOG OF TEST HOLE Anchorage Alaska DATE 10-15-73 I$CALE 1"=2' IDWN eY JRS I(:;HKDBY WED [PROd. NO. 36687 IDWG NO. A-01 R&M EN ...,,IEERING & GEOLOGIC.- ,L CONSULTANTS · 229 EAST 51st. AVE. - P.O. BOX 6087 -- ANCHORAGE, ALASKA 99503 TELEPHONE 907--279--0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyor~ JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P,E., L.S. JAMES H. WELLMAN, P.E. RALPH R. MIGLIACCIO Engineerlng GeologlsL October 18, 1973 Rappe Excavating 8001Arctic Boulevard Anchorage, Alaska. 99502 Re: Test Hole and Soil Log Report for Sanitary System, Lot 20, Block 3, McMann Subdivision Dear Mr. Rappe: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of October 15, 1973, and those procedures outlined in a letter dated September 13, 1971 by Mr. Roll Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down w~thin the Lot 20 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a'tractor-mounted backhoe and the test hole was extended to a total depth of 15.0 feet below ground surface. The final log prepared for the test hole has been included in ~Drawing A-O1. Ground water was not encountered in the test hole. 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 contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS JWR: ph xc: GAAB / ANCHORAGE FAIRBANKS JUNEAU MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ¢.~?-i;~,-.:~,(~'~, HAA# ~-,/I,"/~ :--( ~,\~ GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent ~-o.c~' 8/'o,'(r' - Re Address '~0"OO ~rc¢o~,,~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well~ Public water NOTE: Day phone ~_7~'-~_"zd'( If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~)25 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER 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 application 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. NameofFirm ~'/~r/-/-~p 'T-~¢'~;~~' -q'~'~'~ Phone Address 1~2o ~c~ ~/~ ~c4~, ~ Engineer's signature ~~ ~ ~ Date 7~- ), '"¢5' DHHS SIGNATURE ~ Approved for Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-025 (Rev. 1/91) Oack MOA Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /_~ ~ /3'/'~3, ~c_l"~zA~,~ Parcel I.D. A. Well Data Well type ?~-, ~ ~c Log present (Y/N) 'r' Total depth / ¢¢~ Sanitary seal (Y/N) Y If A, B, or C, attach ADEC letter. ADEC water system number I~/75 Date completed raeep~' UI~,F Driller Cased to I ,~o ' Casing height Wires properly protected (Y/N) Date of test Static water level Well flow Pump level1 FROM WELL LOG 7.r SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: AT INSPECTION g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: Nitrate '~. ~ 7 "~2/''~' Coliform Date of sample: 5- / ~ ! ~)5- B. SEPTIC/HOLDING TANK DATA Date installed n I ~ / '/.3 Other bacteria '/~/; 5 ~'c Tank size I g 5-~ ~',~/ Compartments I Cleanouts (Y/N) Y' High water alarm (Y/N) Date of pumping ('~ / ~ /<~ ? Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Foundation cleanout (Y/N) ~ Depression (Y/N) ~V. ,4 Alarm tested (Y/N) - Well(s) on lot ~ o 3 ' To property line Sudace water/drainage On adjacent lots Absorption field lc~O' Foundation i o Water main/service line 72-026 (3/93)° Front CONTINUED ON BACK PAGE C, LIFT STATION H. ~. Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at On adjacent lots Soil rating (GPD/Ft2) I. ¢) Gravel thickness Cleanout present (Y/N) 'r' Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D, ABSORPTION FIELD DATA Date installed - ii / { ( Length ~ oo' Width Total absorption area Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water System type 'T'r~ ,~ 3' Total depth Depression over field (Y/N) Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Results (pass/fail) I:'~.r.r for ~/' After test 8c~ ~/z" If yes, give date - SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot ~ Ir~-' To building foundation On adjacent lots :> Sudace water -~ ~ o~ Curtain drain Ivon~ E, ENGINEER'S CERTIFICATION On adjacent lots -> i oo ' Property line To existing or abandoned system on lot Cutbank H. 4. Water main/service line Driveway, parking/vehicle storage area ~-o' I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effec~.~the~ate,~f this inspection. Signature ' 5 .:~:;:::'" "'~:~'"' .:?":;:. ~:::::::::':¢~: .'""~: ?:::?:~'~."" ~:~ Engineer's Name ~A eo~o ~ ~. ~ ~o~ }~:::: ~ ' Date HAA Fee $ .~¢,¢2 Date of Payment Receipt Number ~-~ 7=S-- ~ Waiver Fee $ Date of Payment Receipt Number 72-026 (3/g3)' Back Bedrooms CT&E Ref.~ Matrix Client Sample ID L20 B3 CT&E Environmental Services Inc, Laboratory Division ~-,~-.~-~~_~-jjJ-.~'~e-~-~e-~'.~',~',a~'J.~'JJ~ 95.2155-1 Laboratory Analysis Report WATER MCMA/{ON S/D WEST HOSE BIB Client Name FLATTOP TECHlgIC~Ju SRV WORK Order 15110 Ordered By TED MOORE Printed Date 06/06/95 ~ 09:37 hrs. Project Name Collected Date 05/31/95 ~ 13:05 hrs. Project~ Received Date 05/31/95 ® 15:20 hrs. PWSID UA Technical Director STEPHEN C. EDE Sample Remarks: SAMPLE COLLECTED BY: T.F. MOORE. QC Allowable Ext. A~al Parameter Results Qual Units Method Limits Date Date Init Nitrate-N ' 2.87 m~/L EPA 353.2 10. 06/02/95 06/02/95 DJS * See Special Instructions D_bove UA = Unavailable ** See Sample Remarks ~_bove NA = Not Analyzed ~ = Undetected, Reported value is the practical quantification limit. LT = Less Than ~, = Secondal~; dilution. GT = Greater Than 200 W, Potter Drive, Anchorage, AK 9951 8-1 605 --Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA · MUNICIPALITY OF ANCHORAGE .'.- ,.. ; DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ' '~" , ENVIRONMENTAL ENGINEERING DIVISION . Telephone 264-4720 ., REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for proce,ssing. F0 z' ,¢. I ,. P,OP RTYOWNE,. PROPERTY RESIDENT (If different from above) PHONE '.- . 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT I PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION " STREET LOCA~'I ON S. TYP8 OF RESIDENCE SINGLE FAMILY MULTIPLE FAMILY NUMBER OF BEDROOMS [] One ~ Four E~ Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ,~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date ~ ~ 3 If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10(3/78) THIS SIDE FOR OFFICIAL USE ONL DATE RECEIVED '~ :--' ' INSPECTION APPOINTMENTS TiME TIME TIME DATE DATE DATE I NSPECTQR I NSP ECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ [] ONE [] THREE [] FIVE [] OTHER SINGLE FAMILY [] MULTIPLE FAMILY [] TWO ,~ FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY ,~ INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~¢4NDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER ~'Septic Ta~k or []Holding Tank Size: ?;7,.~"O If Tank is homemade SOILS RATING give d(mensions: TYPE OF TANK. MANUFACTURER TOTAL ABSORPTION ~EA MATER~AL 4. DISTANCES¢ Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line WELL TO: , Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72~010 (Rev, 3/78) .DEPARTM?-~.,,~. MUNICIPALITY OF ANCHORAG?g.., ' OF HEALTH AND ENVIRONMEN L pROTEcTION 825 L Street, Anchoraa~. Alaska 99501 264-4720 Date Received: January 19,1978 #1: Time q,',~ Dr';'L #2: Time #3: Time Date Insp Date Date Insp ~nsp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Coast Mortgage Company Lending Institution Request: Mailing Address: Post Office Box 1200 99510 Phone: 279-0665 2. Property Owner: James H. Weaver Mailing Address: Star Route A Box 1568K 99507 Phone: 349~2418/h 862-7183/w 3. Legal Description: Lot 20 Block 3 Mc Mahon Subdivision 4: o Single Family Residence: ~) Multiple Family Residence: ( ) Well System: Permit ~ Construction Number of Bedrooms: Four Number of Bedrooms: Individual well (x~ Community/Public System ( ) Depth of Well 91' Well Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System Public Utility Permit ~ Septic Tank Size Absorption Area 7. Distances: Installed 1972 Installe~ /'~ Manufacturer r~ Soils Rate 1~ Material Well to Septic Tan~~ to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Department of Health and Environmental Protection Request for Approval of Individual SeWer and Water Facilities Legal Description: Lot 20 Block 3 Mc Mahon Subdivision Comments: Affadavit Attached: '(' ) Letter Attached: ( ) Approved: Disapproved: ~. ,,~~] Date: Date: Department Worksheet: P MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES Type of Inspection: CMRO Property Owner: James II. Weaver VA FHA CONV Mailing Address: Name of Buyer: SRA Box 1568K, Anchorage, AK Robert K. Baus Day Phone 349 2418 (Home) 862-7183 (Work) Mailing Address: P' o. Box 4377, Mt Edgecumbe, AK 4. Name of Lending Institution: Coast Mortgage Co. Mailing Address: P. o. Box 1200, Anchorage, AK 99510 Phone Alaska Associated Realty, 5. Name of Realtor or Agent: Mailing Address: 4467 Business Park Blvd., Anch Phone Day Phone 747 6748 279 0665 274 3556 6. Legal Description: Lot 20, Block 3, McMahon S/D Location: Furow Creek Road, off of Huffman Road 7. Type of Facility to be 8. Water Supply Type of Supply: ,nspected: Single family No. Bdrms. 4 Public Utility Individual x If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date Of installation If Individual, number of dwellings presently served 91' 1972- Individual (on-site) x EQ-037 (1/74)