HomeMy WebLinkAboutHIDEAWAY HILLS BLK 2 LT 1200~ A6 ~- ~o
MUNICIPALITY OF ANCHORAGE
DEl-" FMENT OF HEALTH AND HUMAN SERV~ $
Environmenlal Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Address
Phone(s)
LEGAL DESCRIPTION
TANKS
[] SEPTIC [~I~OLDING
Capacdy in gallons
TYPE OF SYSTEM
TRENCH ~ BE[) ~] W. DFIAIN [] C
Fill irade
Gravel length
FT FT
FT
FT--
8Q FT FT
SQ FT
Date Installed
DISTANCES
FROM ~ WELL
WELL
LOT LINE "~--
SEPTIC ABSORPTION
TANK FIELD
/00' ----
FOUNDATION ~
AS-BUILT DIAGRAM ~Show Iocahon ol Well sephc system p~oper:y hnes. IOLffldatloD,
WELLS
PRIVATE [~ OTHER (Identify)
Glasslhcahon (ABC)
FT
REMARKS:
I '~1/I ! __ cedJfy IIl8t IhJs inspeclJoll was perlormed accordin(J 1o all
Municil and es inelleclenthJsdale:
Health Department Approv - ~-~ '" ' Date
ENGINEERS SEAL
.~_~'~ ..: : - ? ~ ~
e J, Cor',vin ,' ;.; )
:o. CE..%t33 /
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~ ;~',;'i BNGi N EER'~"SEA.L)
' / .......... SLOPE S I'I-'L:;/P I'/~1~ - '
7
8
9
10 WAS GROUND WATER
ENCOUNTERED?
11 s
L
iF YES, AT WHAT /// O
12 DEPTH? (~2 p
Depth Io Water After E
1 3 - Moniloring? Date:
Reading Date Gross Net Depth to Net
Time Time Water Drop
14
15
16
17
18
19
Vtsu L I 'o
PERCOLATION RATE __ tminutes/mchl PERC HOLE DIAMETER
COMMENTS
TEST RUN BETWEEN __ FTAND FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFF(CT ON THiS DATE. DATE:
72-008 (Rev. 4/85)
.03 W, 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3910
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O.BOX 6-6650
ANCHORAGE, ALASKA 99502-0650
SUBJECT: Holding Tank Permit Application
Lot 12, Block 2, Hideaway Hills
AUGUST 29, 1986
MUNIcIPALITy OF ANCHORAG~
DEPT. OF dr;~_ L,~ &'q
ENVIRONMENTAl. F'ROTi:CTION
,,SEP g86
R E C E i'¥' 'L D
Gentlemen;
Per the request of our client, Alaska USA Federal Credit Union we
investigated the existing septic system on the referenced lot and
have determined that the system is installed below the local high
ground water table.
A test pit excavated on August 28, 1986 revealed ground water at
6 feet. The bottom of the absorption trench is 10 feet. The
elevation difference between the existing ground surface and the
street is approximately 6 feet making the installation of a bed
system unsafe since effluent from the bed may surface in the road
ditch. The presence of ground water has been observed in the road
ditch at this location in the past.
The residence is a three bed room house and is vacant at the
present.
We request a holding tank permit for this location.
IN, N6 WALL_,
E
Io00
¢o
APPl~}.,rlxl,STl~LY Wq'ht el.o-ri4 ¢APF--. ,oNLy~/~MP x~55U~i~l) HZ/r:tS'~.,'[', BINP-.5,~
January 4, 1982
Gary A. Gortz
2612 Haviture Way
Anchorage, AK 99504
Permit {} 810570
Subject: L 12 B 2 Hideaway Hills S/D
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264.-4720.
Sincerely,
Les N. Buchholz/~R./~.
Program Manager~-~
Sewer and Water Program
Enclosure: Copy of Permit
D[EF'Fff;N'I"IEI'.,IT L I.!IF:I:::IL. TH FIN[::, E:N',,,']:I:~ONHE:N'T'FII .... iFTEC'T'ION
',.:.?,2E:.i '"L.'" STREET., FINC:HC~F?.F:ICH'5 FI!<.
2 6 d.
L.E:81:::II_ L J..S: 8 2 14 :[ [:,EFIHFt'T' H!'I..iS S,.."II:,
L. OT S.1.'2:E ±:i. EH~}EI SC!I...IF:I[~:EE
Th"F'E OF' SCI :[ L.. FiE}:SOf~:F'T ]: CIN :.E;'T'?,TEH T S: [:,RF~ I i",tF 1[ JEll...[::,
THE LENI3'['H [:, I I"IEF,IE; I ON I S THE L[:::I'-,tG'TFI ( ]1N FEET > O1:: THE TF:ENC:H OE'. [:,[~FI 1[ NI:::' I EL.E:,.
THE DEPTH OF' 8 TRIFP,IC:H 8F: I::'ZT IS THE [::,IE;TFaNCE: BE:THEEN 'T'HE: SI. JRF:'F:tC:E OF' 'T'HE
GIROLIHD RNE:, T'HE E',O'TTOH OF THE: E',:'::CFI',,,'F1TZON ,:: :IN FEET>.
'I'HE~ {}iF~:l::~'v'[N... [::,EF'TH ~ S THE H I N Z HLIH E:,EF'TH OF G[~:FI'.,,'E!... [3ETI4EEN THE CIIJTF'I:::I[..L F' I [::'E
FII'.,I[::, TFIE E',OI TOH OF 'T'HE EHCFI',,,'FI'[' 1[ ON ,:1 Z N FEEiT 1:,.
F'EI:Eff'I :[ T FIPI:::'L 1[ CANT I-fi:IS 'FI,qE RE:SF:'ON!E: I D Z L
:[ I",!S TF:IL.L. FtT ]: 0["~ ]: NE;F'ECT Z ONS OF F]N"r' HELJ...S FtD.IF:IC:EI",IT TO TH ]: '.:"5 F'[~:OF'EFN["T' FIN[::' THE:
NLff'IE',E:f:~i: OF F~:E.:.:ES:f.[:."EEI",tC:E~'-""i; THFIT THE'.' HELL. H]:LL
E:FIC:KF" Z LL I t",IG OF Fll",l"r' S'~"E;TEt"I H ]: "['HCil...r'[' F t NI:II_. I I'.,I'.:E;F'E;CT':[ ON FII'.,![:, F:IF'F:'Fi:O',,,'F:IL.
E:,EIZ'FII.~21"HENT klIL. L BE: E;LIE',..irEC:T 'FO F'F;i:C~SEiC:IJTIC!N.
H ]: i'.-I I HI.JM [::, I 5'I"FINCE: BE'I"I,.IEE:I'.,t FI kIEL!.. Fllq[::, FIN"r' CiN-S ]: T'E :~.:;EklFIGE D I SF'O"2, FIL E;"r'E;TEH ]: E;
J..E!~E~ F'EE:T FCIF'. FI F'IR1Z',,,'I:::F['E HELL OFf: ::t. EkE~ TO ;iN2:.~(:~ F'EET F'[~:Cff'l FI F'UDLIC: HELL E:'EF'ENE:']:NC~i
I...IF'C~N '!"ldE: T"r'F'E OF PUBLIC ,t,.IELL.
H.EN]:HIJH D]:.S'I"FINCE F'[E!OH F:I F'R:[',,,'FITE HELL. TO I::1 F' Fi: ]: ',,,' FI T E: E;E:HEF: L..]:I",IE I E; 2E3 F'Ei:ET FIND
TO F:I COH!"tLINIT'~' SE:HE:F;: L]:I",IE IS '7!5 FEE:T.
O'THEt'~: ~E:E{i;!U :[ F:EHENTS HF:I¥ F:!F'F'L.'T'. 'SF'Ei:C: ~. F ~. CFIT ]: ONE:'; FIND CC~NS'I'F:LICT
FI',,,'FI [ L. FI[3LE TO ]: NE;URE: F:'f~'.OF'E:~: ]'. NSTF:IL. LFI'[' :[ ON.
I CEI:;;:TIF'T' THFIT
::1..: I f::ll'"l F'FII"I.I.'L..IFff~'. HI"['H THE [q:E:C:.!IJ:[f;i:E:HEI'.,ITS F:'OFf'. ON'-.S;IT'E SEHERS I:::IND I.,.tEr. L.L:5 I::IS SET
FI)F? TH D'~' 'I'HE P1UN :[ C :[ F'FIL ]: T'T' CIFr FINCHOf;.:FICiE.
2.: :[ HILL. INSTF:ILL THE S'~"E:TE:H 7Et'.,t FtC:COF'.E:,I::INCE I.,.I]:TH THE CODES.
3: ]: IjI',IDEi:;i:STF:IND THFtT THE OI",I<E;]:'I"E ':'.:.;E:ktEI:;~: S'T'E;'/"EH Hl::l"r' [E'.E:{NJ:I:I:;~:E: ENL. F:If~:CJE:hlE:NT Z F 'THE
RE:E: I E:,ENC:E~
:.'i; I GNEE:,: ..............................................................................................................................
Ffl::'F'L.. :[ C!::ff',l'!' GFI[~'.'T' FI.
Applicant: {~J~, ':,, !:
' ,' / / / Phone Number:
Location: //(.., /"~/rp.,,/,'/, ,~ ~ '
~'7 ,;)/: ~I/-?//'/ /'/'"
Legal Description: - ' ,~ ~ ' '
/
Type of Soil ~sorption System Is:
Trench: ~ Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: . '~:3_ Soil ~ating(sq. ft/br) ,. ~ .' /
The Required Size of the Soil Dsorption S~ste~ Is:
DEPTH ::' LENGTH . : ~"' '':/: GRAVEL. DEPTH "~ WIDTH : '"
JNICIPALITY OF ANCHORAGE
Department o J- Health and Environmental ~:otection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * *
~~ ON-SITE SEWER PERMIT
Ci~:~,,3¥; :' / , Mailing Address:
Lot Size:
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 =
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.
Minimum 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. 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 1 9 8 1 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the,~unicipality of Anchorage.
(2) I wil~)install ~ system in accordance with codes.
I un~e.~stand t~a~/t~n-site sewer system may require enlargement if
(3) thJ~i~ence(i~,i~.modeled tO include more ~hat 3 bedrooms;
~'~ ~ . .~,~..
Signe~: .//~::~;i /[~ /<-1'>~, . Issued by; ~
.~ ,~.:'. . ,,../
/Appl~cant/'
Date: ( /4 ; ]
SWP/024(1/81)
~RFORMED FOR,
{GAl_ DESCRIPTION:
FORM REPORTS:
CONSTF'UCTION
TEST LAB
Gary GartZ
Lot 12 Block
El Visual Sails Examination
180r W. 48TH AVE. STE. 'C'
ANCF, ORAGE, ALASKA 99503
248-1333
DATE PERFORMED:
Subdivision llideway Hills
t;i~ Percolation Test 81-1572
6/17/81
{PI'H SOIL
lET DESCRIPTION NOTES
Topsoil
Brovm silty Sandy Gravel
Silty Sand
Damp
Saturated
BOTTOM OF HOLE
~S GROUND WATER ENCOUNTERED Yes
YES, WHAT DEPTH 10'
GEND
-. Parc zone
;- Sample taken
-- Frozen zone
-- Water table
?
GENERAL. SITE SLOPE
ADING DATE GROSS TIME DEPTtt TO H20 NET DRAINAGE
_Gil 7_ZJS_L_. 10: 05 a.m. 4"
........ b_L!J~L_ ...... _~30 ~._jn!.___ 36 1/8" 32 l~g~
RC OLATION RATE: ...... _.4.~_._min/:i nc h
OPOSED INSTALLATION:
MMENTS:
NET TIME
DRAINAGE REQUIREMENTS:
SEEPAGE PIT D DRAIN FIELD D OTHER
297 s f/bedroom
ST PERFORMED BY: K,B.
DATA CERTIFIED BY: Kinney R. Bax-ter
DATE: June 18,~j~gj~]
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVlRONIVIENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAI LING ADDRESS
LEGAL DESCRIPTION
Roger Hama¢~her
SRA Rnx ]96
Lot 12 Block 2
LOCATION
Havitar Way
Well
I DISTANCE TO' ~J/^
~ 2 I Manufacturer
Lu~< ] Greet
~ Liq. capacity in gal ons I ........
1 , 0 0 0 Ir mOME,v,Au~:
~-- ~ ~ Manufacturer
~= I DISTANCE TO: I
~ I N°' °f linesl Length of ~hl line
~ ~ I Top of tile to finish grade
~ 4'
~ Length Width
~ IClass . Depth
~ ~ DISTANCE TO: Budding foundation
Hidewa¥ Hills
Absor P~li°~ ~rea
Inside length
Dwelling 29 ~
Foundation
Total leng~%olf I nes
Material beneath tile
Depth
Crib depth
Building foundation
Driller
Sewer line
IPRONE [ [~NEW
1~5-4 9 - 20 1 I ~ UPGRADE
Subdivision
Dwellin~ } t
Material
Steel
JWidth
12'
Material
Nearest lot line
Trench width
4 8 inches
inches
NO. OF BEDROOMS
PERMIT NO.
780~7
No, of compartments
Liquid depth
PERMIT NO,
780317
Liquid capacity in gallons
PERMIT NO.
Distance between lines
N/^
Total effective absorption area
600 Sq Ft
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO.
Absorpt on area(s)
OTHER
PIPE MATERIALS
4" Nohubcast, 4"
SOIL TEST RATING
150 Sq. Ft/BR
INSTALLER
H&M Excavating
REMARKS
Subdivision is
Plastic Perforate,
on CAU Water
No individual wells
APPROVED DATE LEGAL
!..l!ii]",)(iiTl'J JZ::, :I: i'"Jli~N:!!i; :1: (')N ): ::!i: "t'1 lli: t_..Iii]"4(:~'i'H ':: ]: N t::'!E!:F:i:"!' ::, O1:::' 'i-!"Ilifi: 'I"!:;i:E:Iq(:::H (::tl:;i: DI:RF::! :1: ?',IF: ]: Ii!ii..[:,.
[)l!ii?T!.l Ol:::' [:::1 TFii:!H'.,!C:I..! 01:.i: I:::':[T !:i!il "!'HE[ !]:, ]: :::i: "[ ' !::l i",l ( :: li i: Iiii~Ei:'!'l.,.ll~!:tiii:i'.,I 'l'l'"tli:i: '_'!iil..!i:ii:l:::'l:::iC:l!i: OF:: THEi:
(!&q:OI..!l'.,tD l:::!tq[:, T!'IE: IE?,Ot'TOI"I [)F' THtE Ii~::'0Z:I:::IVF:t'/" L[ (:)N (]:l",! I:::'IEI:.i:T').
'I"IIii:I:RE :[ :!i: I",l(:l S:E:T F.1:1: !:::,'TI'I I::: (:)1:~i:
[!i]:ii:l:::l?!ii].. [) Iii!: F::' T H ]::!ii: 'FJ."ll]ii: f'"]]:J",J]:i"tU!'") I)E!:I:::q"H O1::' I]!il::U::!'v'l]i].... E?,I]iZ't"t.,!E]i!/N -lille (:)UTF:'F:&..[.
THE t!inZrl"!"()!',! ()!::: TI..I!i: I:ii]~.0:]I:::I',,,'F:IT ]: CIN ( ]: N I::'[~:liJ:'F ).
i"! ]: !",! Z[ !'"IU!"I !::, ]: ':'!;'t"I:::INC:Ei: lili;t!ii: I"l,!lii:l!ii:!'.,! !:::I l.,.llii::Ll., f:::IN[:, F:!l",l"r' ON'.~..% :i: '1' l!i!i ::::;t. ii]4l:::l(:!it:'ii: [:, :!: :ii;l:::'()St:::&. :?'r':!i;'l"lliii"! i[ 'iii;
::!.iZu? !::'!!i!]?l" i:::OFi: i;::! !:::'l:;i:.~:',,,'t:::i'l'!]!i:
::?::.?~ -!() 217.n;i!~ I:::'E(ET !:::'!:;i:0!"'1 !:::t I:::'1..!1!?,1.. ]][i: I,.11.:':1...~.. !:)!iii]:::'El",l[)]:i",l(:!i I..1t:::'01",t "l"H!!i: 'l""r'!:::'!ii~ 01:: I:::'lJ!!!i',l... ]: C: !'.iE::!..i
!ii)TI'tli:Fi: l:;i:lli~)]:!l...l ]i I:;?.E:I"IEi]"~IT!i; t"1!:::!¥ I::1!:::'1":'I...?.
i:::l'v?::! ]i L.l:::!?i!;I. ,lili: T'() :( i?i!!;l. Jl:~:Ei: !:::'l:;i:l]~F:'liiiil:;i:
]: (]: I!il i:;i: '? ]] l:::' h" '1" H t:::! t
~!.: ]: F::I!'"! I:::'F::It"I]:I....]:I;::II:;?. !'.!]:'t"H '!"l'!liil
F::','.')!:;;:TH !!?,"r' TH!i: I"ii..11",! :[ C: ]: !:::'!:':IL
;:?: ]Z I.'! :1: !...t.. :[ i",!'J!i;"l'l:::il .L. THE
:Z!i:: ]: l...fl",l[:'l:'ii:t:;i::!!;T!:::ll~',!!:) 'i"HF::!'I"-I"H!i!:
!Rli]::i]i; ]: l)l!ii:i'.,IC:!i!] :[ ::!; !:;i'.!ii:!'"iOl>!i!:l .!!i:D
~i~the drllilng compony, tn(;, · 8901 toloff · box 871§ - anchorago, alaska. 99S00
· anchorage.falrbanka
78A-072
T.H.1
5-8-78
Organic Material -~)
Sandy Gravel with
some Silt (GM)
0.0~
.25'
Ptarmigan Ct.
Lot 12 Blk. 2
No Scale
Test Hole location is
approximate only and
,,~o nc ...... cctah!ished
by survey methods
5.0'
Gcaveil) Sand with
some Silt (SP)
7.0~
Sandy Gravel with some
Silt and many Cobb]es
Auger refusal at 16'
due to boulder
16' T.D.
Roger Hamacher
Log of Test Boring
Lot 12, Block 2
Hideaway Hills Subdivision
Anchorage, Alaska
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL. PROTECTION
825 L Street - Anchorage, Alaska 99501
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILI'rlES
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
DIREC'rlONS: Complete all perts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing,
1. PROPERTY OWNER I =HONE
ITASCA CORP J 3/~0-2011
MAILING ADDRESS
__SRA BOX 916 ANCHORAGE. AI, AKSA 995f12
PROPERTY RESIDENT (If different from abo~e) PHONE
2, BUYER PHONE
13. O t3. e
MAILING ADDRESS
3. [.ENDING INSTITUTION
N.~ .A.
PHONE
276-1132
MAILING ADDRESS
P.~.O, 7-025 Anchorage.
4. REALTOR/AGENT
Al~gk~ QQ~IN
PHONE
MAI LING ADDRESS
5. [.E({AL DESCRIPTION
LOT 12 BLK 2 HIDEAWAY HILLS
STREET LOCATION
HAVITAR WAY
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
[] Other
7. WATFR SUPPLY
[] INDIVIDUAL'
[] COV]MUNITY
PUBLIC UTILITY
* 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 (attact~ log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
'*If individual/on-site, give mstallat~on date. .
If system is over two (2) years old an adequacy test is required
Dy this Department,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
T~SPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BE[)ROOMS
~ SINGLE FAMILY [] ONE ~ THREE [~ FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [-1 SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
--I~ COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
~ IN DI V l DUAL/ON -SITE DATE INSTALLED
E~]PUBLIC UTILITY
Connection Verified INSTALLER
~JSeptic Tank or [] Holding Tank
Size: ~(~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL T0: ~_~. ~-'~. LL
I
Absorption Area to nearest Lot Line
5. COMMENTS
'%PROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL {letter must accompam/certificate)
[] DISAPPROVED
DATE - '
LEGAL DESCRIPTION
72-010 {Rev, 3/78)