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Home My WebLink AboutHIGHLAND TERRACE LT 11II NAME 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 ~J~EW PGRADE MAILING ADDRE,~/ ~ -----~~~1~ ~c~- /., I Absorption area / I Dwelling~ /. , / DISTAN~ ~;~'~') ~ I / I '~ ) '" I-~ I Manufacturer ~ ~-~ ~ / Material ~' ~Liq CapAcity n~a ~sl Inside length /Width ~ ~el} ~// Dwell,rig ' 7/Y ~ h Well / Founda ~] / 'NearestJo I~ - ~ ~ I Top of tile to finish grade ~ / Material beneath tile ~. _.~ ~ ~ inches <t- I Typeof crib Cribdiame~rY / /~ Crib depth / Totaleffectivsabsorptj~ -- ~ Icla~ · ~ Depth . Driller O}sta;icetoi8~ ~ D,~ T~: '-'~ildi~g%u~daV~n Sewer Ii?,' Septic tank ~o. o~ .E~,OOM~ Z~ No. of compartments~= Liquid d ep~ It~. PERMIT NO. Liquid capacity in gaIIons PERMIT NO. ~ .-~ Distance between lines ~r6a (.'-~' / / "': ' 2,: CZ:L, OTHER SOIL TEST RATING I N STA_.~. E R REMARKS LEGAL 8&8" ' ' SRB 196)( C ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT A,L,NO ADDRE*/ f ~EGAL DESCRIPTION ' _ _ . ~' DISTANCE TO: ~ Well / ~ ~ Manufacturer No, of compartmente Liq. ebp~it~in ~allons Inside length Width Liquid dep~ ~) ~ DISTANCE TO: Well ~ //, Dwelling PERMITNO. =: -- ~ Material Liquid capacity in gallons ' DISTANCE TO: We'2 ~r~ ~ ~ No. oflines / t_ength~le/ Totallen~s, Trench Distance between lines ~ ~ Top of tile to finish grade .~ ~Total effective absorption area Length Width ] Depth PE~MtT-N~ ~--~ ~ Type of crib Crib diame Crib depth Total effective absorption area f~ DISTANCE TO: Well Building foundation Nearest lot line ~ Class~ / Depth ,., Driller Distance to lot line PER~I~No. ~[ ~ ~ DISTANCE TO: ~ildi~g~ou;daVen Sewerline ' Se~tictank OTHER DATE LEGAL MUN[CIFALiTY 0' ANCHORAGb, :, . ~. Department!' ~ Health and EnvironmentaC -'rotec(;~i~/ ' 825 ~ Street, Anchorage, AK. ~501 /~ ~-~,/~ ' ' ~ 264-4720 ' . '~>~// HAND~ PERM I ' ' b - - :gal Description:-~~~~/~ ....... Lot pe of Soil~sorpgion System Is: Trench: ~ Drainfield: Seepage Bed: Holding Tank: ~ximum N~ber of Bedrooms: ~ SoJ. 1 Rating(sq.ft/br)~ ~, The Required Size of the Soil Absorption System Is: LENGTH -__ GRAVEL. DEPTH __ W I D T H che length dimension is the length(in feet) of the trench or drainfield. The tepth of a trench or pit is the distance between the surface of the ground and ~he bottom of the excavation(in feet). There is no set width for trenches. ~he gravel depth is the minLmum depth of gravel between the outfal! pipe and :he bottom of the excavation (in feet). '* * REQUIRED SEPTIC(HOLDING) TANK SIZE = __//~(3~ GALLONS * * ~mit applicant has the responsibility to inform this department during the ;tallation inspections of any wells adjacent to this property and the number residences that the well will serve. · * * TWO(2) INSPECTIONS ARE REQUIRED * * * ~kfilling of any system without final inspection and approval by this department 1.1 be subject to prosecution. ~imum distance between a well and any on-site sewage disposal system is 100 feet a private well or 150 to 200 feet from a public well depending upon the type public well. Minimum distance from a private well. to a private sewer line 25 feet and to a community sewer line is 75 feet. Well logs are required must be returned to this department withJ, n 30 days of the well completion. :~%er requirements may apply. Specifications and construction diagrams are ~ilable to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 $ B * * * certify that: (1 I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of ~chorage. (2 I wilz~ins'tall the system in accordance with codes. (3 I u~e~st~a4~d that: th~ on-site sewer system may require enlargement if 't~ r~/d~ce ~¢~/remodeled to include more tha/c 3 bedroo~.l~ SWP/024 (1/81) MUNICIPALITY OF ANCHORAGE Department ¢. Health and Environmenta ?rotec 825 ~ Street, Anchorage, AK. 99501 / * * * HANDWRITTEN PERMIT * * ~ Permit ~t :: · . ~-~OR ON-SITE SEWER PERMIT<-,~/ / , ~ ~"E' ' ~P Mailing Address '/~ Applicant //_~ ~. ~/~ Location: /~/~ I/~//: -~/~ . Phone Number: _ L~': ~/~///~ Legal Description: / Type of Soil~sorption System ~s: Trench: ,/~ Drainfield: Seepage Bed: Holding Tank Maximum Number of Bedrooms: S Soil Rating (sq. ft/br) DEPTH The Required Size of the Soil Absorption System Is: LENGTH_ GRAVEL DEPTH ~ WIDTH 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 = 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. 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 dJ. agrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I wil~install the system in accordance with codes. (3) I u~e~s%a¢~d that the on-site sewer system may require enlargement if the re~.~nce ~/remodeled to include more thak 3 bedroQm¢. ~ SWP/024(1/81) MUNICIPALITY OF ANOHORAGE 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ~ BOIL$ PERCOLATION TEST PERFORMED FOR: LEGAL 1 4 5 7' SLOPE ',~-~F E PLAN 10 11 12 13 14 15 16 17 18 19 20 No. 14574: COMMENTS PERFORMED 72-008 (6/79) WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTR? Reading t Date Gross ~mmim__a Nat 'Time Depth to Water PERCOLATION RATE --- ~.0 (r¢inutes/inch) TE.~T R,, ,ETW~EN ___%~ FT A,D --¥~-- FT Net D~op DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRON~ClENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTFI AUTHORITY APPROVAL OF ON-SI'I-E SEWER AND WATER FACILITY 264-4720 GENERAl. INFORMATION (a) Application Date I~.~- ~ ~' ~ ~¢~:~' Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~Jl~¢-"'~ 'k/ I T~cL-~k~,. Telephone: Home ~"J¢~,''5~-- Business Applicant Address ___ ~-~¢L'-. _-~¢--~.L-~"~'~ '-¢"~', (c) Applicant is (check one): Lending Institution []; Owner/builder/~; Buyer D; Other [] (explain); (d) Lending Institution __~_~,~,r//~/_~'.,'///~'¢ o/'_~t~ ,/~Telephone (e) Address __ _~-~/ ~ ~'~ -. ~ /(~./'//~ ~ ? Real Estate Company and Agent Address __~,/~.~£ ~9 /,,~ ~_ Telephone (f) .M~1t the HAA to the following address: S & $ Engineeringl Eagle Rivei',/~laska 995?? , TYPE OF RESIDENCE Single-Family~-~E Multi-Family [] Number of Bedrooms "~ Other WATER SUPPLY Individual WelI/L~ Community E] 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 E] Community E] 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 72-025 [11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, D~.VI-A AND INFORMATION As codified 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 verity 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 (late of this inspection. Name of Firm __ Address _ Date . ~- ' .- Telephone DNEP APPROVAL Approved for ,_ bedrooms by Approved _ D~sa ed Terms of Conditional Approval Date CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health AuthoriLv Approval certificates based solely upon the representations given in paragraph 5 above by an independent professiondi engineer registered in the State of Alaska. The DFIEP does this as a courtesy to purchasers of homes and their' lendin~ 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 7~-825 111/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 MUNICIPALITy OF ANCHO~o~ DEPT. OF HEAL ENVIRoNIvlEN~,, TH & ~'% PROTECTION WELL DATA Well Classification ~, ,F::- Well Log Present (Y/~i) Total Depth ~ ~,/-~, Cased to Static Water Level ~. ~ I ~ Casing Height Above Ground Electrical Wiring in Conduit ~N) Separation Distances from Well: If A, B, C, D~E.C. Approved (Y/N) Date Completed ~P'P'¢-4::~. I'~ ~,,z.~ Yield ~"2! '[" Depth of Grouting Pump Set At Sanitary Seal on Casing ~N) Depression Around Wellhead (Y~) To Septic/I-Jetdff~ Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~ /,A To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results ~ ~-~,~i~-~"f'7~-,L~-1 Comments B. SEPTIC/ELQLD.INC-TANK DATA Date Installed Standpipes(.C~/N) Air-tight Capsd~N) Depression over Tank (Yd:~j Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/1461dln§ Tank: To Water-Supply Well ~" ~, - ~"~ Size ~. ~ No. of Compartments Foundation Cleanout (Y/~) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Property Line To Water Main/Service Line Course To Building Foundation _ ~-'~/~--- To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 ABSORPTION FIELD DATA Soils Rating in Absorption Strata / Date Installed 'Ct ~ I ~ P--~'~*~ /Length of Field Z~¢~"' Width of Field 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 Lot '~'~ To Water Main/Service Line Depth of Field Gravel Bed Thickness ¢ Standpipes Present (~N) Date of Last Adequacy Test I ?..-.~ - ~:,~' To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on ; On Adjoining Lots '~2:~~'~ To Cutbank (if present) Comments D. LIFT STATION 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 that I~ave checked, verified, or conformed to all MOA andJ-lAA guidelines in effect on Receipt No. L~ ~[ qf~ Date of Payment t ~- ~- ~% Amount: $ Page 2 of 2 72-026 (11/84) the date of this inspection. P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MA YOR DEPARTMENT OF t~iEALI'PI & I'IIJMAN ,SERVICES January 2, 1986 Robert A. Sharer, P.Eo S & S Engineering SRB 196X Eagle River, Alaska 99577 Subject: Lot 11 Highland Terrace Subdivision Waiver Request~ WR86-066 Dear Mr. Shafer: Your request for a waiver of the minimum separation distance required between a well and septic tank has been approved for the subject property. This separation distance has been waived to 85 feet. This waiver is valid for a three bedroom dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST TESTPERCOLATION STRUCTURAL & MECFIANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT A. SHAFER December 15, 1985 Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 ATTENTION: Susan 0swalt CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION I]EC 1 6 1985 RECEIVED REFERENCE: Lot II; Highland Terrace Subdivision There has been some confusion over the legal description for this property. For many years the owners believed that their legal description was Lot 2; Block 2; Highland Terrace however, verification by plat map shows that the correct legal for this property is Lot 11; Highland Terrace Subdivision. The on-site waste water disposal system and well was upgraded in September 1983. At that time a waiver from the well to the septic tank of 85 feet was granted by the MOA. Request you now issue the at~ached Health Authority and formally grant a waiver of 85 feet for the septic tank from the on-site well. A well log for the well on the property is not available, however well logs on adjoining properties are provided for your information. The topography in this general area is relatively flat with wells exceeding a depth of 300 feet. Soils are generally clayey gravel (hardpan) and it is our opinion that the horizontal separation distance prescribede by 18AAC72.021 are not necessary in this instance~ Our risk analysis indicates that the well is almost sure to always be free from any form of contamination resulting from household sewage. The septic tank which was replaced in 1983 was equipped with water tight couplings~ If we may be of further service, please contact us. SRB 196X EAGLE RIVER1 ALASKA 99577 EXCAVATION ROBERT A. SHAFER WORK September 14, 1983 Municipality of Anchorage Department of Health ~d Environmental Protection 825 L Street ~ ~ Anchorage, Alas]sa [~3~)1 Reference: CIVIL ENGINEER ,~f~//~/? 4 - 2979 /40,b .'~ o3 ~'''' ~: Lot /~ 5~l-OTrk-~2~ Highland Terrace Subdivision The well located on the referenced property was inspe¢:ted by this office at the same time as the on site waste water treatment facilitY:es were upgraded° A copy of the insp~¢Ition report for the upgrading of the sewer system has previously been submitted to your office. The well casing located on this property terminated approximately 2 feet be].ow the existing grade. Jay Williams excavating was contracted and required to install approximately a 4 foot extension to the well ¢:asing. At the same time a sanitary seal was install, ed on the top of the casing and all wires were placed into cond. uito The ground around the %~ell casing adequately slopes away from the well~ A water sample was also taken from the kitchen sink in the residence located on this p~'opertyo The sample was submitted to Chemical and Geolo.~ical Laboratories of Alaska for coliform bacteria analysis. The results of this test were satisfactory° If we. may be of further service, please do not hesitate to call. S' ~ -- As/ss cc: Vincent Vitale, Attorney at Law SRB 196X EAGLE RIVER, ALASKA EXCAVATI ON ROBERT A. SHAFER CIVIL ENGINEER WORK September 14, 1983 Municipality of Anchorage Department of Health and Environmental. Protection 825 L Street Anchorage, Alaska 99501 Reference: Lot 2: Block 2: Highland Terrace Subdivision The well located on the referenced property was inspected by this office at the same time as the on site waste water treatment facilities were upgraded. A copy of 'the inspeetion report for the upgrading of the sewer system has previously been submitted to your office. The well casing located on this property terminated approximately 2 feet below 'the existing grade° Jay Williams excavating was contracted and required · to install approximately a 4 foot extension to the well casing. At the same time a sanitary seal was installed on the top of the casing and all wires were placed into conduit. The ground around the well casing adequately slopes away from the well. A water sample was also taken from the kitchen sink in the residence located on this p~operty. The samp].e was submitted to Chemical and Geological Laboratories of Alaska for coliform bacteria analysis. The results of this test were satisfactory° If we may be of further service, please do not hesitate to call. / cc: Vincent Vitale, Attorney at Law SRB 196X EAGLE RIVER, ALASKA DRILMNG CC). P.O. Box 42 CHUGiAK, ALASKA 99567 PHONE 688-3199 LEGAL OWNERS BANK OR LENDING INSTITUTIONS CURRENTLY ROLDING DEED OF TRUST HOMEPHONE WORKPHONE DESCRIPTION OF WORK WELL NUMBER ICOMM ENI'S MODEL MATERIALS MATERIALS AMOUNT DATE All charges shall be paid in full within ten days unless other arrangements are made prid~ to,Work. The customer shall pay interest at the rate of two (2) percent per month on any amount not paid within ten days. Failure to pay may result in a lien against the property. THIS IS A RIGHT TO LIEN OUT MATERIALS (FROM ABOVE) OTHER CHARGES PAY 1 HIS AMOUNT J >::