Loading...
HomeMy WebLinkAboutHERITAGE PARK BLK 2 LT 5 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Sile Wastewater Disposal System and/or Well Inspection Report Permit Number: ,.5/~ 9ZD:~ PIDNumber: 050 Name:~4~l ~ ~ ~ ~ KZ~ Wastewater System: ~New Upgrade Address: ~o/~/ /~ ~/~D D~.~ ~, ~, ABSORPTION FIELD D2~ eepTrench ~ Shallow Trench ~Bed DMound ~Other Total Depth from original grade: LEGALDESCRIPTION Soil Rating:~, ~ ~ GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township:/~ ~ I Range: /~ I Section: ~ Fi,I added above original grade: Gravel length: ~-~ Ft. ~ Ft. WELL: D New ~ Upgrade Gravel~/~ Number of lines: Dislance~tweenlines: ~ ~ Ft. ~ /~ Ft. CMssificafion (Private, A,B,C): Total Depth: ~'To: Total absorption area: Pipe material: Driller: ~/ ~e Drilled; Static Water Leveh Installer: Ft. ~ ~' Y~GPM Ft. · : .u~. s~ ~: ~. C~.,n~ .~¢,*~ov~ ~ro~.~= TAN K SEPARATION DISTANCES ~ Septic ~ HolOing~.E.P. To Seplic Absorption Lift Holding ~rivate Manufacturer: ~J~~ Capacity in gallons: From Tank Fieid Station Tan~ Sewer Lines Well ~/~ /ZOO' ~0' ~1/~ ~/~ ~ Number of Compa.ments: Surface ~//~ )//~ ~/~ )//~ )//~ LIFT STATION Water Size in gallons: Manufacturer: LineL°t ~/~ /~ / // / fi,//~ ~/~/ /~00 / "Pump on" level at: "Pump off" level at: High water alarm ah Cu~ain H~ ~//~ >//~ >/1~ ~//~ Pump Make & Model ] Electrical Inspections podormed by: Drain ~ .... ~o~ Remarks: BENCH MARK Location and Description: EN~~L Inspections performed by: ~ F~ ~ ~ Dates: 1st I~/~/g~ ,nd / ~ ¢~ ~ Louis A. Buler~ - ~'~ Department of Health and Human Services approval Reviewed and approved by: ~ Date: ~-/7 72-013 (1/91)MOA25 Permll No. SW920325 Page 2 of ;~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Illspecti°n Report Legal Description: Heritaqe ~Patk Lot 5~ Block 2 PIDNo.: 050-211-75 1.500 GAL TANK LIFT STATION .CALE ~ ~' 1'=40' ~ HUUSE (FUUND~TIBN) : SWING TIES A - C = 8,5' B - C = 45,2' B:- D = 39.0' B - E = 37,4' B - G = 48,2' Fi- 6 = 50,0' 13 - H = 63.7' F - H = 67.4' ELEVAT[BNS (NOT TO SCALE) N MONITOR TUBE SEWER CLEANOUT LEACHFIELD EASEMENT ~s S~L,, I .... ~... <, ~-:. ~ '; itt ,"-...J' . i, 'c~ 'r ' Il 72-013 A (2/91) MOA 25 AURORA ELECTRIC, INC. ELECTRICAL CONTRACTORS 6636 ROSEWOOD STREET, SUITE A ANCHORAGE, ALASKA 99518 (907) 349-2100 FAX (907) 349-1605 April 29, 1994 Graukeu Coustructiou, hie. 20151 New Englalld Drive Eagle River, AK 99577 Att: Dan Granken Subject: Sewer Lift System at Lot 5 Block 2 Heritage Park Sub Dan: Tiffs letter, per your request, is to alleviate ally questions about the wiring in question, beiug up to national electrical and municipal code standards. All wiring done by Aurora Electric, hlc. ill order to install this system meets these standards and all lnanufacturers specs. To tbe best of my lulowledge the system also meets these standards. If you have aoy questious please call our office. Sincerely, David Cameron Service Manager DCXnh CC: file WPXServlcc~ot #8 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920325 DESIGN ENGINEER:DAVID R. DAYTON, P.E. OWNER NAME:GRANKEN DANIEL J OWNER ADDRESS:20151 NEW ENGLAND DRIVE EAGLE RIVER, ALASKA 99577 DATE ISSUED:10/01/92 EXPIRATION DATE:10/01/93 PARCEL ID:05021175 LEGAL DESCRIPTION: HERITAGE PARK BLK 2 LT 5 LOT SIZE: 20000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ~//~ D. R. DAYTON, P.E., R.L.S. ~x~[~UT~J~]~ Chugiak, Alaska 99567 20210 Donalar Street [907) ~~'~ 696-2417 September 25~ 1992 Lot 5, Block 2, Heritage Park Subd. Proposed Waster Absorbtion System The soils found in both test holes were the same. The recieving soils are a tight silty gravel with a percolation rate of 60 minutes per inch. The allowable loading of 0.45 gallons per day per sq. ft. requires an absorbtion area of 1334 sq. ft. for the 4 bedrooms. The proposed system will util'ize 2 45' x 8' effective depth trenches, with an absorbtion area of 1440 sq,. ft. The lot is well drained from South to North at approximately 3% on the rear t~o thirds breaking into an approximate 25% slope on the front. The subdivision is sekved by the AWWU water system therefore possible well contamination is very remote. The system will have no significant impact on future systems on adjacent lots, reserved space, surface or subsurface,or on drainage. David R. DaytOn P.~; 20210 Donalar St; C~Ugiak; Alaska 99567 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVI$1OI~I RECEIVED David R. Day, on p.t~, ' 20210 D~n~hr St. · Chuglak, Alaska, 99.~67 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS. LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 5 6 7 8 9- 10- 11 12 13- 14- 15- 17- 19- 20- Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN S L IF YES, AT WHAT o DEPTH? E Deplh to Waler Alter Date:~ Z_ j_ MonitodnD? - , Gross Net Depth to Net Reading Date Time Time Water Drop ,, /~.,~',~ ~4 o PERCOLATION RATE ~;) (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~;2 ET AND ~ FT COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPART,,MENT OF HEALTH & HUMAN SERVICES 825 "L Street, Anchorage, Alaska 99502-0650 SOILS,LOG -- PERCOLATION TEST DATE LESAL BESCRIPTION: LOT' ~" Ct.4V- ~.- Township, Range, Section: ~'~- ~ 'r-/4.4,~, f-)l~3-~,l'T'/~-~ ~¢¢,JC. SLOPE SITE PLAN DEPTH "~¢P~,, ~' ~)Z~I 1- 2 - cO] ~'"_ . 3- 4- 5- 6- 7- 8- il- 12- 13- ~4- 17- 19- 20- WAS GROUND WATER ENCOUNTERED? s L IF YES, AT WHAT c~ DEPTH? "'-'""-""- E Depth to Water ./tlt,~r _ ~/~,~Z,~Z._.' Mo,qiloring? ,,~..¢ o ~ Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ {minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __ FT AND __FT COMMENTS ACOORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ¢~.~.~--'. . . 72-008 (Rev. 4/85) 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. # 050-211-75 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Heritage Park Lot 5, Block 2 Location (site address ordirections) 10636 Tradition Avenue, Eagle River Property owner Mailing address Daniel 5. Granken Day phone 694-7492 20151 New England Dr., Eagle River, AK 99577 Lending agency Mailing address N/A Day phone Rnl f Mi 1 'fnn,/,'~nk Whi f~ Agent Address ~-~ n~.~ ~'~^~ ~, .... ~=.~ o~ .... ~- Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Day phone 99577 NOTE: 694-5500 Individual well Community well Public water If community well system, provide written confirmation from State ADEC attests' lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (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 inves!!gation 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. Name of Firm Eagle River Engineering Services Address P.O. Box 773294, Eagle River, Ak Engineer's signature Phone 99577 694-5195 Date DHHS SIGNATURE Approved for ¢ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date 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) Back MOA ~21 Municipality of Anchorage ,/~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A, Well Data Well type Log present (Y/N) ~~'""'~an it a ry se al (Y/N'~ Cased to Parcel I.D. Date of test Static water level Well flow If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Casing height Wires properly protected (Y/N) AT INSPECTION Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ; On adjacent ots~~ ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size /~00 Compartments Foundation cleanout (Y/N) 'J~_~ Depression (Y/N) y~5 Alarm tested (Y/N) /~//~'t /,//~ -~ /~/~'~,3 Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /V//~ On adjacent lots /- '~ To property line j / Absorption field ~ 0 ! Surface water/drainage /~//'~ Foundation Water main/service line / 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons /~ Vent (Y/N) High water alarm level ~/ ~ ~' Meets MOA electrical codes (Y/N) "Pump on" level at YEs Manufacturer Manhole/Access (Y/N) ~/~'/ '/ "Pump off" Level Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot ,A//Y't On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed /[?/ Length cio ~ Width Total absorption area Date of adequacy test ~//>¢ Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) ~),/¢ ~ oO' ~ Total depth /I Depression over field (Y/N) After test If yes, give date /"// Gravel thickness Cleanout present (Y/N) Results (pass/fail) System type /~/0 Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /,.// To building foundation On adjacent lots On adjacent lots /' ~-~)¢) / Property line ~ ~' To existing or abandoned system on lot Cutbank /~////¢- Water main/service line Surface water ,/,I/i~ Curtain drain /gl/~ Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in Signature ~~~-~'~ Engineer's Name Date HAA Fee $ ~2 ~'Z~ ~ ¢/Z~ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number of this inspection. 72-026 (3/93)* Back