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