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Home My WebLink AboutHERITAGE PARK BLK 2 LT 27 ~ 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 NAME IMA'L'N E5SS''E flq LEGAL DESCRIPTIOI~I r", ,.~ ~ ~ r, ~ NO. OF BEDRO~_.S LOCATION Well Ab~'orption ~ree - Dwelling ~ I PERMIT O, ~ ~ I Manufacturer ~ ~_~_~ Material ~ I ~1 No. of compartments ~ IL q capacity, in gallons ~ ............ Inside length I Width Liquid depth ~ ~ ~ DISTANCE TO ~Well Dwelling PERMIT NO. na ~ Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS INSTALLER REMARKS I APPROVED 72-013 (Rev. 3/78) DATE LEGAL PERMIT NO. [:,EF'ARTMENT 0~' HEALTH AND EN,,'IRONMENTAL PRCTEuTIoN 825 'L' STREET., ANCHORAGE., AK. 9_'9.50.1 264-472f-1'~ CIl'~,,I--S I TE SEI..--IER Pi F~'I"4 T f APPLICANT LOCATION LEGAL DOUGLAS J BENNION L27 B2 HERITAGE PARK 428 E 10TH 9950f LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR)= 295 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 9_ 5 LFf-~l]T! !-- I ~-:~7 ,]RR'..."EL [)EPTH= 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. 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). RED SEPT I r: TRI'-~F-:; S I ZF-- -1 OE~C~ GRLLOIqS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TH,3 <2> I [4SPE,]TI Cff4S I--I~:E REL~IJIRE[:, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL RND RNY ON-SITE SENRGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE NELL OR 150 TO 200 FEET FROM R 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 R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEF-:i'I I T F)-::P I RES [:,F.C:EI'IBER. I CERTIFY THRT l: I AM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF RNCHORROE. 2: I WILL INSTALL THE SYSTEM IN RCCORDANCE WITH THE CODES. ].': I UNDERST~N.D_{ THAT THE ON-SITE SEWER SYSTEM flRY REQUIRE ENLRRGEMENT IF THE RESIDENCE ¢~SRE~ODELE~TO INCLUDE MORE THAN 3 BEDROOMS. ' - .7' S I GNED: ~~5~2~~-~- - 'RF'F'L~NT/~~S J BENNION MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19- 20- COMMENTS PERFORMED BY: ~ SLOPE DATE PERFORMED: ~' SITE PLAN ENCOUNTERED? P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop ' ' ' 0~' PERCOLATION RATE / / (minutes/inch) TEST RUN BETWEEN Z??~ ET AND ~ FT 72-008 (6/79) !~_¢..~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 27; Block 2; Heritage Park June 13, 1986 Location (address or directions (b) Applicant Name Doug Benn].on Telephone: Home 248-2144 Business 564-7101 Applicant Address 3601 C Street, Suite 140, Anchorage, Alaska 99503 (c) Applicant is (check one): Lending Institution []; Owner/builder ~; Buyer []; Other [] (explain); (d) Lending institution Borne Federa'l Savings & r,oan Telephone Address Anchorage, Alaska (e) Real Estate Company and Agent Re/Max - Audrey Mason Address Eaqle River, Alaska (f) Telephone 694-4200 id ~l,[~the HAAtothefollowing address: S & S Enqineerinq SRB 196X Eagle River, Alaska 99577 TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms 3 Other WATER SUPPLY individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 ~ENGINEERING FIRM PROVIDI[~.iNSPECTIONS, TESTS, FILE SEARCH, D~..~.~[ AND INFORMATION 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 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. Name of Firm S & $ ENGII'~i~t~ING Telephone _~?'.~'~ ~_~,~2 SE B 196X Address Date F. AGLE RIVER, AK 9957'7 JL/i~l I 6 l,q~6 DHEP APPROVAL Approved for .7-J , 9 edrooms Approved ~ Disapproved Terms of Conditional Approval Conditional Date CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the Sta. te of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending 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 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Descril~tion: DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION jun ',? 1986 WELL DATA Well Classification Well Log Present (Y/N) Total Depth Static Water Level Cased to Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances ~om.~A/ell: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by If A, B, C, D.E.C. Approved~)N) Water Sample Test Results Date Completed Yield j~//'/L,D,D_kepth of Grouting . Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ~:~'4) /.J~_. ; On Adjoining Lots ~ k ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot Comments ; Date B. SEPTIC/~G TANK DATA Date Installed \o-~.-~?.~' Standpipes~N) Air-tight Caps ,~/N) Depression over Tank (Y/~ Pumping/Maintenance Contract on File (Y/N)~| Holding Tank High-Water Alarm (Y/N)/~'~ Separation Distances from Septic/,Hol~ Tank: To Water-Supply Well To Property Line To Water Main/Service Line L ~ ! ,..4-- Course Size I ~ No. of Compartments Foundation Cleanou4~/N) / Date Last Pumped L~ ~ ; for Temporary Holding Tank Permit To Building Foundation ~ ! To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ ~ - 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 To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area ~..,c:) ~ '-'Jr~/=~¢....~-''* Type of System Design Length of Field I\ Depth of Field ,~¢V~, Gravel Bed Thickness /1~ ¢~ Standpipes Presentd~N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots .-~ /.j~ To C~utbank (if present) Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at p/7~ High Water Alarm Level at Tested for / Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Cheek Permitted Bedroom Rating Against HAA Request ** I certify th_aU b.av~ ¢be_¢ked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ~ ~]6X Date C°mpan~Gj.F' ~,JVF__~,, Al( 9~77' MOA No. Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84} DEPT. OF ENVIRONMENTAL CONSERVATION / ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA g9501 BILL SHEFFIELD, GOVERNOR Telephone: (.907) Address: 274-2533 DATE: June 24, 1986 PWS I.D.# 212291 To Whom it May Concern: According to records on file in this office the MOA EAGLECREST - HERITAGE HGTS. Water System is in compliance with the State Drinking Water Regulations Sincerely, Michael P. Lewis Environmental Engineer APPLI( :NT FILLS OUT UPPER HAl.., ONLY : ...... ) '~ j'~[:~_[ j~) i~,.~ ~ ~ ) ?L_,~ Phone ~Prc~pert~ Owner ~('-/X.2~C-.,Z~ Buyer ~ /:~ Address Zip Code Phone Lending Institution ~ ~.) Address Zip Oode ~e~lly 0o. & A~nl . Phone .~ Zip Oode Address Legal Description . Type of Resi~nce ~ingle Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975. ~ommunity For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: g Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date?3- Inspector Inspector Inspector In s p ect o r/,..,~ Field Notes: MUNICIPALITY OF ANCHORAGE ENVIRONMSNTAL PROTECTION, *OONDITIONS OF APPROVAL ( ) APPROVED BED.guMS ( ) DISAP~OVED ( ) CONDITIONAL APPROVAL' DATE BY: Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received 72-023