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Home My WebLink AboutBROADWATER HEIGHTS BLK 3 LT 2' 050 i 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 .... C IPHONE / []NEW Z LEGAL DES~IPTION LOCATION , NO. OF BEDROOMS ~ Z Manufacturer ~~ M ' ~_ ~ . om~ments Li~~i~allons. IF HOMEMADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~_~O Z ~ Manufacturer ~/~-~ ~ Material Liquid capacity in gallons ~ ~ "°'°flines / Len,~hl~ Total fl~ mren~idt" Distanceb',~2 " ~ Top of~ toZin~ grade ~.ial ben..h.e -- ~"-- ~ ?~W ~ ~ ~*~nches Total effective a~sorptio, area ~ Length-- ~ Width Depth PERMIT NO. ~ Type of crib Crib diameter ~ Crib depth Total effective absorption area , -/ , ~ Well Building foundation Nearest lot line ~ DISTANCE TQ: ~ Class ~X~ [~' ~/~ ~Depth Driller Distance to lot line PERMITNO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER ~ ~ ( SOILTEST ATING/ ,~ . ~ ~ ~ INSTALLER~ - ~.~ ~., ,,~. A. ~ "7 ~ ~ '..., ' - I I APP OV ~ DATE LEGAL ~,.t~:;~ ~'"' ~'"'~ ............. '?'~'" 7~-o~ ~ (R~. 3/78) ~ .... F'EFi:H I T NO. DIZPFIRTH[.:.'NT HEF:I_.TH FINE:, ENV !F,::ONHENTFI[ .... :;~:OTECT ! ON 8;71!; "i.... '" :F:;'T'I:ELEET., FINC:HOF..:FIGE, RK. ;;.:::64-4..'?20 C'_'* ?-,~ .......... Z:.'!: ][ T' ;:~:: :Fi,; E.:.'E il..,..~ E-~ F;.". Ut F" *:,:b ~::;~;: ~:..::~ E;:, E.:.,.:: ..IF::" EC tf;;?.' ~P"II ][ '"'11 .... ':: :B;.20]:62 ::, . F!F'F'L I CFI,NT L 0 C: R "t" I 0 N LEGF,'L, SF!NE:,"r' (:::L..~RK .'E;F:F! ::LD6X E. t~i:. .SK'.¢L. I NE [:,El. LO'T' ;12: B[..K ]: [.:.:ROFI[:,I4FITER HTS. LO'T' SiZE T'.:.'PE C. IF' SOIl.... BE,'SC~RP"r'ION :.:.i;'¢STEM IS: 'T'F.:ENCH I'"tF:th,:IMIji"I Nt...IME~ER (]F' BE[:,i:~.:OOMS .... S 01 L R F!'I" I N G ,:: :iii; Q F 'T',-'B R ) = :1.2 TFIE RE~;!L!.'[F?.EE:, SIZE OF THE SOIl.... RBSORF'TION S'-r'E;]"EH .'i.'S: [:::,, E F" -T !.q == :2L :::L ~ .... E; .t'..I C~ l- H :-.-:= ;.:z:_: iii Ci [:;:: Fi ,.,m E: L_ []::, E:Z F' T' l...-~ '.:=:~ "F .... 'T'HE LEf'.,IGTH f} :i: t'"!E'N'~; ]' ": H I :.:.'; 'I"HE L..E!'.~,C.i]"H ,:: I N FEET ', OF THE TF::E!'.,ICH THE DEF'TH OF FI TF.:ENCH OR PI'T IS THE D ZSTRNCE BE]"HEEN THE Si...!RFFICE OF.' TH!iL'-: GF.':OLIi'.,!E:, Ri'.,tE:, 'THE E',OTTOH OF TFtE EHCFIVFITIO!'.,I ,:: II",! F'EET). THEF.':E IS 1'.,IO SET I.,.!]:E:,TH FOR TRENCHES. THE.' G!'q:I:~.',,,'EL E:,EPTH IS THE MINIHLIH [:,EPTH OF c-,';,-,,,F _ ............ ........ .~r..n,..:._ BETI,JEE!:t'.,I THE O I""F'F t ,C, TF.:,~c:' FINE:, ]"HE BOTTOM OF THE E:;'::CF!',,,'RTTOI'.,! (IN FEET). r' I::.M ti . FIF:'F'L. I CF!t",IT .aFl':: THE RE':SF'E N'Z I E: I L..I. T t 'T'O 'r NF'ORM 'T'H t S DEF'FIRTi"tENT !}UF.': I I"~G tN.'.:i!;TF~LLFITZON !NSPEC'T'ZONS OF F!.N'¢ HEL. LS RDJF'ICEI'-,IT TO TH]:S F'ROF'EF. FF'¢ FIND ]"HIE NL.IHE:EF: OF' ,r';i:ESIE:,ENC:ES ]"HFtT THE 14ELL. 14ILL SEF.:'v'E. Ei:F:iCK,~':' t L.L t NG OF F:IN"r' S'¢S'T'EM t.,.I ! "I"H(:)UT F I NRL I NSPEC:T ! ON FINE:, I::IF'PF.':OVFIL E:"r' TH I ':2 DEF:'F:!?;;:TMEI",IT !.,.!IL.t... BE SUELIECT TO PF-:OSECUTION. H I !",!.'[ HL!I"! E:' I Z'!"FINC[::: E:ETHEEN f::l t.'.tELL FII",II} FIN'¢ ON-S I 'TE SE!.'-tFIGE E:' I SF:'OSF:IL S'¢STEr,! i S ZOO FEET FOR F! PF:I',,,'FITE HELL OR 150 ]'.'0 200 FEET FROM !::1 PLIE',L. ZC: NELL E:,EPENDIN(;ii UF:'OI'.,! THE T"r'F'E ElF' F'UBL!(": 14EI_t. .... H I I'-,11MUt'"! D I s"rn~.,iC[~:: F'ROH FI PR I ',,,' F!. - [:. . t.,,[':"L i_ 1"0 Ft F' F.." [' 'p,",T. E SE!.,.IER L ! I'.,IE t S ~_':: ...... .. FEET .:: t'..[', TO Ft COHH. UI'.,!ZT'¢ SEI4ER L.!t'.,tE IS 7'5 FEET. cr'!"HER F..'E~::!LI!REHEf'.,!TS l"lFl':r' FIF'PL'¢. SF'ECIFICFr'rIoN::,5 FINE:, C.:OI'-,ISTRUCTTOt'.~. DIF:IC'~RF:IH.'::!; FIRE t::t?I:::t .'[ L..F!ErLE TO I NSLIF.:E PROPEF.: I NS'T'FILJ....F!T I ON, I C: E R T I F'"¢ T H FI"F :1.: I i::!M !:::'RMILIRR f4t"I"H THE RE(~.!UIRFMENTS FOR (]~N-...S]:TE SEI4EF.::~; FIND t4EL..LS F.~S :!.~;E'.'T FOr.;.'Ft"H E?-r' 'T'HE Mt...tF,! I C I F'RL ! T'-r' OF' F~NCHORRGE. 2 I I.,.tIL. f~ tN"Z]"F~LL THE =, -¢ :, F,.,,.M ;IN F]C:(::OR[,FINZE I.,.IITH THE E:O[:,E:S. 2: I UNDERSTFff.,!D TFIFIT THE ON-SITE SEWER S'¢S'f'EM !',1R'¢ REC4UIF..:E ENLFIRGEMENT IF' "t"!.4E F;~:ESIDE]'.,iCE tS F..:EMODE!.,..ED 'T'O INCLUDE MORE THRN 2: BE[:,ROOHS. [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99§01 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 ~4 5 7 13 14 17 2O Robort A. No, SLOPE SITE PL ( E IF YES, AT WHAT DEPTH? / :Z. . f Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) COMMENTS TEST RUN BETWEEN 72-008 (6/79) CERTIFIED FT AND -- FT G" TER ANCHORAGE AREA BORC ~H HEALTH DEPARTMENT '~T0 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM 499 LOCATION SEPTIC TANK: DISTANCE FROM WELL /L~ //-~" / LIQUID CAPACITY /~-~ GALLONS. NUMBER OF MATERI~L ~'~'~'~--~/~ COMPARTMENTS INSIDE LENGTH INSIDE WIDTH____DEPTH SEEPAGE SYSTEM: SEEPAGE PIT:. / NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH //./7~' LINING MATERIAl ~ E? ,~-'".--)' c//J::~/.,"~.~" '"/~".~/ "2 DISTANCE FROM WELL ?/~/9 7 / NEAREST LOT LINE.,~_ _~,~_;"~'~- ~..~ ~'2 ~' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH ,/~/' , DEPTH , BUILDING FOUNDATION ~-~-' , SQ. FT. TILE DRAIN FIELD: NUMBER OF LINES ..~,- ISTANCE BETWEEN LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL B~ IN. ABOVE TILE W E L L: "~/~'d~'~'~'~- TYPE ~'~'~//~-:~:-~¢-~ DEPTH ~'-~'~ / DISTANCE FROM WAYER . , BUILDING FOUNDATION ~"-P~' / SAMPLE ,~ NEAREST LOT LINE /~' /'Tz~ NEAREST /~,:~ ~.. SEPTIC / SEEPAGE / OTHER SEWER LINE./, , TANK /~"'~/g' , SYSTEM ./~(~7 , CESSPOOL./~--~ SOURCF_~/~.~]~-~r~:~ DISTANCES: DATE APPROVED DIAGRAM OF SYSTEM ,~' ~' /HL~LTH AUTHORITY GAAB-H D-2 GREATE 327 Eagle St. ANCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 ROUGH 279.2511 Case N o. ~ ~cQ ~ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS "" LOCATION OF INSTALLATION APPLICATION TO INSTALL: SEPTIC TANK'. ~ '" L'"~ ' , SEEPAGE PIT--~ ,DRAIN FIELD TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS PHONE NO. , oTHER THIS IS TO'SERVE AS '~/' '. . . AS DESCRIBED BELOW, .SIZE OF TO BE SERVED .. SEPTIC TANK SIZE / ~..,~-O ~'~YPE AREA ... TYPE , PERMIT TO INSTALL A , ~c~ 5~plAGRAM OF SYSTEM HEALTH AUTHORITY OR LI CENt;ED DESIGNER I certify~ that i am familiar with the requirements of GreateLAnchorage~?Area, Borough Ordinanqe No. 28'68 and that the above d'escrib~d system is in accordance with said co~0Ve/--/---' (iREA'I'ER ANC. HOI~,A~E AREA BORO[' ItEALTll DEPAkTHENT 327'EAGLE STREET ANCHORA,~E, ALh, KA 99501 CASE Performed For ?,~.,~., //..,<., :~, / ,x Date Perfo~med ,v .... -'zz ~. :- /~' - ' L~ff'cl Description' Lot Th.la Form ~e:o~ts a: oo.~.ls uog ~-:. .~'ercolat~on Tes't Depth /3', ~ Was Ground Water Encountered? If Yes, At What Depth Readlng Date Gmoss Time F,-"ot>os ed I nstallatlon: Seepage t>~ ~ ~)pain l":ield Depth Of Inlet ~Dep't?--7 To bottom Of Pit Or T~"ench COMMENTS: .... Test Performed B : ';-' -,. // --<'/'- ' Dat'a Certified Time Time e Date Date Date Inspector Inspector Insp~.ctO3'~q. Comments ~ Conditional Approval ~ ~ ~ Approv~ Date Sewer Installed Permit No. ~~ Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property'Owner '~~ ~~ ~on, ...... Buyer }~ ~ ~ , Address ' '~ ~ ~ I - Legal Description ~ ~. ~ ~, ~ , ~-~;,~_ ~ /~~ ,,Wa~upply ' ~ndivldual A~ACH WELL LOG. A well log is required for all wells drilled since June ~Community 1975. For wells drilled prior to that date, give well depth (attach log tf ~ Public Utility avalla,ble.) Se~a~ Disposal ~ Individual Year Indlvldual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank ~ , NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. . CHI~MICAL & Gl ~GICAL LABORATORIES, JLASKA, INC. Drinking Water nalysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: Water System Name Mailing Address City State Mo. Day Year Zip Code Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long n transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received SAMPLE TYPE: r-1 Routine [] Check Sample (for routine sample with lab reL no. [] Special Purpose [] Treated Water [] Untreated Water Analytical Method: [] Fermentation Tube r~' Membrane Filter SAMPLE NO. I I I Time Collected Lab Ref. No. Result* Analyst Collected By I ~ I r-I-1 I ~ I FT~ *No. of colonies/lO0 mr or NO. of Positive portions READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 197E BACTERIOLOGICAL WATER ANALYSIS RECORD Dste Collectect Source aomo Date Received Time Recelvecl __ 13.m. Lab. No. Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mi 0,1mi 24 Hours 48 Hours Conflrmet, ory 24 Hours 48 Hours~ EMB Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Membrane Filter Results Reported By Broth 24 hours: Broth 48 hours: 10mi Tubes Posltlw/Total 10mi Portlonl Collform/lO0ml BGB Collform/100ml Date Time: l.m, p.m. EXCAVATION RoBERTA, SHAFER WORK CIVIL ENGINEER 694-2979 February 14, 1982 , ~ MUNICIPALITY OF ANCHORAGE ;--%"r ¢'"': ':F"i.'T'~ ^. ENVI~, L' :r~ /.l',or'.;.' I Cook Inlet Realty ATTENTION: Ann Lipson 619 East 5th Anchorage, Alaska 99501 Dear Ms. Lipson, RECEIVED Reference: Lot 2t Block 3: Broadwater Heights Subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and the maximum sewage removed was approximately 500 gallons. However, a considerable amount of sludge was left in the tank. since the size of the septic tank could not be verified through the pumping operation the tank will have to be excavated to expose the inspection ports and both ends of the tank in orde~ to verify it's capacity. When this is accomplished, the inspection ports should be removed and a complete cleaning of the tank accomplished. If the capacity of the tank is less than 1500 gallons an additional tank to increase the capacity will be required. The seepage pit was full of water and after adding approximately 200 .gallons the water began backing up into the septic tank. Approximately 900 gallons of water was removed from the crib and after measurements were recorded 900 gallons of fresh water was placed back into the crib. At the end of a 24 hour period measurements indicated approximately 580 gallons had percolated out of the crib. At the end of an additional 24 hour period approximately 300 gallons had percolated out of the crib. It can be conCluded from this test that the seepage pit is adequate for approximately three bedrooms and will require upgrading for the five bedroom duplex located on this property. SRB 196X EAGLE RIVER, ALASKA Page 2 If we may be of further assistance, please do not hesitate to call. cc: Alaska U.S.A. Federal Credit Union ATTENTION: Fred Smith Municipality of Anchorage Department of Health and Environmental Protection · Accounting Fifth Floor FROM ,UBJECT Request for Refund DATE 8 Pleaee make the arrangements for a refund for the following: Receipt ~083844: Ann Lipsnn 1806 Bowdon Circle Anchorage, Alaska 99504 Inspections were not done and the request for health authority approval ~ heen~one through the lending insitltion as the deal fell through. Thank you. SIGNED Laura Ward Redi~rm · 4S 471 P. oly Pak (50 sets) 4P471 SIGNED SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY DETACH AND FILE FOR FOLLOW-UP DATE · MUNICIPALITY OF ANCHORAGE · -: ~'~. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEOET/~,-~t~"~r~,~,'~-'~*.~-~,-,.,. /~~~~ 825 L Street--A,=hor,~, Al,,k, 99501 ~ Telephone 264-4720 _ _ tNDIV 1- PROPERTY OWNER~ . " '" ~ · PHONE ' . . MAILING ADDRESS 4 ~ ~ -~- ' '~ ~ ' ' ' U ' · ' PROPERTY R~S~DENT'(If differ~nt~ro~b~ve) " ,u ' ~ ~ ' 2. BUYER / ~ ......... P~ON~ ~ ' ~AILING ADDRESS ~ ' : , ' ' 3. L NDING INSTITUTION - ; ' ' ! :PHONE ~AILING ADDRESS : - ·I ..... 4. REALTOR/AGENT ~ ~ . ~ ..... ~ ..... ~P~NE' -" ' r MAI LING ADDRESS __ ~__ ' 2. i0(3178i ' 6,- L GAL DEECRIPTION - - - - ' - STREET LOCATION ...... ~' r . 6. TYPE OF-RE~!DENCE ' '" ~ ~ NUMBER OFBEt~ROOMS ..... ' I'''l' S NGLE FAMILY r-I One [] Four [] Other : ' [] Two .[~ FiVe - - ~i~, MULTIPLEFAMILY [] Three ~ Six ' , 7. WATE~'sUPPLY . r · ~ ~ INDIVIDUAL~ ~ATTACH WELL LOG. A welt log is required for all wells ddlled ~ [] COMMUNITY £ since June 1975. For wel s drilled prior to that date, give well " [] PUBLIC UTILITY . depth (attach Iogif availab e.) ~ ~ , 8. SE~VAGEDISPO~ALSYSTEM ' ~" r ' ' ' ' "- . ri ." 'g'~' .... - I j;~ IND V DUAL/ON-SITE** tf indlvldua, lon-s te, give ~nstallatton date, .JIF: ~/ . If syster~is over two (2) years old an adequacy test is required [] PUBLIC UTILITY -,, . r . · by this Department, ' . - NOTE: THE INSPECTIONFEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSiNe CAN BE INITIATED, TIME DATE INSPECTOR THIS SIDE FOR OFFICIAL USE ONLY I NSPECTI ON APPOI NTM ENTS TIME DATE INSPECTOR DATE RECEIVED TIME DATE INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER' SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/O N -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: [] ONE [] TWO PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line · Septic/Holdi ng Tank NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SiX [Absorption Area Line [] OTHER Lot Line 5. COMMENTS DATE APPROVED FOR BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 3/5/74 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Approval requested by: 4. 5. 6. Mailing Address: Property Owner: Mailing Address: Legal Description: FOR VA Coast Mtg Co. P,O,.Box 1200 Anchorage 99510 Richard P, Monteau General Delivery Eagle River Lot 2, Block 3, Broadwater Heights Sub Location: Skyline Drive Type of facility to be inspected Well Data: A. Type Drilled C. Construction Anytime 4/10/74 Duplex Phone: 279-0665 Phone: §94-2798 Standard Sewage Disposal System: No. of bedrooms A. Installed 1971 C. Septic Tank: 1. D. Seepage Pit: E. Disposal Field: Distances: Size 1. Absorption Area 8'x8'x6' Total length of lines B. Depth 300' D. Bacterial Analysis Satisfactory B. Installer Don Handley 1250 gals 2. Manufacturer Stack Steel 2. Material Lo~ A. Well to: Septic tanko 104' , Absorption area Nearest lot line 10' plus , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line 107' , Sewer Lines 10', EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Request for Approval of Individual S~.er & Water Facilities Legal Description Comments A Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 1 2. 'GREATER A,qCHORAGE' ARk,', BOROUGH Department of Environm~..;ntal Oual ity 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO VA × FHA Property Owner: Richard P. Monteau Mai 1 i ng Address: General Deliver,y~ Eagle River A~-- Phone Name nf ~,uyer: Leslie M. Whit£ield Mailing Address: 9~o Anchorage, Alaska 9950~ ,Name of Lending !nsti tuti on: Coas+~ Mortgage Co.mpa~y Da.y P h o n e 333. 58o1__ Mailing Address: P. 0. Box 1200, AnchoraEe:JAk?hOne Name of Realtor or Agent: Admiral Realty Co, 279-n665 Phone 279 8586 Mailing Address: Captain Cook Hotel Legal D~scription: Lot 2, Block 3, Br~adwater Heights S/D Location: Skyline Dr~ve 7. Type of Facility to be inspected: No. Bdrms. .5--- u~+~r Supply Type of Supply: Public Utility Individual If Individual, num'ber of dwellings presently served If Individual, depth of well _ _ x Sewage Disposal' System Type of S~stem: Public Utility If Individual, date of installation Individual (on-site) x _