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Home My WebLink AboutBRUIN PARK BLK 4 LT 5LC) 01 ,- I o'z.- GREATER ANCUORAGE AREA BOROU' Department of Environmental Qu, ]ty 3330 "C" Street Anchorage, Alaska 99503 SOILS LO(} - PEROLATION TEST Performed for Legal Descri p-ti on :' This form reports:-- S-oils 'lo'g ',¥~ - Depth Feet m 7- 8- 9- 10- 11 - 12- 13- 14- ' Was ground water encountered? Date Performed Percolation test If yes, at what depth? Reading Date Gross Time Net Time Depth to Water Net Drop EQ-040 (6/74) Percolation rate minute. ,Proposed installa~o-~-n-:-'--~pa--ge Pit L)rain Field i.)cpth of Inlet . Depth to bottom of ))it or ~rench COI,,it,,IEI~iTS· MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Buyer[~'---[ ; Other~I (explain); Business (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) '....' .)~ ,': ",:!Y '- 2. Type of Residence Single-Family~ Number of Bedrooms Mail the HAA to the following address: ! 3"/-? Multi-Family ~-~ Other ~describe) 3. Water Supply Well~ Community~-~ Public.~--~ Individual Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Dispo.sal Onsite ~ Public .~. Community ~--~ Holding Tank ~-~ / Note: Jif community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. fy [Page 1 of 2] 5. En~ineerin~ Firm Providing Ins~ect.ions~ Tests~ File Search~ Data and Information e tions in effect on the date of this inspection. Name of Firm ~fC~ ~/~ 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 regula- Date DHEP Approval Approved for'2~.~)bedrooms Approved . ~ Disapproved (ENGINEER SEAL) Telephone ~Zw'-~.~'~)~w~ Terms of Conditional Approval CAbal ION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE 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 REQUIRE- MENTS. 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. (DHEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 A4UNIC/PA/IT'y OF ANCHORAC:F: DEPT, OF HEALT:I & '[:NVIRONMr~NTA[ P~OI'r-.:CTION NOV 2 0 RECEIVED ae Well Classification Legal Description: If A, B, or C, D.E.C. Approved(Y/N) Well Log P~esent (Y/~ Total Depth / ~O ~'"'"(~) :~ Static Water Level ~-.5-. ~,..~:; Pump Set At Casing Height Above Ground . Electrical Wiring in Conduit ~) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Date Completed ~.~-~+-~ Yield Cased to ~ ~Depth of Grouting Sanitary Seal on Casing~) Depression A~ound Wellhead (Y~ ; On Adjoining Lots .~/~o ~- //~-/~' ; On Adjoining Lots...~-/mo z ~- To Nearest Public Sewer Cleancut/Manhole /p,~~ To Neare. st Sewer Service Line on Lot /~-~ Water Sample Collected By ~~- . ., Date /~//~,/~z~ ' Water Sample Test Results-, ~ ~/~r/~ ,~.,~r-~/~_/ , ' ' ,~ B. SEPTIC/HOLDING TANK DATA Date Installed ~ Size ,/~-'.'.~ ~-Standpipes ~/N) Air-tight Caps ~) %..' ~.Depression over Tank (YO Date Last Pumped Course ,., Comments .. No. of Compartments ~ Foundation Cleanoot (~'~ Pumping/Maintenance Contract on File (Y/N) 4//,~ ; for Holding Tank High-Water Alarm (Y/N) ~//~--~ Temporary Holding Tank Pe~it (Y~) Sep~ation Distance ~ ~ptic~olding Tank: To Water-Supply ~11 ~'~'~. ~~To ~ilding Foundation.. ~'~ To ~o~rty Li~ ~ ~' -I~ To Dis~sal Field ~E/~' To ~ter ~i~Se~vi~ Li~ ~ ~/ To S~e~, ~nd, ~e, ~ Major ~aina~ / Receipt ~ Date Paid: ~o un t: ~ [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design Length of Field ~ Gravel Bed Thickness ~/ Square Feet of Absorption A~ea ,,, ~ Standpipes P~esent~N) Depression over Field (Ye Date of Last Adequacy Test ~//-~./~ Results of Last Adequacy Test ~p<~-~ Separation Distance from Absorption Field: To Water-Supply Well //~9~ To P~operty Line ~/~/~- To Building Foundation ~/! ~ ~- To Existing or Abandoned System on Lot /U~ ; On Adjoining Lots ~-~/~- To Water Main/Service Line ~-~t' To Cutbank(if present) A/~3- To Stream/Pond/Lake/c~ Ma3o~ Drainage Course ~3 ~- To D=iveway, Parking A~ea, or Vehicle Storage Area ~--~/06- LIFT STATION Date Ins tailed ~. ions Size inGallons ~ / ~ ~ess (Y/N) "Pump On" Level at ! %/,..,../~'"1"-Pump Of f" Level at High Water Alarm Level a Vent (,Y/N) Tested for /, Pumping Cycles during Adequacy Test. Electrical Co~~ ) Meets MOA ** Check Permitted Bedrocm Rating Against HAA Request ** I certify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect on the date ~s ~ /;~_~~b~ ....... S igloo Date 2-15-84 ALASKA B UI[ O[lm [1TAL COI1T[ OL $ kUlC $, I[1C. I~nqineerinq F., I~nuironmenlal ~ludies October 22, 1984 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Legal: Lot 5 Block 4 Bruin Park Subdivision Well Flow Test on Single Family Residence A flow test was performed on the well at the above property on October 22,1984. The static water level was at -25.75'. Over 450 gallons of water was pumped at a rate of 5.4 gpm with a drawdown of 40.94'. The recovery time was 90 minutes. I consider this well adequate for domestic useage in this 3 bedroom house. Please contact me if you have any questions. Approved: Sincerely, ~rmenne[ a 1 Scientist 1200 LUcsl 33rd Aucnu¢. Suite [~. Anchoraqe. Alaska 99503,(907) 561-50/40 ~nqm(mnq $ ~nu,ronrn(nto) ~lud)~s II'lC. JUNE 15 1984 DAN HEALY 11031 FOREST ERIVE ANCHORAGE AK 99501 $1~',T.l:R - DAN HEALY ~UY~R - SUBDIVISION - ~J~UIN PARK BID(~ - 4 THE T~PE C~ ABSORPTION SYSTEM IS A CRIB WITH AN AREA OF 384 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GAT,T/"INS C~ ~ ~ DAY. THE SURGE CAPACITY OF ~5{E ~YST~4 IS 724 GALLONS. BASED UPON THE TEST DATA %TIE SYST~4 IS /t2CEFIg~LLE FOR A SEPTIC TANK ADEQUACY THE EXISTING SEPTIC ~ ~D~ OF 1250 IS ADEQUATE FOR THIS 3 ~m]~ROC~ ~IYJSE. SOMMERVILLE WELL DRILUNG 11140 Polar Dr. ANCHORAGE, ALASKA 99516 October 24, 1984 Static water level test for: Daniel Mealy Lot 5, Block 4 Brl~ii.~ Park Sub. Static water level 25 feet below lanai surface° Depth of well 75 feet with 6 inch casing° Bernard ~ommerville, Owner Sommerville Well Drilling GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection .~ Date of Inspection FOR I. Approval requested Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: Phone: Phone: '~"'9~' ~'/,,~~'' 4. Location: Type of facility to be inspected 5. 6. Well Data: e A. Type C. Construction No. of bedrooms B. Depth /~0 / D. Bacterial Analysis Sewage Disposal System: ~,?~/~__~~ ~--~?/~-~ A. Installed B. Installer C. Septic Tank: D. Seepage Pit: E. Disposal Field: 1. Size 2. Manufacturer 1. Absorption Area 2. Material Total length of lines 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line , Sewer Lines EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE AREA BOROUGtt Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA lJ FHA CONV 2. Property Owner: L.~,~.s-//~/ ~ ~<./7~.~/~ /? ~ /~c~, r~<~ _ Maiqing Address: ~S~ ~ ~mx /~... Day Phone. ~/ 3. Name of Buyer: ]~ /~ ~...~ / Mailing Address':~'~m z~-~2z ~ ..~ Day Phone~~/~ ~ ~ ~ Phone Name of Lending Institution: Mailing Address: ._~ ~ Name of Realtor or.Agent: Mailing Address: Phone Type of Facility to be inspected: Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well /~o Sewage Disposal System Type of System: Public Utility If Individual, date of installation ../7/o~.~,~_. No. Bdrms. ~ Individual (on-site) X , , 7 EQ-037 (!/74) Page'2~ 6f two' pages-- Req / t fOr Approval of Indi,vidual S r & Water Facilities ~ - .-Commen,ts Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer ~nd water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ,June $, 1975 File: 4-1 ~r. Wesley Venne IRA Box 1777A Anchorage, AK 99507 SUBdECT: Sewer and water factlltles serving Lot 5, Block 4 Bruin Park SubdlvtsJon. Dear Sir: Before thts department can give approval on ~our loan request for the subject property, certatn Information will be needed: Show proof of septic: tank size. Obtatn a sot!s test to assure that the seepage area has adequate dratnage area. Show proof os seepage area size, and whether tt was backfl 1led wt th gravel. Zf you have any questions, please contact me at 274-4561 extension 137. Mncerely, Robert C. Pratt Envt ronmentel Control ReP/st cc: Ftrst National RECEIPT FOR CERTIFIED MAIL--30~ (plus postage) SENT TO POSTMARK OR DATE STREET AND NO. P.O,, STATE AND ZIP CODE OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN ~k, 1. Shows to whom and date delivered ........... 15~-* With delivery to addressee only ............ 65¢ RECEIPT p 2. Shows to whom, date and where delivered .. 35¢ SERVICES With delivery to addressee only ............ 85¢ D~ELIVER _T0 ADDRESSEE ONLY ...................................................... 50~ SPECIAL DELIVERY (extro fee required) .................................... -- PS Form APr. 1971 3800 NO INSURANCE COVERAGE PROVIDED-- (See other side) NOT FOR INTERNATIONAL MAIL ~ GPO: 1972 0 - 450-743