The URL can be used to link to this page

Home My WebLink AboutBRUIN PARK FIRST ADDITION BLK 5 LT 26 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 MAILING ADDRESS ' : LEGAL DESCRIPTION LOCATI / Absorpti ~ . ~ Dwelling PERMITNO. DISTANCE TO: I ~ ~ ~ Manufacturer Material No. of compartments ~ ~ Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth ~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ Z O Z < Manufacturer Material Liquid capacity in gallons ~ Well ~ Foundation ~ ~.~ Nearest lot line PERMITNO. ~'~Z ~~ Distance betw~n lines ~ No. oflines Length ofeac ine~ Total length of lines Trench width ~ ~ ~¢ ~ ~ ~ ~ inches ~ ~ ~ Top of tile ~o~inish grade Material beneath tile o~ ~ ~ ¢ I ~ ~ Totaleffectiv bs--- io~a~ Length Width Depth PERMIT NO. ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ¢ DISTANCE TO: M Class Depth Driller Distance to lot line PERMIT NO. ~ ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) ~ ~ OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER ~ APPROVED ~ t DATE ~EGAL 72-013 (B~ ' 3/78) I:::1!:::'1:::'!. i1: C: f::lf",!"l" i.,.0(::1::1"1' :1: i"ii:::11>::'i'1"t1...ti"t t',t..til~.::',::t .... (:11::' ::::::::::::::::::::::::::::::::::::::::: ::ii: ..... ...~'~' DA:rE RECEIVED INSPECTION APPOINTMENTS (,~ ~._~ ~ TIME TIME TIME DATE DATE DATE ,NSPECTOR ,NSPECTOR ,NSPECTOR( MUNICIPALITY OF ANCHORAGE ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVl RONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE Richard W. HarnellI 344-4249 MAI LING A DDR ESS SRA Box 1778M, Anchorage, Ak. 99507 PROPERTY RESIDENT (if different from above) PHONE Corner of Lake Otis & Willene Drive 2, BUYER PHONE Emily D. Werder wk 277-6551 MAILING ADDRESS not known 3. LENDING INSTITUTION I PHONE Rainier Mortgage , c/o Judy VossI 279-0665 MAI LING ADDR ESS 4797 Business Park Blvd, Anchorage, Ak. 99503 4. REALTOR/AGENT PHONE Sidsel Bergmann, RE/MAX PROPERTIES INC. 276-2761 MAILING ADDRESS home :~q-~ I bU 2702 Gambell St., Anchorage, Ak. 99503 5. LEGAL DESCRIPTION Lot 26, Block 5, Bruin Park #1 STREET LOCATION Corner of Lake Otis and Willene St. 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY upgraded in 1979 YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-O10(Flev. 6/79) BOB: Water faucet is in back of house near the gas meter. LAURA: Please mail this approval to Rainier, Thanks. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified [~Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: [] ONE [] TWO PERMIT NUMBER NUMBER OFBEDROOMS DEPTH OF WELL DATE DRILLED LOG RECEIVED [] THREE [] FIVE [] FOUR [] SlX [] OTHER PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line MATERIAL 5. COMMENTS [Z:[~-'APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE 72-010 (Rev. 6/79) , MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & · 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION JUL 2 i979 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~[~ .~.~ D ! DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER"/-~/z i ~HO_N_E MAILING ADDRESS PROPERTY RESIDENT (If different from above) 2. BUYER ' PHONE MAILING ADDRESS 3. LENDING INSTITUTION I PILIONE I MAI LING A DDR ESS MAILING ADDRESS ..LEG/~,L DESCRIPTION TYPE OF RESIDENCE ~SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five [~ Three [] Six [] Other 7. WATER S~,JPPLY r~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY '81 SEWAGE .~JSPOSAL SYSTEM I~ INDIVIDUAL/ON-SITE** * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) **If individual/on-site, give installation date /.¢_,~t_,__~". q,~. If system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department. NOTE: 'THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOI NTM ENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE 1NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified I--~Sep~i~ji3~k_or [] Holding Tank Size: /~"~/O If Tank is homemade give dimensions: TYPE OFTANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING Septic/Holding Tank IAbsorption Area [Sewer Line Nearest Lot Line 5. COMMENTS ~t ~, '.~ ~ ~ ~, ~ [] CONDITIONAL APPROVAL (letter must a/c~oyp/al~ertificate) ~ I~ /~ LEGALrDESCRIPTION, .~ 72-010 (Rev. 3/78~)~'~ July 26, 1979 Marie M. Barnard 5850 Cordova-C Ancherage, Alaska 99502 Subject: Lot 26 Block 5 Bruin Park Subdivision Approval for your individual sewer and water facilities can not be granted until the i-'ollowing items have been cempleted: The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for o~n_~ review. Expose the well for our inspection to determine proper construction, also to insure the minimum distance requirements are met between your well and sewer system. The septic tank pumped with a receipt submitted to this office. A percolation test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. Please notify this department for a re-inspection when i-.he noted descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/1 j w August 8, 1979 R&M No. 951261 Marie Locket 3240 East 72nd Anchorage, Alaska 99507 Re: Adequacy Test on Exi'sting Sanitary Sewer System; Lot 26, Block Bruin Park Subdivision, Anchorage, Alaska. Dear Ms. Locket: At your request of August 1, 19792 we conducted a test of the septic system on the above described property, During this test, the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: Time Liquid Level Below Top Total Gallons of Standpipe Added 3:00 53.5" 0 3:07 48.5" 30 3:13 46" 40 3:25 48.5" 40 3:30 45" 50 3:40 47" 50 3:46 45" 60 3:49 44" 65 4:00 46~' 65 4:10 46" 65 4:25 46.5" 65 The meter used during the test was a Rockwell 5/8" standard water meter which had previously' been calibrated by R&M Consultants, Inc. If the two bedroom residence on the property is to house four people, the average load on the system can be expected to be 300 gallons per day or .21 gallons per minute. During the test, 65 gallons were added to the August 8, 1979 Marie Locket Page -2- system which was not totally accepted by the leach field in 85 minutes. Because the house on the lot is occupied, we assume that the leach field was at its normal degree of saturation. We can therefore conclude that the system is not disposing of effluent at an adequate rate for a two bedroom residence. We appreci'ate this opportuni'ty to be of service to you? Please contact us if you have any questions concerni~ng this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. Ernest R. Rahaim Staff Geologist Maager~ ERR;GS/rm MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (Hk~) CHECKLIST - FEBRUARY 1984 (I]AI]3] Well Classification Well Log P~esent (.Y~ Total Depth //5 / Static Water Level Casing Height Above Grolnd Cased to If A, B, or C, Date Completed Pump Set At Electrical Wiring in Conduit (~_ A7 Separation Distances f=om Well: 5o Septic/ olding ank On Lot TO ~arest Edge of ~so~tion Field To Nearest ~blic ~ ,Line ] ~/J Water S~le Test ~su!ts ~'r~c'Tf~/ [ / ] /~ / , i-- SB~ZC~O~DZ~G ~ Date Installed Size Standpipes ~flN) ¥' Air-tight Caps Depression~over Tank (,YL~) ~ Date Last Puf~0ed __-------- Pumping/Maintenance~ Contract on File (Y/N) A//..~ Holding Tank High-Wate= Alarm (,Y/N)A//~ .. Temporary Holdin~ Tank Permit Separation Distances f~om Septic/Holding Tank: To Water-Supply Well /ZCp~ To Building Foundation To Property L:%ne ~ ~.¢ To Disposal Field To Water Main/Service Line /O ~ NO. of Ccmpa~tn~nts To Stream, Pond, r_aRe, c= Major Drainage Comments, , '> ~(:',7/c_ [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~/ ~ Width of Field ~ ~ Square Feet of Absorption A~ea ~9C, De LIFT STATION Type of System Design Length of Field / 7? ~ Depth of Field (z~t Gravel Bed Thickness /~ z' Standpipes P~esent ~N)-' Depression ove~ Field3 ¥' Date of Last Adequacy Test Results of Last Az]equacy Test ~V~¥~ ~z4~ ~:~4z~L~ ,~ 7-~ Separation Distance f~cm Absc~ption Field: To Water-Supply Well //~ To .P~operty Line To Building Foundation ZOz To Existing or Abandoned Syste~ Lot (~o~,-~ ~ ; On: Adjoining LOts ~O~ ~ To Wate~ Main/Service Line /oz+ To Cutbank(if p~esent) To St~eam/Pond/Lake/c~ Majo~ D~ainage Course t~1o ~C TO D~iveway, Pa~king A~ea, o~ Vehicle Stc~age A~ea ~c'>' Date Installed Size in Gallons Dimensions Manhole/Access (Y/N) "P~ Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA "Pump On" Level at High Wate~ Alarm Level at Tested fo~ Electrical Codes (Y/N) ., Cc~ments ** Check Permitted Bed~ccm Rating Against HAA Request ** I certify that I have checked, verified, o~ confc~med to all MOA HAA Guidelines in effect on the date of this inspection. signea .... /-~ ~&~c ~z_~/ Date .