The URL can be used to link to this page

Home My WebLink AboutSOUTH LAKEWOOD HILLS BLK 2 LT 1 & 2Z · MUNICIPALITY OF ANCHORAGE DE. ATMENT OF HEALTH AND HUMAN SER~ ~ES Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT I TANKS ~:~_ SEPTIC [] HOLDING TYPE OF SYSTEM "~TR EN CH b~ BED ongirlal grade ~, O ~),O FT /.,cZ, D ET ~ .~'-~ $[~ FT Soil rating / ~ W. DRAIN L~ OTHER I mlal deplh lrom origlrlal grade t~.O Ft ~"O FT .~-,,~ FT WELLS ,~PRIVATE ~ OTHER (Identifv) Date Installed: FT DISTANCES SEPTIC TANK ABSORPTION FIELD WELL WELL LOT LINE FOUNDATION RE~ARKS: I ns peotio~_,~_~d_ ___ by: I $ & ~ ~N~N~IIING cerlJly that this inspection was performed according ~unicipal and State guidelines in ellect on this oae: ~GL~ R~V~, AK 995~ / T2 01G (3/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 7 8 9 10 11 12 ~ 13 14 15 16 17 18 19 20 PERFORMED FOR: ~f~-~-~ ~--~--~--~ DATE PERFORMED: Township, Range, Section: -/-Tc~,/b/ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? s IF YES, AT WHAT ~) DEPTH? p E Depth to Water Altar Monitoring? J~,~.o ~..~,~'i'~.,,Oate: ~ "t~'~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ Iminutes/inch/ PERC HOLE DIAMETER __ COMMENTS .............. //X. , RERFORMED .-- .-- ACCORDANC~i~L/~I~]V~I~p[I~KvlgI~I~"~It_ GUIDEL~ES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) FT CERTIFY THAT THIS TEST WAS PERFORMED IN a. EURFACE ELEVATION MU.,C,.^UTY OF OF.E^'T. A.D 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)., Location (address or directions) (b) Applicant Name ~'f~ ~xc,--~,,~c~ Telephone: Home -,~ ~//~ -j~ ,0~ B~sines$ Applicant Address ~ ~ ~ ~' ~ ~ ~--, ~~'~ (c) Applicant is (check one): Lending Institution D; Owner/builder ~; Buyer ~; Other ~ (explain); (d) Lending institution C~.~¢~,4¢-,¢-~ .,~¢¢-~J~ Telephone Address (e) Real Estate Company and Agent Address 7Z~'_ ~eDhone ~,Z) ~n address (f) ~-i~dl'the HAA to the follow' g . : /ob x Number of Bedrooms Other WATER SUPPLY Individual Well~ Community I-1 Public [] Note: f commun ty we system, must have writter] confirmation from the State Department of Environmental Conservation attesting to the legality and status. ' SEWAGE DISPOSAL Onsite/~ Public [] Community [] Holding Tank [] Note: if community well system, must have written conflrma~.ion from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDIN~ INSPECTIONS, TESTS, FILE SEARCH, DA/A 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 Telephone Address 5 & $ ENGINEERING Date SRB 196X EAGLE RiVER~ Afl, 9~577' DHEP APPROVA Approved for edroo Approved /~ Disapproved Conditional Terms of Conditional Approval 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 State of Alaska. The DHEP does this as a 'c~urtesy 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 (41/84) WELL DATA Well Classification Well Log Present(~/N) Total Depth ~¢:> / Static Water Level Casing Height Above Ground Electrical Wiring in ConduitS'N) Separation Distances from Well: To Septic/Metdfrfg Tank on Lot MUN~CA~)EALITY OF ANCHORAGE (MOA) MUN'~pATL, F~cFOH~EAAL~C~.RC~AUTHORITY APPROVAL (HAA) i~N¥1RONM£N~AL p,~oT~O~.CKLIST- FEBRUARY 1984 264-4720 :OCT 9 7 1986 Legal Description: ~ ~ ~ ~ ¢ *¢, If A, B, C, D.E.C. Approved (Y/N) Date Completed ~' ~ ' Cg Yield Cased to ~ Depth of Grouting ~ ~ ~ Pump Set At ~t~ ( ~¢~ Sanitary Seal on Casing~N) Depression Around Wellhead (Y~ ; On Adjoining Lots To Nearest Edge of Absorption Field on/Lot ~ O c;> 1 -to ; On Adjoining Lots To Nearest Public Sewer Line · e5/~ To Nearest Public Sewer Cleanout/Manhole t~/~' To Nearest Sewer Service Line on Water Sample Collected by ~--~/-~ "~/-_~ t./.} ~¢:~.~ ¢0~ ;Date / ~-- ["~ ~ ~;:~.2 Water Sample Test Results ~/:~ ~ ~ Comments '~::~-~ kl/I ~ '"'"~'¢~-'¢¢ '~¢'¢o'~2~ \, 0 (~.~'¢~'~ B. SEPTIC/kiI,~M~[~ TANK DATA To Water-Supply Well To Property Line To Water Main/Service Line Course Comments Date Installed ~,C::~ ~t [-~:>~' Size Standpipes CN) 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/~di~G Tank: ~ ~-~:;~ _ No. Of Compartments '7-.- Foundation Cleanout ~N) ! Date Last Pumped ~.~v-J ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page I of 2 72-026(11/84) 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 ~, "~ ~ /~ Type of System Design Length of Field ~¢' ~ Depth of Field \ '~ Gravel Bed Thickness '~ Standpipes Present~) Date of Last Adequacy Test To Property Line To Building Foundation ~'~ Lot ['~ ~ ~ o ~J"c~¢¢~¢_.4~); On Adjoining Lots To Water Main/Service Line t. ~ I~¢_ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area TO ~ Abandoned System on Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed S & S ENGINEERING, Date SE B 196X MOA No. ~:¢'"~ C°mpan~LE RIVER, AK 995~ ~0~ Date of Payment /~ '~ '~- ~ Amount: $ 72-026 (11/84) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, AnchOrage, Alaska 99503 274-4561 ~_ i?~ 7&~ Date Received Time of Inspection ~.~ ~.'~0~ Date of Inspection ~/~//~-F REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1 Approval requested Mailing Address: Phone: 2. Property Owner: n~ ~ Mailing Address: 5. Type of facility to be inspected Phone: No. of bedrooms Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed ~ B. Installer C. Septic Tank: I. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line __ LQ-034 (1/74) Page 1 of two pages " ~: 3330 GREATER ANCtlORAGE AREA BOROUGtl Departnlent of Environmental Quali. ty ' "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA F}tA~ Mailing Address': Name of Realtor or Agent: Mailing Address: .i~'~ ~ Maiqing Address: Day_ Phone 3. Name of Buyer: ~-~'~[<. ,-~-~D[5~-~ Mailing Address: ~J~i~]~-.AbO~'~!D Day Phone ~-~ , 4. Name of Lending Institution: L~m~/~ , ~ bio ~t~ '~F~6~¢C~ Phone Water Supply Type of Supply: If Individual, If Individual, depth of Sewage Disposal System Public Utility Individual number of dwellings presently served well /~0( Type of System: Public Utility Individual (on-site) \ If Individual,. date of installation October 22, 1975 R & M No. 553028 Municipality of ~chorage Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 Attention: Mr. Rolf 8trickland Re: Perculation Test on Existing Disposal System, ]Lot 1 & 2, Block 2, South Lakewood Hills Gentlemen: On October 21, 1975, at the request of Mr.'Bill Swain of Jack White Realty Company, our office conducted a perculation test on the existing sewage disposal system located on the above described lots. Mr. Steve Shrader, a staff engineer, conducted the test. On arrival, it was necessary to fill the tank, as it had recently been pumped. Measure- ments indicated a flow from the well of approximately 6.5 g.p.m. The following table represents the depth from the top of the tank vent (approximately 2.2 feet above ground) to the water surface in the tank. Time Depth To Water Surface Remarks' 9:45 <10.0 feet 12:30 7.3 feet .1:10 6.75 feet 1:30 6:45 feet 1:50 7.25 feet 1:56 5:56 7.6 feet Begin filling tank Water off Begin Test End test Meter Readings Time Gallons 1:56 176.6 5:56 367.9 4.0 hours 191.3 (Rate = 0.80 gpm) Municipality of Anchorage October 22, 1975 ~ Page 2 - The meter used during the test was a 3/4" standard water meter which was borrowed from the Amchorage Water Utility. The meter had previously been calibrated and "okayed" for installation by the utility company. You may note that during the progress of the test, the water level fell 0.35 feet in the tank. Also from approximately 12:30 until 1:30 the flow into the tank, and subsequently into the disposal system was at a rate of about 6.5 gpm, and from 1:30 until 1:50, the water level in the tank dropped 0.80 feet, so recovery is quite rapid, and the receiving subsurface material was well saturated at the beginning of 'the test. From the preceeding data, I would conclude that the disposal system is presently preforming in an acceptable manner for a private residence. During the progress of the test, the well. and septic tank were also tied in, with all dimensions in respect to the residence. The distance from the well to the tank is approximately 115 feet, as shown on the attached sketch. The disposal system would have to be either to the north or west of the tank, as the ground rises sharply to the east. If you have nay questions or need any additional information, do not hesitate to let us know. Very truly yours, R & M CONSULTANTS, INC. Ronald J. Reiland Senior Engineer PJR/sc R&M CONSULTANTS, INC. Factory Fill th~ ~etl ~tt ~ith i~ervto~s soil to an)and l~vel. Locate ~e s~tic tank ~aa ~S t~ it t~ sho~ ~f that J 0 2 · °, Consultants Inc. ANCHORAGE FAIRBANKS ALASKA JUN[AU lsa~cs' Pt~pin~ Service Norman R. Tibbetts 1601 TUDOR ROAD ANCHORAGE, ALASKA 99502 272-3731