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HomeMy WebLinkAboutSTEFFES LT 33A ANCHORAGE AREA BOR ' ;GH Department ~3E;~irs~rneme~ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~'~Ool~;f{ MAILING ADDRESS/~Box 296 Chuqiak PHONE LOCATION VAL~.~J <~'r O~ ~61-b~A ~/~ LEGAL DESCRIPTION Lot 33A Steffess Sub, SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER ~ ~l~J~ INSIDE WIDTH ~.~_~j~ <'q~..e~_~ {.~ NUMBER OF MATERIAL COMPARTMENTS '~ LIQUID DEPTH __.LIQUID CAPACITY /'~0 GALLONS. SEEPAGE Pit: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION__ ADDITIONAL ABSORPTION DIAMETER __OR WIDTH CRIB SIZE: DIAMETER ., NEAREST LOT LINE __ LENGTH DEPTH DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA(WALL AREA) SQ. FT. WELL: TYPE i~ ~'i[[e~ CONSTRUCTION ~'213~i~t A¥~ BUILDING NEAREST NEAREST FOUNDATION __ LOT LINE SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH ~ ~t ~t [/Olx~ DISTANCE FROM: SEPTIC SEEPAGE TANK , SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAl ' LOT SLOPE: REMARKS: Form NO. EQ-031 GREATEr ANCHORAGE ArEA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" ETREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT PERMIT NO. INSTALLATION OF: SEPTIC TANK ~ '' SEEPAGE Pit ~ , DRAIN FIELD ~ , OTHER / d NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK~'~/- CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF FOUNDATION TO SEEPAGE Pit ~{) DRAIN FIELD / SEPTIC TANK TO SEEPAGE Pit WALL /(~ SEPTIC TANK ,SEEPAGE Pi , DRAIN FIELD TO NEAREST LOT LINE. ~ / DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE Pit DRAIN FIELD / E, T,C TA'"K. /'PO' . . SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE, STREAM. EXCAVATION 5 FEET INTO UNDISTURBED SOil. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA eORO/ GH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, ~ ~/~ ~{~L Russell Oyster 694-2774 Civil Engineering Soils 8- Foundations 0 6' E EI~'GINEERING 6' DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 'vw ,~ ~ '7-~-~ ,~:~ SOIL LOG Earl Ellis 333-5240 Surveying Land Development Performed for: Name: ~v/j~k/~ Mailing Address: Legal Description: ~o~ ~ Tel. No. Depth (feet) 0 1 Soil Characteristics 2 3 4 5 G? 6 7 8 g 10 ll 12 Ground Water Encountered: Yes ~ No Proposed Installation: Seepage Pit__ Comments: If yes, what depth Drain Field ~ Date: !R WELL RECORD STATE CF ALASKA DEPARTMENT OF ~iATURAL RESOURES D vision of Geologlcol 8~ GeophysiceISurveys Drilling Permit NO. A.D,L No Anch ~te££e' s 33fl ~_of_ot--of-- s~_~ ~ Wa~ne Sw'on~er ~ Feet Below 4..W~ DEPTH: (fl,ol) 5. DATE OF C 'LETIO ' ~ Irrigotion ~ Rech=rgl ~ . ~ Tilt Well ~ Other: [4,REMARKS: PrOd~C~Lo~ O~ 20 OPM . ~hi, WeD We, driile~ un~e[ my.j.r~sdl,Hon end ,his report Is true toX~~ b~Y ~nowled,e .nd belief; - . ' ~.O. Box 7~O~O4 ~,,a~le l~ive~, /,k. 9957~ MUNICIPALITY OF ANCHORAGE DIIriSION OF ~qVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date Legal Description (include lot, block, subdivision, section, township, range) (a) Location (add~ess or directions) (b) Applicants Nar~ ~°/~;q ~ ~/~w~;~ ~guo~q~r Telephone Applicants Ad.ess ~O~ ~ ~3/~,_ ~/C/.~ ~7 '(c) Appli~nt is (che~ o~) ~nding Institution ~; ~r~uit~r ~ Bu~ ~; ~he~ ~ (e~lain); ~c//e~ (d) ~ing Institution ~j~ ~j-/~ F~< Telepho~ Beal Estate Co. & ~gent Address /g?, Telephone___ (e) 2o Type of Besidence Single-Family ~ Number of Bedrooms Multi-Family~--~ Other (describe) 3. Water Supply Individual Well ~ C~,~'~nity ~ Public ~ Note: If cc~m~nity well system, n~ast have w~itten confirmation frc~ the State Department of Envirorm~ntal Conservation attesting to the legality and ~us. IS the well adequate fo~ the number of bedrocr0s specified in this HAA ~/N) 4. Sewage Dis_jposal Is the ~zastewater disposal system adequate fc~ the nun~)~r of b~dr [Page 1 of 2] : 2-15-84 5. Engi?eerin~ Firm I>£ovidln.g ~nspections, Tests, Data and info~n~k~tion I c~rtify ti]at I hav~ checked, verified, or conformed to all ,MOA HAA Guidelir~s in effect on the date of this inspection. Signed Dat Date 6. D['~ ~proval Appro~d ~ Disap~oved ~ Co~itional ~ ~ The Municipality of Anchorage Depa~tn~nt of Health and Envircnmantal Protection dces not guarantee the continued satisfactory performance of the water supply and/or the wastawater disposal system. ~%is approval indicates that, as of the validation shc~n above, based on the data and info~mation furnished by an engineer registered i~ the State of Alaska, the wate~ supply and wastewater disposal system is safe and fuac- tional for the nm-abe~, of bedrccxas and type of structure indicated. (DHEP SEAL) 7. Mail the HAA to the follc~ing address: KB2/d5/s [Page 2 of 2] 2-15-84 ae Well Classification ~11 Log P~esent (Y/N) MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY O; ANC~ORAO~ HEALTH AUTHORITY APPROVAL (HAA) DE~. OF HEALTH & ENVIRONMENTAL PROTECTION CHECKLIST - FEBRUARY 1984 APR V.,, RECEIVED If Approved (Y/N) ~//~ A, B, O~ C~ . . . . Date Ogmpleted 4-/7-~- Yield Static Water Level ~ ~r",,~, Pump Set At Casing Height Above Ground ~ /(~ Electrical Wiring in Conduit (Y/N) ~ Separation Distances f~om ~11: To Septic/Holding Tank on Lot To Nearest Public Sewer Line Cleanout/Manhole /U/~ Wate~ Sample Collected By Wate~ Sample Test Results Depth of G~outing. Sanitary Seal on Casing (Y/N) Depression A~ound Wellhead (Y/N) ~__ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ~'H,w% ; On Adjoining Lots ~/oo+~ To Nearest Public To Nearest Sew~ Service Line on Lot ; Date ~/~ B. SEPTIC/HOLDING TA~NK DATA Date Installed ~-/~-V~ Size .1000~.~{ No. of Compartments Standpipes (Y/N) y / Air-tight Caps (Y/N) y Foundation Cleanout (Y/N) Depression over Tank (Y/N) /~ Date Last Pumped 3--/5--~ (..-g'~',~/'/~ Pumping/Maintenanc~ Contract on File (Y/N) ~//~ ; for Holding Tank High-Water Alarm (Y/N) ///~ Temporary Holding Tank Permit (Y/N) Separation Distances f~cm Septic/Holding Tank: To Water-Supply We 11 /3 ~ ~C~- To P~operty Line ~5--~r~& To Water Main/Service Line ~//~ Counts To Building Foundation ~-~ To Disposal Field To Stream, Pond, [~%ke, c~ Major D~ainage [Page 1 of 2] C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 9-/~-7~~) Width of Field ~/~t~;0~5 ~ Square Feet of Absorption A~ea ~v~km~ D~pth of Field ~.~ dP Gravel Bed Thickness ~/f~ km0wv% ~ <~ Standpipes P~esent (Y/N) ~ Dep=ession over Field (Y/N) ~ Date of Last Adequacy Test ~e~ults of Last ~ua~ Test ~/~'~?,/~g/~ -~ Z Separation Distance from Absorption Field: To kMte~-Supply Well ~/~ ~'~vom~ To P~operty Line 20 To Building Foundation ~/~mow~ To Existing or Abandoned System ce Lot ~ ~mow% ; On Adjoinin~ Lots '~/~O To Wate~ Main/Service Line ~//~ To Cutbank(if present) /~//~ To Stream/Pond/Lake/c~ Majo~ D~ainage Course ~/~;~ o~;~v~d To D~iveway, Parking A~ea, o~ Vehicle Storage Area ~m Cormrents 6~ /~ /~/~ /~¢~/~ D. LIFT STATION Date Installed Size in Gallons ~//~ "~ On" ~vel a~ /V/,4 High Water Alarm Level at Tested fo~ Electrical Codes(Y/N) Dimensions ~//~ Mardlole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Con,rents Meets MOA ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, coz conformed to all MOA HAA on the date of t~s inspection. Company .~y~ ~.' '~ MOA NO: ~.~/-~,,F KBi/d5/s effect [Page 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPRovAL '(HAA) CHECKLIST - FEBRUARY 1984 ,MUNICIPALITY. OF ANCH(~,P~. GE DEPT. OF HEALTH & I::NVIRONMEN]~AL PROTECTION Well Classification Well Log P~esent (Y~ Total Depth !i MAR 2 '¢ RECEIVED Date C~pleted k~ ~i~.%(3%~ ~ Yield Cased to %.~ .~ Depth of Grouting k~.. Sanitary Seal on Casing ~N) Depression A~ound Wellhead (Y/N) Static Water Level ~t~,(~a Pump Set At Casing Height Above G~ound .~ ~ '' Electrical Wiring in Conduit ~N) ~ Separation Distanaes f~om Well: / To Septic/Holding Tank on Lot. ~ ; On Adjoining Lots ~ To Nearest Edge of Absorption Field on Lot__~~; On Adjoining Lots To Nearest Public Sewe~ Line ~/J~ To Nearest Public Sewer CleanoJt/Manhole ~ To Nearest Sewer Service Line on Lot c B .~¢~,,- ~l~lii%~'~,%~'~.k~ ; Date Water Sample Colle ted ~k~©_%-~"-~r~=~- , Water Sample Test Pesults SEPTIC/HOLDING TANK DATA Date Installed ~/~u/7~J~ Size. /~00 ~/~-~ ,. No. of Cc~p~tments Standpipes (~YN) J. Air-tight Caps (~N) Foundation Cleanout (Y~ _ Depression Over Tank (Y~ Date Last Pumped ~/~/~,~ <'.~',..~,'~-%'~ Pumping/Maintenance Contract on File (Y/N) ~/~; for Holding Tank High-Water Alarm (Y/N) ~//~. Temporary Holding Tank Permit (Y/N) Separation Distances f~cm Septic/Holding Tank: To Water-Supply Well ~b~ (~ To Building Foundation. ~ / To Property Line To Water Main/Service Line course '?-.l~_~ Conlnents To Disposal Field k~t~.~.yA~A%-.\ To Stream, Pond, Lake,, cm' Major D~ainage [Page 1 of 2] 2-15-84 %;a~ .o~ vo~ s3uem~oD' 'D MEMORANDUM DATE: ~/j~ TO: -,'~/.e.ST- FRO~: SUBJECT: 91-010 (4/76) ALASKA l ull Ol m%TAL CONTROL June 7, 1984 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Attn: S. Oswal~ Subject: Lot 33A Steffes S/D NOIlO~lO~d ]~N3WNO~IAN~ ~'¢~OHONV ~^ - ' q On June 29, 1984 this office re-inspected the subject property. A water sample was taken and found to be satisfactory (attached). All conditionals have been complied with: 1)Sanitary seal on new well / 2)Wiring in conduit on new well ~ 3)Well log on new Jell (attached) .t 4)Old well had been previously abandoned, it was not observed 6/29/84 (the location of the old well was torn up by machinery) This office recommends that the locations of new and old well be graded such that the ground surface is level. If this office can be of further assistance, please contact us at 561-5040. Sincerely, L. D. ~ontgc~m~ery 1200 West 33rcJ Aucnue. Suite E~ */~nchoraq¢. J~lasJ;a 99503 ,,[907) 561-50/10 West 33rd Avenue 'Suite B ALASKA 99503 ~l~ene ~76-13~1 ALASKA ENVIRONMENTAL '; CONTROL SERVICr~-~,INC. 1200 West 33rd Avenu~ Suite B ANCHORAGE, ALASKA 99503 Phone 276-1361 SHEET NO. -- OF CHECKED BY. SC^LE ~ \~ ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 276-1361 DEPT. OF HEALTH & EN. VJEONM~NTAL PROTECTION MUNICIPALITY OF ANCHORAGE DIVISION OF ~v-IRONMENTAL HEALTH APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE ..nepal Info--tion p ication (a) f~gal Description (include lot, block, subdivision, section, township, range) Location (add~ess o~ directions) J 0 0 (b) (c) (d) (e) Applicants Address ,~ ~ ~Ufe~ ~3-~ ~ Applicant is (check one) Lending Institution' ~--~; Owner/builde~ ~-~; Buye~ ~-~; Othe~ ~ (explain); ~/~", ~ Peal Estate Co. & Agent Telephone Type, of Pesidence Single-Family ~--~ Numbe~ of Bedrooms Multi-Family t , i Othe~ (describe /~4A ~'~ Ff~,/~ m{...e Wate~ Supply Individual Well ~-~ Community ~ Public ~-~ Note: If cc~a~nity ~11 system, n~st have w~itt~n confirmation f~cm the State Depa~l~ent of Envi_~onm~ntal Conservation attesting to the legality and status. Is the ~11 adequate fo~ the number of be~d~c~ps specified in this HAA (~/N) Sewage Disposal Onsite ~ Public ~--~ Ccmmunity ~ Holding Tank ~ ~s the ~astewate~ disposal system adequate fc~ the number of t~drocms ~/N) [Page 1 of 2] 2-15-84 5., Englneerln~ Firm Providin~ Inspections, Tests, D~ta and Information I c~tify that I have checked, verified, or conformed to all YDA HAA Guidelines in Telephone .Date 6. DHEP Approval Approved fox bedrccms By ~-2.c.F-~/c'- Date ~~ Appro~d ~.Disap~°~d ~ Conditional ~ Te~ of ~nditional Approval ~.~~ ~, 5~~t~, ~Cc~D ~e Municipality of ~cho~a~ ~n% of ~a~h and Envi~aI'~otoctzon d~s not ~arantee tP~ ~ntinued satisfactory ~rfo~an~ of t~ water supply ~d/or t~ waste~te~ dis~sal system. ~is approval indicates that, as of t~ validation ~te sh~ ~, ~d on the ~ta a~d inf~tion f~nished ~' ~ en~i~er regis~d in the State of ~aska, ~e ~te~ supply ~d ~stewater dis~sai system is safe and fun~ tiona% for ~ ~ of ~ ~d t~ of s~uct~e indicated. (~PSEAL) 7. Mail the HAA to the follcwing address: 2-15-84 ~T~"phoned [] Returned your call In [] Will call Please return the call Messa B Be MUNICIPALITY OF ANCHORAGE (MOA) HEALTH ALrfHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Well Classification Well Log P~esent (Y/~ Total Depth MUNICIpALI'fY OF ANCHO'gAQE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Date Cu,91eted ~ Yield Cased to ~ Depth of G~outing ~ Static Water Level %~,A~.~,(~x~t~ Pump Set At Casing Height Above Ground Electrical Wiring in Conduit ~/N) Separation Distances f~cm Well: To Septic/Holding Tank on Lot Sanitary Seal on Casing (~N) Dep~essio~ A~ound Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absc~ption Field on Lot~; Op. Adjoining Lots ~ To Nearest Public Sewer Line ~/J~, To Nearest Public Sewer Cleancut/Manhole ~ To Nearest Sewer Service Line on Lot Water Sample Collected B~5_ .~ ~.~:~ , ~--~/~./~ Water Sample Test Results SEPTIC/HOLDING TANK DATA Date Installed ~.~+/~ Size /~ ~_. Standpipes ~YN) 1 Air-tight Caps ~N) J Foundation Cleanout (Y~ - To Water-Supply Well To lhtc~erty Line To Water Main/Service Line Depression ove~ Tank (Y~ Date Last Pumped ~/~/~ Pumping/Maintenance ~n~a~ ~ File (Y~) ~; f~ Holdi~ Ta~ High-~te~ ~a~ (Y~) ~/~ ~a~y ~ldi~ Tank ~t (Y~) ~/~ ~p~ation Distils ~ ~ptic~olding Ta~: To ~ildi~ F~n~ti~ ~ / To _Dis~al Field To S~e~, ~, ~e, ~ ~jo~ ~aina~ Ce ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~.~W..~(5~O~-~- Type of System Date Installed 9/Iz~/-~+ (]) Length of Field ~la / (D Width of Field \3~.~ ~.%.\~u_~%.% (~ Depth of Field % ~.~_%w.~ix%~\ Gravel Bed Thickness ~Ak~.l-a(b%3A%.~ Square Feet of Absorption Area ~ Standpipes P~esent (Y~ Depression over Field (Y~ Date of Last Adequacf Test Results of last Adequacy Test ~c_c~_~ ~ ~ ~ Separation Distance f~cm Absorption Field: To Water-Supply Well l~.~k<l-4~ To lh?ope~ty Line '~ f23 To Building Foundation k~-a~.\c~c~\~\ To Existing or Abandoned System on ! Lot ~T~.\~\ ; On Adjoining Lots '~ \~ To Water Main/Service Line ~/~ To Cutback(if present) ~.//~. To Stream/Pond/Lake/or Major Drainage Course ~Q~%%~ Ch~.~.~-~-~\~-.~ To D~iveway, Parking Area, or Vehicle Storage A~ea co nts Date Installed Size in Gallons "Pu~ O~" Level' at High Water Alarm Level at Tested for Electrical Codes(Y/N) ,Con~nts Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA ** Check Pe=mitted Bedroc~ Rating A~ainst HAA 9request I certify that I have checked, 'verified, o~ conformed to all MOA HAA ~uidelines in effect 2-15-84 · ALASKA ENViRONM'~.~-~¥AL CONTROL SERVICES, INC. 1200 west 33rd Avenue Suite B ANCHORAGE:, ALASKA 99503 Phone 276-1361 SHEET NO. CALCULATEO DY CHECKED EY oF I DATE ALASKA i OI O[lm [/TAL COI T[ OL ~nqineerin§ 6 ~nuironmcnlal Studies Sfl¢ICt S, IBC, MARCH 23 1984 DAVE CAIN POST OFFICE BOX 560 CHUGIAK AK 99567 sELLER - GLEN AND WAYNE SWONGER SUBDIVISION - STEFFES BLOCK - BUYER - LOT - 33A MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAR 2., '/'" RECEIVED ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 300 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 138 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 2 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON MARCH 15 1984 . FLOW TEST ON WELL THE WELL FLOW RATE WAS 8 GPM FOR 2 HOURS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 2 BEDROOM HOUSE. --.¢ OF 4/. ~, '1 ;~'*o. ....... '" %%¢ 1200 UJcsl 33rd Auenuc SuJle [~, Anchoro§e. AIQsb 99503'(907) 561-50ll0