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HomeMy WebLinkAboutSPRING BROOK VISTA #1 BLK 2 LT 1 GREi ANCHORAGE AREA BOP- O Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 3H INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS ~O '~;~'1~"~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL __ INSIDE LENGTH MANUFACTURER ~'T~&~' ~'7~iF/__ MATERIAL NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~¢2' GALLONS. NUMBER OF PITS__! . DIAMETER q'~.ORWlDTH 2/, LENGT~ ~'~, DEPTH '/~.'~1 LINING MATERIAL _ ~ CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: t~f~, ~/ TOTAL EFFECTIVE BUILDING FOUNDATION~ , NEAREST LOT LINE ABSORPTION AREA (WALL AREA) WELL 56). FT. ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION_ LOT LINE SEWER LINE CESSPOOL OTHER SOURCES APPROVED __ DISAPPROVED REMARKS DEPTH. DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No, EQ~O31 DIAGRAM OF SYSTEM NAME OF APPLICANT GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION ANID PERMIT pERM]T NO. P.ONE INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIELD FINANCED THROUGH TO BE INSTALLED SY SOIL TEST RESULTS // COMPLET]ON DATE ANTICIPATEDv , OTHER NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECT]ON: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPt,'CTION BY THE DEPARTMENT Of ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, DIAGRAM OF gYSTEM MINIMUM DISTANCES, REQUIREMENT.S FOUNDATION TO SEPTIC TAN[( FOUNDATION TO SEEPAGE Pit --. SEPTIC TANK TO SEEPAGE PIT WALL /~'--/ SEPTIC TANK ,SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAGE Pit TO RIVER, LAKE, STREAM, _, DRAIN FIELD __, DRAIN FIELD SEEPAGE PIT -- ALSO CONSIDER AREA WELLS. SEEPAGE PIt DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of .E~XCAVAT~ION 5 FEET INTO UNDISTURBED SOIl.. 4 INCH DIAMETER CAST IRON SIPHON PiPeS ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GFI[AVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ~LICENS~i~i::IG N ER I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-G8 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, FORM NO. EQ-016 Russell Oyster 694-2774 Civil Engineering Soils 8. Foundations Performed for: Legal Description: Depth (feet), 0 ~,/~,~/ ;/J~ ~', 0 Fy E EI~dlNEERING Fy DEVELO/"MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 SOIL LOG Earl Ellis 333-5240 Surveying Land Development Name: Mailing Address: Soil Characteristics 6 7 8 9 10 11 ~2 \% Ground Water Encountered: Yes__ No , If yes, what depth Proposed Installation: Seepage Pit (/~/ Drain Field . Comments: Performed by: I'AUI41c MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CER'rlFIGATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date April 14, 1986 GENERAL INFORMATION (a) Legal Description (include Ibt. block, subd vision, section, township, range)¢ c Lot 1; Block 2; Spring B~ook~ ~I1 Location (address or directions) Right at Tips; 1;~t on Right; 9th ow 10th house (b) Applicant Name Don Bruckner Telephone: Home 694-9662 Business Applicant Address P.O. Box ??0389, gaqle River, Alaska 995?? (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); _ (d) LeQding Institution National Bank of Alaska Address Anchoraqe, Alaska (e) Real Estate Company and Agent none Telephone Address Telephone (f) ~the HAA to the following address: S & S Enqineerin9 SRB 196X Ea~Lle River, Alaska 99577 TYPE OF RESIDENCE Single-Family ~ MuLti-Family [] Number of Bedrooms '-~ Other 3. WATER SUPPLY Individual Well [] Community [-] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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 tile date of this inspe~jil~ls ENGINEERING ~ ¢~___/~_ ~ ~ ~:~ ¢ Name of Firm SP~,~ 1,,°6X Telephone Address EAGLF._RIMER, AK 995Z7 ~ 2 ,~ 1,~6 !: Date Approved for ///f..'~r~(~_'bedrooms by ~.~,~_...L..[..(O..(..~,~ Date 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 courtesy 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 (1 ~/84) MUNICIPALITY OF ANCHORAGE (MOAi HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 ..... DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION R£C£1¥ED WELL DATA Well Classification Well Log Present (Y/N). Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~.O./~. ~/~,~/¢_ V"A~ lCD, C, D.E.C. Approved (Y/N) Date Completed Yield Cased to Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ~..O c:~ t t-- ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B, SEPTIC/HOLDING TANK DATA Date Installed q "' I~'"Jq Standpipes ~N~ Depression over Tank ~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~'~' ~' ~ ~ ~ To Property Line /~ ~ ~ Size ~,c~-'-~ No. of Compartments ~' Air-tight Caps~/,N)' Foundation Cleanout ¢(~ Date Last Pumped .c/./¢. :¢ & , for -- Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Water Main/4~er44ee Line Course To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Date Installed /7- / ~'" ~'~¢ Length of Field Width of Field Z/~ Depth of Field Square Feet of Absorption Area Depression over Field ~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot Gravel Bed Thickness Standpipes Present Date of Last Adequacy Test ,,~/~ ~2" ~. ,~'~ To Property Line /D "~' To Existing or Abandoned System on ; On Adjoining Lots ~""4:) I c- To Cutbank (if present) To Water Main/,,'~cic,,e Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area 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 ** Checl~P_erL-ni_t[e.d~B.edroom Rating Against HAA Request ** ~ & 5ENGINEERING I certify t~j~t j~haj~cked, verified, or conformed to alJ~l~A~a n~ ~ L~idelines in effect on the date of this inspection. Signed EA. GL[, RiVii, Al( 99577 Date Company Receipt No. Date of Payment Amount: $ MOA No. Page 2 of 2 72-026 (11/84) Augus~ 2, 1974 ;,ir, Don Bruckner 6620 Division Avenue Anci~orage, AK 9~504 SUBJECT: Lot 1, Block 2, Springbrook Vista Subdivision. Dear fqr. Bruckner: The sewer system on ti~e subject lot was approved for two bedrooms based on a standard log crib size of 8'xS'x6'. After conversing witt~ Nr. Richard Berg of Berg Underground Construction, I have learned that tile crib was installed to be a larger 8~xS'xg'. As an 8'xS'xS' crib would have been adequate based on soil test performed by 0 and E Engineering and Develop- ment Company of 225 scIft per bedroom, I will change the listing from ,552 sq ft of seepage area to 736 sq ft based on the 8~AS'xS'. If you have any further questions contact me at the Eagle River office. Very sincerely yours, John R. Lee, R.S. Eagle River District Sanitarian sr