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Home My WebLink AboutSPRING FOREST BLK 2 LT 9 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Envlronmenlal Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Subdivision Township, Range, Section TANKS DIS'rANCES WELL LOT LINE FOUNDATION SEPTIC TANK ABSORPTION FIELD WELL AS-BUILT DIAGRAM IShow location of well, septic system, property lines, foundation, d~ivewe, y. water bodies, otc,) ~' SEPTIC [] HOLDING lanufacturer Capacity,~"~ - ..~') in gallons/ TYPE OF SYSTEM ~TRENC" ~ BED ~ W. DRAIN ~ OTHER Depth to pipe bottom from original grade ~ ill added above original grade Gravellenglh 9 Total deptb from original grad6] FT /~' Gravel depth beneath pipe FT ravel w~dth FT ~ / Distance between lines Pipematerial Inslane Total absorption area ~' ,~ y SQ FT Number of lines Soil raling WELLS FT FT FT [] PRIVATE ~ OTHER I'ldentifv) Classification (A,B,C) J Total Depth Ins~ ]Dale Installed: REMARKS: FT Z' ~-~- {J crliiy Ihat Ibis inspe~ticc Municipal and SI;lo guid;lines in effect cn Ibis date3 Health Department Approva~¢¢~*~~~ ' 72-013 (3/85) JScale: Inspections Performed by: / , was performed according tc ell / / t ENGINEER'S SEAL I:;:','.:)r'm:i.'L f,.luml:l~.?r' ~ .(:)a'L e :1: ~:::!:mu:.'.!d ',: O<f:, IO',::'J Flattg~ Technical ~ervices 14530 Echo Street Anchorage, Alaska Lot 9, Block 2, Spring Forest S/D Septic System Design Notes and Specifications 1. The design of this septic system is based on the soil log prepared by Alaska Environmental Control Services, dated June 3, 1983. The recorded information shall be verified at the time of septic system construction. A 1250 gallon septic tank shall be installed. The size of the soil absorption trench is based on the reported percolation rate of 18 minutes per inch, which requires an absorption area of~2j_2~square feet per bedroom, or 848 square feet for a 4 bedroom system. This is accomplished by a,6._~l foot~i~)'~g soil absorption trench containing 7 feet of sewer gravel beneath a horizontal distribution pipe located 4 feet below ground level. An additional 6 inches of gravel is required surrounding the pipe which is then covered by filter fabric and 4 feet of soil. 2. The configuration of the system shall be as shown on the drawing except that minor modifications may be allowed or required by the engineer doing the inspections. 3. All construction practices, separation distances and material specifications shall be in conformance with Municipal requirements. 4. Three inspections will be required: { l ) Initial stakeout, (2) after the trench is excavated, but prior to placement of sewer gravel, and (3) after the gravel is placed, the septic 'tank installed and the piping connected, but prior to final backfill. I 1 1 I I I / I / / I 1 ;Flattop Technical IIIII ~age, Alaska 9951. fi 11 ,~ ~ ~ /._07' 1~ ,,~~ ,~ ~:, ~ , PRo PO~D L F-L l-oT ~ S ~ P T I ~ _¢ ~£ 7-~ /-¢ D ,'~ ~' ~ ; .4'/ Ou..' ,¥. f,3k' ; ALASKA I:IUIROFImeFITAL COF1TROL SI~RUICeS, IFIC. gnqineerinq $ ~nuironmenlol Sludies 'l']'iJ..% ,'iir'c.?&l :.i..!ili FIC)t: kr'~ot^wl i:c]r' havJ. F~g a. ~I'"C)LtFtC~t.,~ai:.(.~H"" '!'.:O.}::)].[:.~ i:ll::)ov(.:.~ .:L','5 'f(:.:'et:t, o.r'lcl 5.'.-.'F. r'e)la.'EJ.v~.:~,ly flat: ~oJ.t:l"l s~oin~:, mJ.r'w::H'" ~:ii:l.c)l::)[::~,si; t:o · ~':1"~1::~ Fl (::l r"k h ,, !.,,1~_, F'(:~q1..11.:.~5:;'~: 'El'w:~i: y!:)Lt O.(::(::(.~l:~'t: l':.liJ.?~ ,:::la'k.a i~. Vel.'"J.'FJ.c:~Y{':.5. Ol"l (::)'F I'11::) CIF'C~I..IF~Ctt~,'¥t'I':I:.:?F' t:al:~].[a i:c) r'el::~lalc:£-:? afl ac:t:t..~al 1412 West, 331~b c\Vellue I 3.F~CIIOI~a. Cie, 3,[aska 99503 · (907) 279-5553 / DEPARTMENT OF HEALTH AND ENVIRONMENTAL PHu I c~' ~ ~ / TEST ,~,,:'.'/'.i?i~' .* 825 L. Street. Anchorage, Al,ska 99501 264-4720 ~ .~> SOILS LOG - PERCOLATION TEST :\\ .'~), e ~e 5c~q ~ DATE PERFORMED: ~q~ ~ ~ ' ~ ~ _ "~ S~TE PLAN ,~ DES~I~I~: SLOPE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 'I' WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH7 Net Drop PERCOLATION RATE _ ~ ~ _(minutes/inch) Z '/Z .___.___.. FT AND ~ ~ FT TEST RUN BETWEEN ,c ~eJ,e.- J Gross J Net Date ~ .Time / Time t',J o Depth to Water CL6,TE :.__ ¢-t¢. BOX 6650 ,.r',CH O,qAu E, ALASK.A ',907) .... , DEPARTMEN f OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850202 Lot 9 BLock 2 Spring Forest Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit '.:. '; 6 :;i!; .. '7/:I, 5;' ,"1.5"!.'7 ]. (!36! :: F:;'T ,: (:;il:;: /,.,- POS. ,I 6 650 ANCIflORAGE. ALASKA 99502-0650 264 4 'M DEPAR~ MENT OF I~EAL-I H AND ENVIFIONMEFI-£AL PlIOTECTION Permit #: 840142 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 9 Block 2 Spring Forest Sub{ivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of Dece~mber 31, 1984 . Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264~4720. Si,ncerely, Keith $. Bandt, SupeYvisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 . , . ~ i.i:d; ill l'i!!i !.~ii (:!~lii .' 'J'i Fir:': ;iii.:: i~i.l..7:;~ Ii): :::,~:-l,!i-ii~::; iii-,!i::, ' ,.-. i',i'q~, flO..l~i~':l:i'-,!'l [fi.: "1"' CEB:T :r. F:".r' 'T'FIF::F'I': :1:. ]: F:IH F:'FIH:[L.]:F:IR I'.IZ'TH 'T'FII!}: REX;!U:t:t;~'.Ii~:HEI',H":i!; FOR Cfl",F'"iiii;:['T'E :5E~:I.,.IEi:Fi::!!; I::Ii"~E:, I.qEi!:l...L.:Ri; F:IS SET F'CIF'.TH E',"/ "l"H[ii: HLJi',I :[ I::; ]: I='FIL. ]: T'./ OF Frli",ICHOi',i~FI(Z!iE: ,:: HOF:I ::, FII'.,IE:, THE S"t"FITE OF:' FILFI:BI.4FI. 2. :[ I,.I:IZLI.. :i:t',I'..L'qTFIL. L. THE: :Ei;"r'~.:,TIiCH :[i",! FIC:COF~:I)FiNCFZ H:[TH F:IL.L. HOFI COB'EL:; I::11",11:::' Ir":'.I.:.!:GLIL..FIT]:OHS., FINI::, ]: N CCfldF'L. :t: F:Ii',IE:f!~: I,.! ]: TH THE: !:::,IE:i::~; .'1: Efl",l CF:: :1: YE:~i: ~ F:ii OF= TH ]: S F'I~IRI'"I :[ T. :!!:, :i: H.T.L.I..... I:::II'.':'HEi:F::E: "f'O F:II...L. I'IOFi I:::INB' :~FI'FITE OF' I=II._Ft~;I':::FI F:EL".)LIZ[F..'EHI'ZNT% F'OF.'. THE: [::, :t: tS"I'I':INC:E~::E; F'I:;i:OH F:ll',l"r' [ii:;:':; ]: :!i;T :1: I',IG I.,.tE:LI ..... HFI:E;"I"I}:i!:HF:ITEI:;;: E:' :1:. :E;F'OSF:IL ~i?~"?,TEH OF'. F:'I...IDL ]: C :F.',E~HEF?FrlGE: :::'!;'~":i;.':TFZH ON 'T'I'"I ]: :5 O1::i: FIN"r' F:ID..:rF:ICEi'.,tT Cfi:i: HIf~:FIR'E,'"r' LO'I". d-. :1: UI',IE:,Ii~:F.:?FFIN[::, THFFI" TH :1: :ii; 1:::'1!!:1:;;:1't ]: "1- :l::ii; "/Fd... ~T I:::' F'OF~: FI Ht::IY, :[ HUH 01:= ,::i- t."3E'::DROOH:5 FINE:, FIl',l"r' EI',IL.F:IF;~'.Cii!~:Hi:!:NT I.,.I 1' L.L. I:;~'.EX;!LI ]: I:;'::E FiN I:::II)D :[ T.T. Eq",ll:::ll.... I:::'E:RH :[ T. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST ./~ SOi OG PERCOLATION TEST PERFORMED FOR: ~'>; \\ ~'~ ~ < ~' ' ~i DATE PERFORMED: ~i~"-~ ~ I~ ~ ~: LEGAL DESCRIPTION: 1 2 4 5 6 7 8 9 10 ~11 12 13 14 15 16 17 18 19 20 COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? "~,'~. 1~ ~' t. l~:~ading Date Gross Net Depth to Net ~ ~ j. Time Time Water Drop · -7-0o - e - I'~'1 ~C , ~tq . il (minutes/inch) FT PERCOLATION RATE ~ ~ TEST RUN BETWEEN '~ '/~ f FT AND PERFORMED BY: .~,c,.~, CERTIFIED BY: DATE: 72-008 (6/79) MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF: INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING L"-~ \%-'z~_~ \ - ~'~ \ HAA# ~-/~O~ L~L~(--%~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Telephone: (home) (b) Property owner-- (c) ~endinO InsdtutiOn Ad~ro-sS Business Telephone (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here [~,'if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family/ID' Number of bedrooms 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 th legality and status. 4. SEWAGE DISPOSAL On-site,S' 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 (Rev. 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by mysealaffixed hereto and as of the validation date shown below, Iverifythat my investigation oithis 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 . ~ Z-~'J' -~--~,c' Telephone Address /'/~-7) ,~g~ .~,~g) c~( ~ 6. DHHS APPROVALs. Approved for ._,~_ bed rooms ~~f~z,._ Approved /\ ,, Disapproved Conditional Terms of Conditional Approval ' Date The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health AuthorityApproval cerificated based only upon the representations given in paragraphSabovebyan independent professionalengineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHSdo not conduct inspections or analyze data before a certificate is issued. TheMunicipalityofAnchorageis not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal Description: ~¢ WELL DATA Well Classification C('~ ¢¢/] Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FRQM WELL: To Septic/Holding Tank on Lot ~ 2~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Date Completed __Depth of Grouting If A. B. C, D.E.C. Approved(~¥/N) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) / ; On Adjoining Lots ~ ?-~'~ / ' On Adjoining Lots To Nearest Public Sewer Cleanout/Manhote ; Date Comments SEPTIC/HOLDING TANK DATA Date Installed ~/?/~' 2Size Standpipes ~N) Depression over Tank (Y/L'~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) /¢,~ No. of Compartments '-'~ Air-tight Caps~N) Foundation Cleanout ~/N) Date Last Pumped ,,~4~ /v,~,,,'~z~ ;for Temporary Holding Tank Permit (Y/N) SEPARATION D STANOESFROM SEPTIC/HOLDING TANK: To Water-Supply Well. ~:i:'~'?'Z ~-~,~ / To Property Line ~.C~f / '/ To Water Main/Service Line~:_ ': ."> z ~ To Stream, Pond, Lake o!'Major Drainage Course TO Building Foundation To Disposal Field Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field , Square Feet of Absortion Area Depression over Field (Y~(?)) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTIO~FIELD: To Water-Supply Well .,~ 2' ,.¢ ~ t To Building Foundation .3'-¢~ ..,("- / / Lot /d o~., ~ ¢¢,/',~ Type of System Design Length of Field ~ ~; /~' Depth of Field Gravel Bed Thickness Statndpipes Present &'Y'~/N) Date of Last Adequacy Test / To Property Line To Existing or Abandoned System on ; On Adjoining Lots .~ To Water Main/Service Line .~ .~O /'~ To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Cutback (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for / Meets MOA Electrica~O~es (Y/N) Dimensions ~ Man~. .,---"'~ump Off" Level at Vent (Y/N) / Pumping Cycles during Adequacy Test, **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verifiec~, or conformed to all MOA and HAA guidelines in ¢¢~1~t~o~ the date of this inspection. Company Date ~ //0/~/~ ~..;~~~s Seal Receipt N o. ~ / ,/?//~:::;? .~ Date of Payment Amount: $ ,/ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 563-6775 DATE: Sept. 27~ lqR9 PWSID: 213564 Requested By: A.E.C.S. According to the records on file in this office, the spring Forest Water System is in compliance with State of'Alaska Drinking-Water Regulations. the Sincerely, Cindy Thomas Environmental Engineer