HomeMy WebLinkAboutSUNSET HILLS BLK B LT 25
MI. JNICIPALITY OF ANCHOHAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
826 L Street - Anchorage, Alaska 99501 Telephone 2.64-4720
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WEI.I~ INSPECTION REPORT
NAME
[] UPGRADE
MAILING A~3DR ESS
LEGAL DESCRIPTION
LOCATION
-Well
DISTANCE TO: [ ~
IF HOMEMADE:
Well
No. of linesl Length of ea~ch~ine
IW(th
NO. OFBEDROOMS~
Material
N~rl,C. to,t line
Liquid depth
PERMIT NO.
DISTANCE TO:
Manufacturer Liquid capacity in gallons
Foundation PERMIT NO.
DISTANCE TO:
Distance between lines
Length Width
Total length of~,0J~S/
Material beneath die
Depth
Totateffectiveabsor tionarea
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot Ih~e :RMIT NO~ i (~ ~O~
Building foundation Sewer llne Septic tank I At~sor~ti~s)
DISTANCE
TO:
L
OTHER
PIPE MATERIALS
INSTALLER
REMARKS
APPROVEE~¢-
DATE
72-013 (Rev. 3/78)
LEGAL
PERMIT
F:IPF'I_ I CFINT
LOCRTION
LEGRI_
STE',,,'E STRRK S'599 BRR"r'TON
SUN VIEW DR.
L 25 E:K B SUNSET HILLS S,,"[:'
LOT SIZE
9..5OE~1 SLX~URF.'.E FEET
T"r'PE OF SOIL F:I[:]SORPTION SYSTEi'"I IS: TRENCH
NUMBER OF' BE[:~ROOi"IS =
SOIL RRTING IS;..-.! FT/BR)=
]"H[~: REL:&.IIRED SIZE OF THE SOIL RE:SORPTION SYSTEM IS:
THE LENGTH DIMENSION IS TFIE LENGTH (IN FEET) OF TFIE TRENCI..t OR: [:..,RRINFIELI).
]'HE [:,EPTH Of.-- FI TRENCH OF-: PIT ZS TFIE DISTRNI::.'E BET!.4EEi'4 THE SURFRCE OF 'THE
GROUND RND ]"HE BOTTOM OF THE E:~..',CR',,,'R]'ION (IN F'"EET).
THERE IS NO SET 14IDTH FOR TRENCHES.
TIlE GRR',/EL DEPTH IS THE HINIMUH DEPTI.-I OF' 13RRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM I:)F THE EXCRVRTION (IN FEET).
PERMIT FIPPLICRNT ['IRS THE RESPONSIBILIT'¢ TO INFORM THIS B, EPFIRTMENT DURING
INSTF:ILLRTION INSF'ECTIONS OF FIi".,I¥ I.,.IELLS R[:,..I'F~CENT TO ]'}lis PROPERT"r' Ri"',l[:, THE
NUi'4BER OF RESII}ENCES TFIR]" THE WELL !-,-IILL SEF.'.","E.
BRCKF:ILLINLi OF:' FIN"," S;'¢SI'EM NITHOUT F'INRL IN!'.-;PECTION FIN[:, RF:'PRO',,,'RL.. B;r' '¥HIS
[:,EPFIRTMENT NILL BE SLISJECT TO PROSECUTION.
MINIMUM DI:~;TRi'.,ICE BE'f'I.4EEN R NELL RI,If;, RI'.,I'¢ ON-SITE SE:HFIGE [:,ISF'OSFII.. S"r'STEM I'..=.;
::LF~8 FEET FOR F:I PRIVRTE NELL OR :1.58 TO 200 FEET F'ROI"I R PUBL..IC WELJ... DEPENDII",IG
t. IPON ]''HE T'T'PE OF PUSLI6 !.4ELL.
i'"IINIMUM [:'ISTRNCE FROM FI F'RIVFITE NELL TO R PRIVFITE SEWER LINE IS ;25 FEET Bi'a)
TO R COi',Ir,IUNIT'./ SENER LINE IS 75 FEET.
I.,.IELL LOGS ORE REg!LIIRED FIND MUE:]T BE RETURNED ]"0 TFIE DEPFIRTi',IEN"[' I.,.IITHIN ]:¢3 DFI'¢S
OF TFIE NELL COMPL. ETION.
O].'FtER REI.~UIREMEN].'S MR'.r' FIPPL¥. SPECIFICRTION~ RN[.', C:ONSTRUC'FION DIFIGRRrfls; RRE
R',,¢FII LRBL. E TCi :1[ NSUF..'E PI,;~OF'ER I NSTRLLFIT I ON.
I CERTIF'T' THRT
::1.: I RM I,'"RMILIFIR NITH THE REL.]UIREMENTS FOR ON-SITE
FORTH B"r' "I'IqE MUNICIPRLIT'¢ OF RNCI'-II;"~RRC'iE.
2: I !4ILL INSTRLL TFIE S"r'STEi"I IN RCCORDFINCE !-,.IITH THE CODES.
~;: I UNDERS].'FtND THRT THE ON-SITE SENER S'T'STEM MFIV REg!UIRE ENLRRCiEMENT IF'
RESI[:,Ei",ICE IS REi"IODEL. ED TO INCL. UDE MORE TFIFIN ~ BEDROOi"IS.
..,I _hiE[ ........................
t-tf-PL. IC..HN I, (~,I'E~ E =,l RRI....
SENERS FIIq[:, NELL..S I'"t'-;i; SET
'T'FtE
',,,'q.. 0
PERFORMED FOR:
LEGAL DESCRIPTION:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG
PERCOLATION
TEST
SOILS LOG - PERCOLATION TEST
5
6
7
8
9
10
11
13
14
15
16
17
18
19
20
-¢,/4
SLOPE
WAS GROUND WATER S
ENCOUNTERED? L
E
IF YES, AT WHAT
DEPTH?
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
Z. /7/5 /o o,?~ o.yo
? )?~y /o l,V?
COMMENTS_
PERCOLATION RATE '/ '~ ~'~'~_~' (r~linutes/inch)
TEST RUN BETWEEN ~'~ FT AND ~,, O FT
72-008 (6/79)
............. DATE ...............
)OO1 Porcupine 0rive (Tele e: 277-6615) DEPARTMENT OF NATURAL RESOURCES
~ [] [~R E]c
~ ~. 11. WELL HEAO COMPLETION: [~lin Approved Pit
!
la. GROUTIrG: W. ll Grouted: r~]¥es
~'/flV ~1 i~(91 Length of Orop Pipe ft. capacl[y. -- g.p.m
j~,~,~ I ¥~ '14, REMARKS:
CONSULTANTS, INC. JUNEAU
June 5, 1975
R & M No. 562038
Rappe Excavating
8001 Arctic Boulevard
Anchorage, Alaska 99502
Re: Test Hole and Soil Log Report for Sanitary System, Lot 25, Block B,
Sunset Hills Subdivision
Dear Fir. Rappe:
We are submitting herewith the test boring results and our comments
regarding soil condtions encpunt~red at the subject sits. This investi-
gation was performed in accordance with your request of June 4, 1975,
and those procedures outlined in a letter dated[ December 19, 1974, by
Mr. Rolf Strickland of the Greater Anchorage Area Borough of Environ-
mental Quality.
A single test hole was put down within the Lot 25 area for %he purpose
of defining general subsurface soil conditions for the proposed sanitary
system. Excavation was accomplished with a tractor-mounted backhoe and
the test hole was extended to a total depth of 15.0 feet below ground
surface. One sample was recovered from the test hole and retained for
grain size analysis. The results of this sample are enclosed. The
final log prepared for t~e test hole has been included in Drawing A-01.
Groundwater was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M CONSULTANTS, INC.
JwR/nt
xe: GAAB
T .H. -1
6.-4-75
ORGANICS
SILT TRACE SAND (ML)
0.0I
0.5'
1.0'
GRAVELLY SAND
TRACE SILT (SP)
5.5'
6
W/SOME GRAVEL (SM)
No Water Table
15.0' T.D.
Log represents
Lot 25, Block B
Sunset Hills Subdivision
Consultants Inc.
ALASKA
Rappe Excavating
Jim ~1arshall Property
Log of Test Hole
Anchorage, Alaska
LABORATORY TESI' REPORT
TEST ON Znsitu Material
;PRO4ECT NO,-- PROdECT NAME Jim Marshall
[SAMPLED FROM Test Hole 1
SOURCE, Lot 25, Block B, SunSet Hills Subdivision
LOCATION Anchorage, Alaska
iRA/N SIZE DISTRIBUTION
__ DEPTH
SUBMITTED BY
%+ IO
%+5
% GRAVEL
% SAND
% SILT
% CLAY
FSV
LL
CLASS
DATE SAMPLED.
CLASSIFICATION
UNIFIED
AASHO
RAM PROJECT NO.
LAB NO
562038
SM
75A-
Attwood FIELD NO, 1
DATE REPORTED 6-5-75
6--4-75 CATE RECEIVED 6-4-75
FAA
COMPACTION
OPTIMUM MOISTURE
MAX WET DENSITY
MAX DRY DENSITY
CORR. MAX, DRY DENSITY_
°/o FRACTURE __
METHOD
NATURAL DENSITY ,
NATURAL MOISTURE
WEIGHT LOOSE
WEIGHT BODDED
Classification
Based on
Gradation
DELETERIOUS MATERIAL
STATIC IMMERSION
BRAND--_
I% II/G% 2%__
GRADE
~ Geologlcol Conaultants
Engineering
MOISTURE - PERCENT
Rappe Excavating
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION QF 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
1. GENERAl. INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
Location (address or directions)
I¥11 I Z~n~
(b) Property owner ~.~ Jr-~
Mailing Address /~/11/
(c) Lending Institution
Telephone: (home) ~ ¥5"-/7d¢ 7~ Busiqess z 7 t - ~.~c,f,¢
Telephone
Mailing Address
(d) Real Estate Company and Agent
Telephone ~ ~/ ~/- O~ O /
(e)
Mail the HAA to the following address: (or check here B}, if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE
Single-Family [] 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 [] 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
5. 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 the (late of this inspection.
Name of Firm
Address
Date
,.~er'~';, ~/Telephone ~
6. DHHS APPROVAL
Approved ~or ~ bedrooms by
Approved ~ Disapproved _
Terms of Conditional Approval
Date //~/~0
Conditional
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Hearth Authority Approval
cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer
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 DHHS 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.
72-025 (Rev. 7/88)Back Page 2 of 2
I,,~;,;[~:,,'/,Lii, ~o~/,(~IUNICIPALITY OF ANCHORAGE (MOA) ~
h'3NMENh'\ [q'~,lb'"~[¢ 2/SION Health Author ty Approval (HAA)
~ CHECKL ST- FEBRUA ~Y 1984
'" ~' ~F 343-4744
Legal Description: .L.o~ ~6'"~
A. WELL DATA
Well Classification /='r.~ &cx/--E If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Y Date Completed ~ / ~ 7 / ~ f Yield /~ ~ ~ (~
TotalDepth I~ 7 Casedto ~7 Depth of Grouting ~,&.
Static Water Level 76' '
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Pump Set At (-,(n ~
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N) N
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by r=(c~/'/~f~ 7-~¢,~
Water Sample Test Results
Comments
C', o. ; On Adjoining Lots ;:~ ~O~ '
HS" ; On Adjoining Lots ? ~oo'
To Nearest Public Sewer Cleanout/Manhole
_Cc, o' ;Date
SEPTIC/HOLDING TANK DATA
Datelnstalled ~1'~/~'[ Size (OOOjq ND. of Compartments
Standpipes (Y/N) Y' Air-tight Caps (Y/N) Y
Depression over Tank (Y/N) _ IV
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well (O(' ,,-Cr'~,~ ¢,~.
To Property Line ~. (o~
To Water Main/Service Line 7:> ?--¢"
To Stream, Pond, Lake or Major Drainage Course ;~, ~'o~
Comments
Foundation Cleanout (Y/N)
Date Last Pumped r ?-/~- 7 ('~¢¢) /~,y..._T",~c.r
/~, A, _ ; for N,~.
/~,~, Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
72-028 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~ f' ..7 / ~/
Width of Field o~ ~
Square Feet of Absortion Area
Depression over Field (Y/N) /V
Results of Last Adequacy Test
Type of System Design
Length of Field
Depth of Field ~'$-'
Gravel Bed Thickness
Statndpipes Present (Y/N)
Date of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well I t~-'
To Building Foundation
Lot ^f, .4.
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Property Line ,s- ' -¢',"0,,* c, ~.,
_ To Existing or Abandoned System on
; On Adjoining Lots /Y' ~ ¢,
To Cutback (if present)
~ too'
70'
D. LIFT STATION
Date Installed
Size in Gallons ~'o"7
"Pump On" Level at
High Water Alarm Level at
Tested for
II
Dimensions
Meets MOA Electrical Codes (Y/N)
Comments
Manhole/Access (Y/N) Y
"Pump Off" Level at /,r'"
Vent(Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA gui~d~l~r~, jn effect on the date of this
inspection. ~.~'~ ~
Company ~(~
Date I~/g~ f¢~ ¢ ............ ¢ Engineer's Seal
MOA No.
Receipt No.
Date of Payment
Amount: $
72-026 (Rev. 7/88) Back
,,o, .... ..
(h'~' · CE-o539 .
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
LAB INSTRUCTIONS for Work Order ~ 19013
Date Repozt Printed: DEC 22 89 @ 19:13
Client Sample ID:L25 BB SUNSET
PWSID :UA
Collected DEC 22 89 ~ 10:30
Received DEC 22 89 ~ 15:00
PzeeozYed with :AS REQUIRED
ChemLab Ref. $ :9022
Analysis Completed :
Heleesed By :
Client Nam~ : FLATTOP TECHNICAL SRV
Client A¢ct: FLATTOT
P.O.# NONE RECEIVED
Req #
Ordered By : TED MOORE'
Send Repozts to:
L)FLATTOP TECHNICAL 8RV
~)
Special HOLD UPON COMPLETION FOR PICK UP.
Chemlab Client Paremetez
I L25 BB SUNSET HWT 1 20153-NITRATE-N EPA 353.2 m~/~ ~_
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAl. SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Data ,.~ .'~ ' J~' "-¢ /'¢¢2__
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address'or directions)
(b) Prbperty OWri~r~('~,);c. ·
Mailing Address '
Mailing Ad,dress :
· (d) Real Estate Company and Agent
Telephone: Home
Telephone
Business
Address
Telephone
(e)
Mail the HAA to the followinr] address: or: Check here ~', if hold for pick up.
List c~ntact person and day_..~p_,,ho_ne nu~)~ber below.
2. TYPE OF RESIDENCE
Single-Family [~.
Number of Bedrooms
WATER SUPPLY
Individual Well.~ Community [] Public ~
Note: If corn munity well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite ~ Public [] Community i'-1 Holding Tank ~
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025'fRev 8/861 Fronl
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eiep eZAleUe Jo suoJ~aadsu! ;!anpuoa leu op SHHQ to saaXoldW3 'slue~ue]inbaJ elels pue leJapaj ulepao ,~Js!]es el
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NOI.Ln¥O
le^oJddv leUO!i!puoo Io 9tuJe/
leUO!lfpuoo pe^oJddes!O /~ Pa^°Jddv
'9
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pau!e~qo UOi]eLUJOJU! aq~ UO paeeq ~eq~ ,~Jp@^ Jaq~nj I 'u!@Jaq pa~eoipu! eJn~on~s to ad,~l pue swooJpeq jo ~eqLunu @q~
a~enbape pue leUO!~ounj 'aJes s! uu a~s,~s lesOds!p Ja~et~e~se~ ~o/pue ~lddns Ja~e/~ e~!s-uo eq~ ~eq~ s/~oqs le^oJddv/~)poq~nv
q~leaH s!q~ jo uo!~eeRs@^u! ~uJ ]eqi ~j!Ja^ I '/~oleq ut~oqs e]ep uo!iep!le^ atl] ~o se pue o)eJeq pax!jje leas,~Lu ,~q pa!J!Pao sv
NOI.I.V~O4NI (;]NV YJ. VQ 'FIOU¥~qS ~11.4 'SJ.S:~J. 'SNOIJ. OZidSNI 9NI(31AO~d ~1.4 9NI~NIeN~
'9
MUNIcIPALITy OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
WELL ,T ECEIVED
Well Glassification ~f v ~ ~C~
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Le~..gal Description: X~Y'- ~
If A, B, C, D.E.C. Approved (Y/N) x,,J///".,/~
Well Log PresentG'(~'N)
Total Depth
Static Water Level ¢/ f
Casing Height Above Ground
Electrical Wiring in Conduit
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
Cased to //~ ?
Date Completed ~,~/¢--2,/¢/ Yield
Depth of Grouting
Pump Set At ~,, b ~,,..,.~-,~,
Sanitary Seal on Casingl~N)
Depression Around Wellhead (Y/~)
; On Adjoining Lots ~ /o ~ /
/¢'~ '¢- ; On Adjoining Lots /¢6 ¢
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot ~,/''~
; Date __~/'~f~ ?
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes ~l'N) Air-tight Caps ~/N)
Depression over Tank (Y/c~
Pureping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) _
Separation Distances from Septic/Holding Tank:
To Water-Supply Well c]'t'¢' /
TO Property Line ,"~/'
To Water Main/Service Line
Size /'o~ ¢~ No. of Compartments 7-
Foundation Cleanout ~N)
Date Last Pumped ~///¢'/¢' ? '
;for /"~/'"¢
Temporary Holding Tank Permit (Y/N)
To Building Foendation
To Disposal Field ,-¢~ /
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ¢/~
Width of Field (¢ /
Square Feet of Absorption Area
Depression over Field (Y/c/~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well ?¢o .-/-
/
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field '¢--g~ /
Depth o! Field
Gravel Bed Thickness
Standpipes Present L'~N)
Date of Last Adequacy Test
To Property Line ~- / A(Tu,~LL)"C. o¢~ TtooIO ' F~k~z~ 7. ~ .t? ~ ~a~&
TO Existing or Abandoned System on
; On Adjoining Lots /~ /~f/~-.d ~.~c ~/~/ ~o ~
To Cutbank (if present) ~/~
Comments
D, LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level
Tested for ~-~
Electrical Codes ~/N)
Dimensions }4'/'~/¢-- )4/o ,3-
Manhole/Access ~N)
"Pump Off" Level at /¢
Vent L"~ 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
//~L>C ~ ~J~'~¢ MOA No. ~,5'~o ~
Company .
Receipt No.
Lo EZ I COI
Date of Payme.t '£")
Amount: $
Page 2 of 2
72-026 (11/84)
Municipa tYof
Anchorage
P.O. ~ ~,X 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264-4111
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
July 1, 1987
Leroy C. Reid, P.E., PhD
Alaska Environmental Control
1200 West 33rd Avenue
Anchorage, Alaska 99503
Services
Subject: Lot 25 Block B Sunset Hills Subdivision
Waiver Request WR87-040
Dear Dr. Reid:
Your request for a waiver of the 100 foot separation required
between the well and septic tank on the subject lot has been
granted. This distance has been waived to 95 feet. This
waiver has been based on your assessment that the tank's
proximity to the well will not create a health hazard. At the
present time there is no evidence of chemical or
bacteriological contamination of the well water.
I understand that there is some concern on the part of the bank
about the status of lots that do not meet the minimum 40,000
square foot lot size standard for new subdivisions. This
standard applies only to lots in subdivisions that have
undergone the platting process after the passage of the new
wastewater ordinance on May 20, 1986. Previously platted lots
are "grandfathered" and are not subject to this minimum lot
size restriction. This is the case with the subject lot.
Sincerely,
Morris
Civil Engineer
On-site Services
cc Gus Andress, P.E.
Manager, On-site and Water Quality Programs
ALASKA ( I UIROFlm F1TAL COBTROL S RuIC $, IBC.
June 17, 198'7
Muulcipality of Anchorage
Department o~ Health & Human Services
825 L Street
Anchorage, Alaska 9~501
Re: Lot 25, Block~ Sunset ltills Subdivision
MUNIcIP~LiTY OF ANCHoRA(~E
OFf;7 OF HEALTH &
ENVh~ONivlENTAL PROTECTION
JUN 2 1987
RE. CF. IVED
On June 10, 1987, while performing a health authority for tile subject lot, I
noted that tile well on the lot is within the 100 foot radins of the septic tank.
When the system was iastalled in September of 1981 the well had not been
drilled. The location of the well is 96 feet to the closest standpipe on the
septic tank. It would appear that tile edge o£ the septic tank would be
approximately 95 feet from the well. When the system was installed in 19~1,
calder couplings were being used on tile inlet and outlets of the tank. Tile
soils around that system is a silty gravel (GM). The septic tank {s upslope of
the well. However, there is a ~ome between the septic tank and the well. The
well log shows a grey }lard, till and alluvinm to 85 fee~. Before the first
waters are encounter thee there is aoother si It seam between 90 and 1415 tee!;
taat is wet. The final depth of the well is 187 feet. Tile water test of the
system shows no nitrates or coliform bacteria. It is ray opinion that the
waiveriog of tile dist-ance between t-he well and septic tank from 100 feet to 95
feet will not create a health hazard.
The souti~ end of the trench is 5 feet from tile neighbor's fence which I assume
is the lot line. i therefore request a waiver of tile distance from the lot line
to tim system. The neighbor has an old standpipe v;hich is 15 feet south of the
It is therefore requested that this waiver be granted. Thank you.
If you have aoy quesstion please let me know.
Sincerely,
1200 UJ~sl 33rd Au¢~u¢. Suil¢ [~,Anckore% Alesko 99503,(907) 561 5040
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
5633 B STREFT ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343
FEDEFIAL TAX ID # 92-0040440
CtlEMICAL & GEOLOGICAL LABORATORIES OF ALASIOt, INC.
FEDERAL TAX ID # 92-0040440
INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
INSPECTI~)NS (907) 563-3464
3500 EAST TUDOR ROAD
ADMINISTRATION {907) 786~8301
FOOTING [] ELEC. TEMP. [] PLBG. UNDGR. -- []
FOUNDATION -- [] ELEC. SERVICE __ [] PLBG. ROUGN -- []
BOND BEAM [] ELEC. ROUGH []/ GAS TEMP. []
FRAMING ~-~ [] ELEC. F~bl/~ ~ ~_F GAS __ []
INSULATIO[.N ~ [] OTI4E..~,T.,~:~ [] MECHANICAL __ []
SHEETR~C-K [] ~ ' MECH. FINAL []
I STRU..(~I~ FINAL [] FIRE FIN,i~L [] PLBG. FINAL __ []
OT~;;I~R_ [] ZONING __ [] OTHER []
/~NO NONCOMPLIANCE OBSERVED [] CORRECTIONS ESSENTIAL AS
EXPLAINED BELOW
[~ WILL REEXAMINE AT NEXT INSPECTION
E] DO NOT CONCEAL UNTIL REINSPECTED
COMMENTS
WHEN CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION
84-(J~2 (Rev 10/86)
DO NOT REMOVE THIS NOTICE
ALASKA I ulROIBm IBTAL cOrITROL S RuiC S, IF/C,
~ngin¢¢rin9 $ ~r, uwonmcntol $ludi~s
July X. ]98?
Mu!~[eipality of Anchorage
825 L S~eet
An¢horage, Alesks 9050~
Re: Lot 23, Block B, Sunsc't Ili]lm ,Subdivision
dJs\:ance of the supposed h)t lille was i0 feet. ThePe is now a fence wilich Ja 5
feet from the end oF tile simndplpe. I assume ;ha1 hlle fence is on the ioh i:[ne.
The standpipe on both ]ets are at the same elevation but are 20 feet apart.
Since both sysi:ema !eJlow ~ north south (n'ienitat on [{: it; highly ~mpPobable
th~i either system would Jr. pact the other. 'I'heFc apl)ears to be a new system on
the a<!jacenc lot. as t:here are plast:[c st. andPil)es CarL]mr SOtlhh Oll the loi:.
Since the systems afc in and ape functioning without apparent intepference i can
Thank you.
}200 LUesl 33rd Auenu¢, 5uil¢ B, Anch0roq¢. Alaska 99503,(907) 561-50~10
440 WEST BENSON ~LVD,
ANCHORAGE, ALASKA 99503 562-5291
LEOAL D[~CRIPTION:
SURVEY CERTIFICATION: I hereby certify tllnt
PLEASE NOTE: It Is the contract
finish grode and building set-
LEGEND: SET FOUND
5/8" REBAR O O
MONUMENT ~ I~
AL-CAP ~ (~
IRON PiPE ~)
::~:::~ ~ YL~V§,, DATUM
APPLIC FILLS OUT UPPER HAl ONLY
Proper y Owngr .itl ~ / ~ .
Mailing Address 'i~:' · '
Buyer
Address
Zip Code ,' , '
Zip Code
Phone
Lending Inslltution
Address
Zip Code
Phone
Phone
Street Location ,/ ~.//,/
Type of Residence
,,E~L Single Family ,.?
' [] Multiple Family No. of Bedroor~ "~
[] Other
Water Supply
~, Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June lg75.
'C][] CommunitYPublic Utility gl- C~ ~' ~ ~ For wells drilled prior to that date, give well depth (attach Icg If available).
Sewer Disposal ~/
,~}MndivJdual Year Individual Instaged:_
[] Public Utility When Connected to Public Utglly:
[] Holding 'rank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
N~uNiCIpALI~Y OF ANCHO~AG~E
/m_/~ OF H~ALqt4 ~
~NviRONM~NTALDEPT· pRO'[EcTION
O
1
) DISAPPROVED
) CONDITIONAL APPROVAL'
'CONDITIONS OF APPROVAL
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well to Tank
Septic Tank Size
--I ~") '1
~.rr _,
2O[7
-I
NO.LOCATION
~--, ?.:~..:.~ _.~:,,...'-y,~
Time (:ollected
Collected By
Lab Ref. No; ReSult~
~,r-,'/~'7
J ~
Analysi
.,4,,.:1/.-
06-1220 (b)
Rev, 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
24 Hours
Auqust 1~ 1983
Steve Stark
SIVA 958
Anchorage,
995O2
Lot 25, ]~lock B, Sunset IlJ. 1.].s
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed~
° A permit will be needed from Buildinu Safety (Electric),
3500 Tudor Road, for a lift station code con]plicance inspec-
tion. Forward results to this office.
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
Jim tlobe it s
Associate Environmental ,.qpecialist
~,v ..... ~ "'E~A~ ELi~ EC EiV E D
,,; INSPECTION APPOINTMENTS
TIME 'rIME TIME
~ATE DATE DATE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS~ Complete a~l parts on page 1. IncompJete requests will not ~a processed. Please allow ten (10) days for processing.
~ PROPERTY OWNER PHONE
MAILING ADDRESS
PROPEETY RESIDENT (If ~fyrent from above) PHONE
2,~BUYER PHONE
MAILIN6 ADDRESS
DING INSTITUTION PHONE
~AILING ADDRESS
~ REALTOR/AGENT {~ PHONE
MAILING ADDRESS
'~. LEGAL DESCRIPTION
/.-.-ol-
STREET LOCATION
6, TYPE OFRE-SIDENCE ~ NUMBEROF~BEDROOMS
[] One E] Four
~ SINGLE FAMILY
[] Two [] Five
[] MULTIPLE FAMILY ~' Three [] Six
[] Other
7. WATER SUPPLY
~ INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975, For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available,)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE** ~C) ~::~ \ YEAR ON-SITE SYSTEM WAS INSTALLED,
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUI:ST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) ~! I :'" ~ ~L~
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] ONE ~ THREE [] FIVE [] OTHER
SINGLE
FAMILY
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
.~ INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON-SITEE~PUBLiC UTILITY DATE INSTALLED
Connection Verified INSTALLER
[]Septic, T~rJ.E.~f [] Holding Tank
Size: /'~)~.)C;J If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL .~----~ /)
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
~ APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVE~
72-010 (Rev, 6/79)