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STUCKAGAIN HEIGHTS BLK 1 LT 2
LoT MUNICIPALITY OF ANCHORAGE '~,.-/': DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE '~N EW ~ ~ ~ ~r ~~ / /'~/~,~ ~T~ /1..,~ ~/~ ~ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION - -- / ' - / r~'z-2 . ~'~ / ~?--f.z_~/~ ~4~/~//~ /-,'-,~/~/~Z=' LOCATIQN / /' NO, OF BEDROOMS DISTANCE TO: / W~dtb~<~ 7-~" Absorption area/ / Dwelling Material Liq, capacity in gallons IF HOMEMADE: 'PERMIT NO. No, of compartments Liquid depth Well Dwelling PERMIT NO. DISTANCE TO: Manufacturer Liquid capacity in gallons Foundation Material /~' ~i~/ Nearest lot line Trench width . ."~ ~ inches DISTANCE TO: Iwell /.~ ~/ Length of each line No. of lines / I 7'z'~' Top of tile to finish Type of crib DISTANCE TO: de Width Crib diameter Well Depth ~., Building foundation Total length of lines Material beneath tile Depth inches DISTANCE TO: Crib depth Building foundation DB er Sewer ne .__ / PERMIT NO. Distance between lines Total effectiCe absorption area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line Septic tank Absorption area(si OTHER MATERIALS 72-013 (Rev. 3/78 DEPARTMENT OF HEAP_TH AND E]~VIRONMENTAL PROTECTION 825 L S'I'REEI-~ ANCNORAGE, AK 99501 264-4720 :'ERMI~ NO: 8,J_L 4..: DATE ISSUED: 08/26/85 APPL ]: CANT ADDRESS: CGNTACT PHONE: RICHARD DIAMOND 135~0 DIGGEBIS DRIVE ANCHORAGE~ AK 995 15 345-3636 LEGAL DESCRIP: SUBDIVISION: STUCKAGAiN HEIGHTS LGT: 2 SECTION: 6 TOWNSHIP: T12N RANGE: 2W LOf SIZE: 2.0A (SQ.FT. OR ACRES) MAX BEDROOMS: 4. BL. OCK: L~sted bellow are the options available to you in designing your septic: system. Choose the o~tion that best fits your site, I)EEF:'TH TO PIPE BOTI'OM (FT.) GRAVEl._ DEPTH (FT.) 3.0 0.5 3.0 TOTAL DEPTH (FT.) 7.5 5.5 7.5 GRAVEL WIDTH (FT.) .... 5 20.0 5.0 GRAVEL LENGTI.~ (F']".) 94.0 ~.~ 38.0 81.0 ~'~ GRAVEL VOLUME (CI.I, YDS. ) TANK SIZE (GALS) i~250.0 ~.~ 1,R5C).0 ~ 1~25]. } .~ SOIl_. RATING (SQ. FT.,/BR) 141 .[~ ].7;~ ~¢{' GRAVEL LENGTN..."' 75 F:T. REQGIRES MULTIPLE RGNS ~ TANK MJJS'T HAVE AT LEAS'l- TWO COMPARTMEI',ITS (NO: EXCEEDING 75 FT. EACH) I certify that: i. ] am Familiar' w:ith the requirements fop on-site sewer-~ and wells as se~ £orth by {he Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MO~ codes and regulations, and in compliance with the design criteria of this permit. 3. 1 will adhere to all MOA and State ol Alaska requirements -~'or the set back distances From any existing well', wastewatep disposal system or public sewerage system on this or any adjacent .or nearby lot. 4, I understand that this permit is valid ~o~ a maximum of' 4 bedreoms and any en'largement will require an. additional permit. IF A LIPT STATION IS 'INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND I~SPECTION MUST BE~OBTAtNED; (2) AS-BUILTS WILL NO'I" BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGN=D ~ . - . , ....... ~._ DATE: ~ _~ ~$~ APPI:ICANT: RICHARD DIAMOND ISSUED BY. ~.~. ~, ~~ ' DATE: ~--~',-~ ..... 6650 ANCHORAGE, ALASKA 99502-0850 f907'~ ¢.04- , 11 DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850543 Lot 2 Block 1Stuckagain Heights Subdivision A permit issued by this Department for an individual well and/or on-site sewer syste~ 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 pri~ate ~ngineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to thie office for'review and approval,and for documentation. If there are any further questions, pleasa call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit i-~ AL~(A SOIL TESTING AND EI~INEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 J~] SOILS LOG SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: Dick Diamond DATE PERFORMED: 1-23-85 LEGAL DESCRIPTION: Lot 2, Bk. 1, StuckaMain Heights Subd.; 2- 3 4 5- 6 7 9 (FEET) S? SLOPE BROWN SAND WITH SILT, P00RL¥ ~RADED, DAMP, FROZEN 0.0~-1.5' GRAIN SIZE DIST. FIG 1 MOIST. = 14% GRAIN SIZE DIST. FIG. 2 MOIST. = 7% BROWN GRAVEL WITH NUMEROUS COBBLES, SUBROL~NDED, DAMP, DENS ~RAIN SIZE DIST. FI~. 3 \MOIST. = 3~ BROWN SIL~ GRAVEL WITH OCCASIONAL COBBLES AND GRAVELLY SAND LAYERS, DAMP, DENSE GRAIN SIZE DIST. FIG. 4 Sec. 6, T12N, P~2W, S.M. SITE PLAN 10 MOIST. = 4% 11 12 GRAIN SIZE 'DIST. 13 FIG. 5 MOIST. = 4% 14 GRAIN SIZE DIST. 15 FIG. 6 MOIST. = 5% 16 Depth=15.5 ft. ENCOUNTERED? L ~ o Jl IF YES, ATWHAT lq 4,'(DRY%l/EX , , ~ , [ , ~ I I ~"/' ~ 17 18 19 20 COMMENTS FLIGHT AUGER SAMPLES, PERFORMED BY: MARK HOLUM ST 85-260 Gross Net Depth to Net Reading Date Time Time Water Drop 1 1-25-85 12:~51 pm 0 min. 78 3/4" 2 " l:21 30 " 82 3 1/4" 3 " 1:45 24 " 85 1/2 2 1/2" 4 " 1:46 REFILL 79 3/8 5 " 2:16 50 min. 82 1/8 2.~/4" 6 ' " 2:17 REFILL 78 1/2 7 " 2:47 j 3D_J~in. 81 5 l~ 2 ll~ 6" ~ ~,,~ ~ 6.2 ~~ ~' DIA, TEST HOL~ ARE 3' :'BE~W TOP OF TES~~~ o ,, ~= CESTIFIED BY: ,~ ~ ~'"'~TE: ~. ~. ~ C~ 5734 ~ ~- · ~ ~, "~. ..,~ ~.' .. ~ : U.S. STANDARD SIEVE SIZE SIEVE ANALYSIS HYDROMETER lOO ~ 90 ~ 7o x 5o ~ 40 ~1 20 o o .oo_. o o 88 8 8 ,GRAIN SIZE IN MILLIMETERS {CBL I GRAVEL I SAND I FINES J RROJ£CT Lot 2, Bk 1, Stuckagain Hts. Subd. CLIENT Dick Diamond TEST BORING OR PIT i S~4PL~ i DEPTH UNIFIED SOIL CLASSIFICATION SP/SM FROST CLASSIFICATION SOIL TEXTURAL CLASSIFICATION SAND WITH SILT U.S. STANDARD PER CENT SIEVE SIZE PASSING 3" 2" lY~" 100 l" 96 3/4" 91 3/8" 73 4 56 lO 43 20 · 31 60 16 100 12 200 7.9 0.02 mm GRAIN SIZE DISTRIBUTION , ALASKA SOIL TESTING AND ENGINEERING FIGURE 1 100 ~. 90 ~ 80 ~, ?0 ~' 60 ~' 50 ~. 4o ~ 30 m 20 m l0 ~ O o o U,S. STANDARD.SIEVE SIZE SIEVE ANALYSIS HYDROMETER 0 0 o ~o~ r~ ~ · o o o o o ~ .GRAIN SIZE IN MILLIMET~R~ SAN. PROJECT Lot 2, Bk 1, Stuckagain Hts. Subd. \ CL1ENT TEST BORIEG OR PIT I SAMPLE 2 DEPTH UNIFIED ~OIL CLASSIFICATION SW/SM FROST CLASSIFICATION SOIL TEXTURAL CLASSIFICATION SAND WITH SILT U.S. STANDARD PER CENT SIEVE SIZE PASSING 3" 2" 1" 100 3/4" 99 3/8" 85 4 67 zo a0 35 60 18 100 14 200 ll 0.02 mm GRAIN SIZE DISTRIBUTIONI ALASKA SOIL TESTING AND ENGINEERING FIGURE 2 U,S. STANDARD SIEVE SIZE SIEVE ANALYSIS HYDROMETER 100 ~ 9o ~ 8o m ?o ~' 6o ~. 4o ~ 30 ~ 2O m lO o o 0 .GRAIN SIZE IN MILLIMETERS ICB£ I GRAVEL I SANG I oo88 ..Oo FINES PROJECT Lot 2, Bk 1, Stuckagain Hts. Subd. CLIENT TEST BORING OR PIT i SAMPLE 3 DEPTH UNIFIED SOIL CLASSIFICATION GP FROST CLASSIFICATION SOIL TEXTURAL CLASSIFICATION GRAVEL U.S. STANDARD PER CENT SIEVE SIZE PASSING 3" 2" 100 lY~" 86 1" 70 3/4" 56 3/8" 23 4 13 lO l0 20 · 7 6O 4 lOO 3 200 2 0.02 mm 5.5'-6.5' NFS ALASKA SOIL G UTION TESTING AND RAIN SIZE DISTRIB ENGINEERING FIGURE 3 100 9o 8o ?o 6o .5o ~. 4o ~ 3o m 2o ~ lO U.S, STANDARD SIEVE SIZE SIEVE ANALYSIS HYDROMETER 0 ra ~ .GRAIN SIZE IN MIL~.IMET~R~ o C[-~-~I GRAVEL I SAND I F~NES o o PROJECT Lot 2, Bk 1, Stuckagain Hts. Subd. CL1ENT TEST BORING OR PIT i SAMPLE 4 DEPTH UNIFIED SOlD CLASSIFICATION GW/GM FROST CLASSIFICATION SOIL TEXTURAL CLASSIFICATION GRAVEL WITH SILT U.S. STANDARD PER CENT SIEVE-SIZE PASSING 3" 2" 1OO lY2" 97 1" 88 ~/4" 83 3/8" 65 4 47 l0 33 20 . 22 60 13 100 ll 200 7.9 0.02 mm 9'-10' F1 GRAIN SIZE DiSTRiBUTiONI ' ALASKA SOIL TESTING AND ENGINEERING FIGURE 4 U.S. STANDARD SIEVE SIZE SIEVE ANALYSIS HYDROMETER 100 o 8 %5~% ~ ~ ~= o ~oo o o o ~ 90 ~ 80 ~, 70 ~' 60 ' ~0 ~. 4o ~ 2o ~ lO o o o o ~o ~ ~ ~ ~ ~ ~ ~ ~o ~ ~ ~ ~o -~ ~ ~ ~o..~- r~ ~ · o o o o ~ ~ ~ ~ .GRAI~ ~IZE IN ~ILLI~ET~R~ " GRAVEL I SAND I FINES I RROJECT Lot 2, Bk 1, Stuckagain Hts. Subd. CLIENT TEST BORING OR PIT i SAMPLE 5 DEPTH UNIFIED SOIL CLASSIFICATION GM FROST CLASSIFICATION SOIL TEXTURAL CLASSIFICATION SILTY GRAVEL U.S. STANDARD PER CENT SIEVE SIZE PASSING 3/4" 89 3/8" 66 4 5O lO 35 20 26 60 ~8 lOO 15 200 13 0.02 mm 12'-14' E1 IGRAIN SIZE DISTRIBUTIONI ALASKA SOIL TESTING AND ENGINEERING FIGURE 5 100 90 8o ?0 6o U.S. STANDARD SIEVE SIZE SIEVE ANALYSIS 0 0 ' : : : : ~ ~L--~- o ,.oo o o o o HYDROMETER 5O 4O 2O lO PROJECT Lot 2, Bk 1, Stuckagain Ets. Subd. CLIENT TEST BORING OR PIT i SAMPLE 6 DEPTH UNIFIED SOIL CLASSIFICATION SM. FROST CLASSIFICATION SOIL TEXTURAL CLASSIFICATION SILTY SAND U.S. STANDARD PER CENT SIEVE SIZE PASSING 3" 2" lY~" 100 1" 97 3/~" 93 3/8" 82 ~ 66 lO 51 20 41 60 29 loo 25 200 20 0,02 mm 14'-15.5' F2/F3 AND IGRAIN SIZE DISTRIBUTION1, FIGURE6 ALASKA SOIL TESTING ENGINEERING SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH Of 405 ~o DRILLED AT THE RATE OF $23° 00 PER fOOT. Cha~e ~.o~. 350 ~ ond~o Ilbz~ & lib~o gx. ed6 & ~a.t.b. ~.ta~,.~t 745-3¢22 345-3636 PROPERTY OWNER LOCATION OF WELL SITE DRILLER Bo,.q42.t~ C.d~o]~ WELL LOG: DEPT. OF HEALTH & FiMVIRC)NMFNT3,/ PRC)TFOTIC~NI q. 1986 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPL~ION OF SAID DRILLINg. write CHECK PAYABLE TO RAM~ DRILLiNg WORKS for THE SUM Of $~0~0~00 THANK YOU VERY MUCH. DaTE BERNIE CLAUS OF RAMPART D~ Oct. 8,Uz, 1984 SERVICE CHARGEOF 1Va% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-S~TE SEWER AND WATER FACILITY 264-4744 - ' Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR'TO SUBMITT.~L) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2, Bk 1, Stuckagain Heights Subd.; Sec. 67 T12N~ R2~,~, S.M. April 2, 1987 Location (address or directions) N~N Basher Drive (~ mile N. o£ North Point Road) (b) Property Owner Dick Diamond Telephone: Home 345-36~6 Business 3~?-0434 Mailing Address .13520 Diggens Dr., Anchorage, Ak 99515 (c) Lending Institution ,Ak USA Fad. Credit ~)'r~fi~ Telephone Mailing Address 4000 Credit Union Drive~ Anchorage, AK (d) Real Estate Company and Agent N/A~ Address ,- - · 753-0505 99503 Telephone (e) Mail the HAA to the followin(~ address: or; Check here ~, if hold for pick up. List contact person and day phone number below. Dick Diamond 337-0434 TYPE OF RESIDENCE Single-Family [] Number of Bedrooms Four 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. 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. 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 date of this inspection. Name of Firm Alaska Soil Testing & Engineering Telephone 345-5602 Address P.©. Box 112815~ ~nchora~e, AK 99511 Date April 2~ 1987 DHHSAPPROVAL ~.~ ¢ ~' Date Approved for ¢ bedrooms by . Approved ,-~ Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in tile 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. Page 2 of 2 72-025 fRev 8,86i Back MUNICIPALITY OF ANCHORAge./ ENVIRONMENTAL SERVICES DIVISION APR 6 1987 RECEIVED MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: Lot 2, _~k 1, Stuckagain Hts. Subdo Sec. 6, T12N, R2W~ S.M. WELL DATA Individual Well Classification Well Log Present (Y/N) Total Depth 405 ft. Cased to 191 £t, Static Water Level 120 ft. Casing Height Above Ground 12 in. Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot CA, B, C, D.E.C. Approved (Y/N) Date Completed Oct. 8, 1984 Yield 2 gpm. Depth of Grouting Pump Set At 300 ft Sanitary Seal on Casing (Y/N) Y Depression Around Wellhead (Y/N) 106 ft. 128 ft. To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots To Nearest Public Sewer Line 200+ £t. To Nearest Public Sewer Cieanout/Manhole 200+ f~. To Nearest Sewer Service Line on Lot Water Sample Collected by Mark Holum ~ P.E. ; Date 3-25-87 Water Sample Test Results Satisfactory Comments ; On Adjoining Lots 1~O+ ft, 150+ ft. The on-site facilities serve a new house which has been under construction since 198~ and is being completed at this time. (Refo Permit No. 850543) B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) ¥ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm {Y/N) N/A Separation Distances from Septic/Holding Tank: 2 6-4-86 Size 1500 gal. No. of Compartments Y Y Foundation Cleanout (Y/N) Date Last Pumped New Construction ; for Temporary Holding Tank Permit (Y/N) N/A. To Water-Supply Well 106 ft. To Property Line 49 ft. To Water Main/Service Line 20+ .~'t. 200+ ft. Course Comments To Building Foundation 11 fto To Disposal Field 11 ft. To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 6-4-86 Width of Field _56 in. Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation .54 ~?'1;. Lot 141 ft2/udrm Type of System Design Length of Field 74- ft. Depth of Field $4 in. to 96 in. Gravel Bed Thickness 48 inches. .592 f'b2 Standpipes Present (Y/N) Y. hN Date of Last Adequacy Test New Co~st ruct.~_on To Properly Line 44 ft. To Existing or Abandoned System on ; On Adjoining Lots ]_~504+ £t. To Water Main/Service Line ~,/+ £t;. To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking A~:ea, or Vehicle Storage Area Comments To Cutbank (if present) 1OO+ ft. 200+ ft. 40 ft. LIFT STATION Date Installed Size in Gallons Rfot Applicab].e Dimensions Manhole/Access (Y/N) "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (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 l have checke/d~er~jed, or conformed t,,o all MO~ and HAA guidelines in effect on the date Signed ~..'/~~ , Date &:'.pz-i]. ?, 1987 ~¢~,~%~- ~k ~ozl ]estzn,' & ]~n ~ ,,, , Company A, ' ' ' ' g ~OA No. Ci,5f-260 ~ .. Date of Pa;~ent ~ C-~ 7 ~ .~~ Page 2 of 2 72-026 (11/84)