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HomeMy WebLinkAboutT15N R1W SEC 8 LT 101ca ,-c 8 ,L. os-' Iol GR TER ANCHORAGE AREA BOROt DY., ARI'iV1EN'I' OF ENVIRONMENTAL QUALI'I 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL__ '~-~-" LIQUID CAPACIIY /'~-~.~'~O- _GALLONS. NUMBER OF / MATERIAL ~'~ ~l ~:~JZ~-~/?¢~ COMPARTMENTS_ ~,(.)/~,~,,~,A~;- (~I.~)~'~, .;./-~' '/L~4 ) ~, ~'~:/'~ LIQUID INSIDE WIDTH~ DEPTH INSIDE LENGTH_ SEEPAGE: SYSTEM: SEEPAGE PiT: NUMBER OF PITS / .... OUTSIDE DIAMETER~ LINING MATERIAL(q~I/'~I('~=-~/~/ ~'~'~-- --' NEAREST LOT LINE~"~~'' 't /O Z:'/~; Zz . OR W DTH DISTANCE FROM WELL /~.~'~'- / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH__/¢'/~ ,DEPTH_ ~/~J / , BUILDING FOUNDATION ~/~- , SQ. FT. TILE DRAIN FIELD: DISTANCE PROM WELL GE FOUNDATION NEAREST LOT LINE. D~STANCE BETWEEN L~4E~S TRENCH WIDTH __ SQ. FT. LENGTH OF ~ ~_~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. TO~.~L/EF F ECTIVE IN. ABOVE TILE WELL: 1. y p E ~,-//~.~ , DEPTH NEAREST LOT LINE '--- , SEWER LINE. DISTANCE FROM '-' -, BUILDING FOUNDATION.. SEPTIC SEEPAGE TANK_ ~5~ SYBIEM WATER ,, . S A M p L E ~/~ ?~'/~':~ , NEAREST OTHER , CESSPOOL_ -~' SOURCES DISTANCES: DIAGRAM OF SYSTEM APPROVEO~ -.~/ ~-' GREAT"ER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAl- QUALITY pERMIT NO. ANCHOF1AOE, ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT Q.//  ¢ NOTE~ THI8 PERMIT If NOT VALIB WITHOUT SOIL TEST RESULTS COMPLETION DATE ANTICIPATED -- FINAl. INSPECTION~ 24 HOUR NOTICE: REQUIRI'"D, BACKFILLING OF ANY BYBTEM WITHOUT FINAL INSPECTION BY 'rile HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO pROSECUTION. SEPTIC TANK SIZE -- TYPE (~/~¢~/;~O~: ~ SEEPAGE AREA SIZE ~ 3,/~ SEEPAGE PIT .-- TO R~VER, LAKE, STREAM. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLe CAPS. DIAGRAM OF BYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, LICENSED DESIGNER [ CERTIFY THAT [ AM FAMILIAR WITH THE REQU]REMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRibeD SYSTEM IS IN ACCORDANCE WITH SAID CODE. LeMs.L D~.sc~'~.pt~.o~; ~ot: iL~ock :-; bdi',' sio. r~ /~.,Z ~ ) ' -~Z~~''~ Depth ~'fl(7 /~''~'' ~.o~,~<'<,.~,~ i,~ea.d;.tg f;ate ,,noss ~'ime ',' '": :~e., ~i;.e L)ept:l) TO 3120 t~et Drop Brown silty sand (SM) Gray sand and gravel (ow) 4~ 6~ 7.~ 9~ Was Gmou~o '4at~.r Ez-Jcountered?...~,go~ ...... ' ' ' , .z>-- ," I)r'aJ.n ....... ~q~g~,~$~,~j~.~ge A~a is reauzred Der bedroo .,,.~ for backfill below 3.5 feet o.1,, - Tea:t Performed By: R, E. Carlisle MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL. OF ON-SI'rE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 101 T15N R1W Sec.8 Location (address or directions) Chu_g iak AK (b) Applicant Name Wol£_~ng Hahn TeLephone: Home 688-2359 Business69L!-69%1 Applicant Address P.O.B 772431, Eagle River~_ AK 99577 (c) Applicant is (check one}: Lending Institution []; Owner/buildery~]; Buyer []; Other [] (explain); (d) Lending Institution Alaska USA Credit Union Telephone 6_94-5390 Address Centerfield Drive, Eagle River, AK (e) Real Estate Company and Agent N/A Address Telephone (f) Mail the HAA to the following address: pick_u_p by a_~plicant TYPE OF RESIDENCE Single-Family [~ Multi-Family [] Number of Bedrooms ~-I Other WATER SUPPLY Individual Well [] Community [-1 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 ]~1 Public [] Community [] Holding Tank [] Note: If community well system, rnust have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 {I 1~84) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPI:'CTI()NS, TESTS, FILE SEARCH, DATA AND INFORMATION, As certified by my seal affixed hereto and as of the validation date shown below, I verify that rny investigation of this Flealth Authority Approval shows that the on-site water supply and/or wastewater disposal system is sate, functional end adequate for the number of bedrooms and type of structure indicated herein. I further verity 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 . · * 4' separation t6 any water table dependant on HOA approva% the date of th~s ~nspect or. Name of Firm _ Telephone EAGLE RIVER ENGINEERING SERVlOES Address -EAGjzE-P~NERT~I(~J95~7 Date '~//.¢4' P, 0, B~)X 773294 694-5195 Eng'neer s Seal ~ Disapproved . Conditioaal Approved / v Terms of Conditional Approval CAUTION The Munc[pality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the represeetations given in paragraph 5 above by an independent professional engineer registered [n the State of Alaska. The ©HEP 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 tile professional engineer's work. Page 2 of 2 72-025 ¢~/e4) MUNICIPALITY OF ANCHORAGE (MOA/ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: MUNICIPALITY OF ANCHOItAGI~ DEPT, OF HE^LTH & ENVIRONMENTAL PROTECTION APR '1986 WELL, DATA Well Classification /°dC' / '~',4-7-~' If A, B, C, D.I-:.C. Approved (Y/N) Well Log Present (Y/N) /l// [)ate Completed /? Yield Total Depth Cased to Depth of Grouting Static Water Level _~E ~ ,e¢¢/...¢ .'~¢. ~,/" Casing Height Above Ground _/.2" Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot .-~42 / To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line CleanouVManhole Pump Set At .~, Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoirfing Lots ; On Adjoining Lots To Nearest Public Sewer Water Sample Collected by Water Sample Test Results To Nearest Sewer Service Line on Lot ¢.2.~- / Comments B, SEPTIC/HOLDING TANK DATA Date Installed /¢ ?/ Standpipes (Y/N) ___ / Depression over Tank (Y/N) 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 ¢'/o / To Water Main/Service Line "-/~ / Course /P"d,~. ~J, 7~?, ,,~' Size /,~'-~ ~'% / No. of Compartments ~- Air-tight Caps (Y/N) __ >/ _ Foundation Cleanout (Y/N) Date Last Pumped c~/.~ ; for · Temporary Holding Tank Permit (Y/N) //'/.4 To Building Foundation ,~G' / ¢'~ To Disposal Field _¢'o" 'Fo Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /~. 2 / Width of Field / -~ / 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 ~' / Lot /~/~'"~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ e ~ /~ ,"/'~ ~' Type of System Design ,.C~,e~,~ s e Length of Field /-~ / Depth of Field // · Gravel Bed Thickness / t Standpipes Present (Y/N) Y Date of Last Adequacy Test ~/'~ ~"//~ 4: To Property Line '~/'~ To Existing or Abandoned System on ; On Adjoining Lots w 3,~ ~ To Cutbank (if present) LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA °* 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 ~'~:~"/'""~'~'~'~-- Date Company -z~",'~°~ J'' MOA No. Receipt No. ~,~ "-'j C~ .-~ (~ J Date of Payment z~- ~ Amount: $ (~ ~_~ c~... Page 2 of 2 EAGLE RIVER ENGINEERING SERVI[CES Lou Butera P.E. P.O. Box 773294 Eagle River, Alaska 995'77 Telephone (907) 694-5195 3/31/$6 Mr. Steve Morris Municipality of Anchorage Department of Health and Human Services 825 "L" Street Anchorage, Alaska 995020650 Ref:Lot 101, T15N R1W Sec.8 Dear Mr. Morris; On behalf of my client, Mr. Wo]fgang Hahns, I am submitting · the information necessary for a determination of Health Authority Approval for the above referenced lot. I have tested the seepage pit on this lot as adequate for +600 GPD absorbtion rate. Separation distance well to septic tank is 50' which is allowed by grandfather rights due to the date of installation. The original permit was for a 4 bedroom installation with an 85 soil rating and 348 sq. ft. of absorbtion area. The soil log for the permit shows a total depth of 10' with no water table. As the system was_ installed to a total depth 11', the question of--4' vertical separation distance to any water table J_s left to Municipal determination. I have in- cluded soil logs from neighboring lots to aid your anaylsis. The lot slopes to the north at an approximate 10% grade. The population of the area is very low density with 2½ acre lot density. If there are any questions or concerns regarding this lot please call me at 694-5195. Sincerely, Lou Butera~ P.E. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMELNTAL PROTECTION APR RECiEIVED