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Home My WebLink AboutTIMBERLUX #1 BLK B LT 11A ¢~% MUNICIPALITY OF ANCHORAGE ~. .-- - DEP ,rMENT OF HEALTH AND HUMAN SERVi Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N~e DISTANCES ~/~,~.,-/~.~ ,.,T. ?¢¢'¢~- ~ SEPTIC ABSORPTION Address TANK FIELD WELL Pho.e(s) - PermitNo. Ne. Ce o.~ WELL / //~ ~ ¢e¢/~ ~ I FOUNDATION AS-BUILT DIAGRAM (Show Jocahon ol well, septic system, property hnes, IOundahon, ~'e~ J~/ 7/Z ~ ~ ~ Onveway. water bodies, etc. J ~ SEPTIC ~ HOLDING ,. TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~OTHER ~T ~ Number el hnes Semi rahng J P~pe material WELLS ~'PRIVATE ~ OTHER (Identifvl REMARKS: Scale:/ ~ dO /fo~, ~ " ENGINEER'~SE~ Inspections Reformed by: ~unicipal and Slats Duidelines in effecl on this date: . /~ ~ Health Depa~ment Approval: .~ Date: ~ 72-013 (3/85) HEAL.'I"H AND ENVZR[JNME:NTA~- F'R[')'T'F:'r';TZE)N STREET, AN(3HORAGE:, AK 995])] F:'ERI~I I 'l" NC): DATEC -. ~::'c:' ': · ,, 1 ,.~,.-,LJ b!.),, AF'PL. :[ E.-;AIx!l'; ADDRESS~: cr'tN'!'{:~CT F:'H[]h. JE: E~ 60 :[ 5'7 06104 ~El6 CHAF:.:LIE~ J. PIE:TERS z,l. 6()O RABBI'I CRE:]EK RD. ANCHORAGE, Al<: 99516 UE(::~AI._ i)EE~CR :[ F': L.CIT o I ZIE:: MAX )BIF:DROSMS: BLO!:31<:: E Listed I:)~:-)].ov.¢ ap~ the options~ ava(labile t.i] you ~.n designing yot_tP septic s~ys'L(,~)r¢. Choose the~ optio~n tha'b bes'L ¢i'Ls your sitce. DEI="I-H 'T'O f-':' 11: F:'E BCFFT[]fd (F"Y ,, ) 6 ,, 0 6.5 6., 0 GF;:AVEL_ DEF:'TPI (F'l".) "I'[ITAL DEF'TH (F'"F.) 9.0 7,, 0 8., 0 GRAVEL.. IAI]:DTH (F"L) GF;~AVEL. L. ENEtTH (F']'.) 63 ~ 0 34,, 0 53.0 GF~AVEL. V[]LUi~ilE ([]U. Y~:)S. ) 20., 5 2 :[ ,. ~5 24.6 TANK SIZE (BA[.S) 1,00().0 ~ 1,000,,0 ~"~ 1,000.0 '~'~ SOLE, RATING (SC!.FT,,/BR) :1.25 J. 25 125 L, OfdF AF~l I ILIq f,:~ '~'~' "FANI'c: MUST HAVE: ¢-]'i" L..EAST TWO -' ...... ~c.-"'c- ]: c::ep'L~ {'y that: :1.. I am t~ln:~liar' with the~ pec]uipements ~'or on-.site sewePs and w(~ells as set ~'opth by the Mun:[cipa].it.y o[' AnchoPage (M[]A) and t. he State of A].asl<a. ;~ I will instal:[ the ~ystem in ac::coPdance ~i'Lh all MOA c:odes and ~,egu].ations, and in coml:~liance with the c.~e~s:Lgn c:Pitepia cH' th:L~s pepmit,. :~,, I ~/~:i. 1]. adher'(e 't:.o ',~4].]. kIOA and E~ta'[.re of al~tsl.::a r,~quj, pem~,n't:.[~ {'of thee ~;et bacFc ciis't, alqces ['Pom any E~;'(J. Btil]g WE~ll~, i,~a~t.e~a~C,z~r' dJ. spos~a], syE~'E, em of public E~e~z~er~age E~y![~t. em on 't:.hJ.s op any ~ad.ja~]ent op rH.~ar'by lo'U. 4. i understand that ~Jqis pepmit :i.s valid Fop a maximum o~' 3 bedrooms and any enlapgement wi].1 r. ecluir~e an add:i, tional per. m:i.t. IF:' A l...IF:T ~)1~1I..11 :I:S .,lb ¢-.~...L. ED tN AN AREA [;OVIERED BY F1oa BLILDIIqG '" "'~' '' ' A,- BULL..]..) ]"HEN (t) ~Mxl IELIE:CTR]:CAI- F'E;Ri~I:I:T ANL) ].I,Ic~FE.E,TI(.IN MUEFT BE OEr'f'AZfqED; (~) I,'¢]:L.L. I%lO'F BE APF R[)* [:.D WI]"HE)LJT Alxl EL..E:CTRIC)AL IIqSF'ECTI[)N REF'ORT~ AND (3) THE F:l E'E]TR;:CtAI ~ORK UST 13[E DC}IxI[E E~Y A L..[(..E. t lc~E:D EL..IEE, TF~IC:I:PN. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINF~ R'S SEAL) PERFORMED FOR: ~-'~ DATE PERFORMED: LEGAL DESCRIPTION: ~/~l~e,~/~'~ Cf / ~'/'o£/~ g~ Z~2////Township, Range, Section: 10 11 13- 14- 15- 16- 17- 18- 19 20 SN SLOPE WAS GROUND WATER i~J'lO ENCOUNTERED? SITE PLAN S L IF YES, AT WHAT O DEPTH? p~ Depth io Water Aiter j~l~_~ j~ ~£~ Monitoring? Dale: ~'7 Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN FT AND __ FT PERFORMED BY: ~ ~T ~ O ~ CERTIFY THAT THIS TEST WAS PERFORMED ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFF~T ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER~S~L) PERFORMED FOR: LEGAL O E SC R I PTI O N :'7"~"~/~ ~,"/~ 1 2 3 4 6 6 7 8 9 10 11 12 13 14 15 16- 17- 18- 19- 20- DATE PERFORMED: COMMENTS Township, Range, Section: -~¢~ 3y )'-/Z/V/E$~' I'-/! I SLOPE SITE PLAN WAS aROUND WATER ENCOUNTERED7 1%[0 ~ O S IF YES, AT WHAT ~ DEPTH? p E Depth to Waler After Monitoring? Dote: Reading Date Gross Net Depth to Net Time Time Water Drop 5-./;z lO/Y- _ .d'$- ._, PERCOLATION RATE TEST RUN BETWEEN FT AND __ FT V/¢'~(-~ .~T oc~ ~)~// I ~"'"'~"¢¢¢/*~¢~' CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFE/~/T/ON THIS DATE. DATE: 72-008 (Rev. 4/85) ,//7, t0 L^'r~i o~ L~JE FND. WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological ~ SeophysicolSurveys Oriliinq Permil No. LOCATION OF WELL (Please complele either la, lb or lc.) A.D.L. NO. I~. Borough SubdivJ$?~n! Lot Block ~ V4qtrs. Section No. Township Meridian Range [ ~[~ · ', OAuger 0 Jetted 0 Cored 0 Other: R~r ~lVE[ Moter,,l: 0 .eot Cement WATER WELL CONTRACTOR'S CERTIFICATION:~. ~r~ ~f' ~'~'I.) ' ''~?/ 15' Water Temperalure __o ~ F ~ C 3qN-/'749 WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geo[ogicol ~ Geophysicol Surveys Orilling Permit No, LOCATION OF WELL (Pleese complefe either ]e~ lb or lc.) A.D.L NO. ~:Coble tool ~ Rotary ~ Driven ~Dug ~ Domesttc ~ Public Supply ~ Industry STA~*C WATER LEVELt { ) ft. ~/ :/ Above or ::~ Below lend surface MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 30 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applica, ntName /~eveCl'~ ~¢e,-s Telephone:Home 2(~c/ ~.~0[ Business Applicant:Address ~d;~)O /~,"J' C~¢eX ~o~ ~c~e ~/( ¢~ ~/~ (c) APplicant is (chec~;~e); Lending Institution B ;~builde~; Buyer B; Other B (explain); (d) Lendng nsttuton~¢~//~/~¢~ ~/~' Add(ess -~ ~/ .~/ ~, ~ (e) Real Estate Company and Agent Telephone (¢ '7 Address Telephone Mail the HAA' to the following address: TYPE OF RESIDENCE Single-Family ¢¢- Multi-Family [] Number of Bedrooms '~ Other WATER SUPPLY ~ Individual Well ~----.Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation '//1 attesting to the legality and status. ~ ~ ' ~ 4. SEWAGE DISPOSAL Onsite,J~t'--~ublic [] 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. Page 1 of 2 72-025 {11/84) ENGINEERING FIRM PROVIDi,...~ INSPECTIONS, TESTS, FILE SEARCH, D.~, (A 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 a~d/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 /'~ C-¢-S Telephone ~ 1' $-o~O Address I 2.-420 f,~ .~'~"°~- /¢,~_~, ~, ~ ~ /~.~* ~ ~ ~ Y3~.~ REIO, JR. Approved for /'~_:~/~¢' _~L)bedrooms by Approved ~ Disapproved Conditional Terms of Conditional Approval Date 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 (11/84) ALASKA ENVIRON~NTAL CONTROL SERVlC_ ~', INC. 1200, West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO r~ OF CA,C,~^TEOD~ '~'7 D^TE ~./~/~'~ CHECKED BY. DATE ALASKA ,,OligOFImI FITAL COFITIgOL $1gl OICIg$, ~n§inemn9 6 ~nuir'onmentcfl $1udies April 1, 1986 Municipality of Anchorage Department of Health & Human Services 825 "L" Street Anchorage, Alaska 99502-0650 IFIC. Attn: Steve Morris 5ubject: Lot IlA, Block B, Timberlux Subdivision Dear Steve: / Our office is requesting 90 day conditional Health Authority Approval/for the subject property. The owners are refinancing their home. The septi~ system consists of a septic tank and seepage crib installed in j;h~ mid-196~'s. There is no as-built on record. The standpipe on the tank is.~{/feet from the well. There is no standpipe on the crib; An adequacy test an~'~erification of tank,' crib, and groundWater depths v~uld be very difficult at this time because of ground frost. Recorrmend the bank escrow sufficient funds for system replacement, if verification does not find thingi up to code. We made a site visit on 3/17/86. No surface discharge of effluent Was observed. The owner reports no 6ack-up problems in the house. A Water sample was taken and found to be free of coliform bacteria contamination, We feel that a health risk would not be created by giving a 90 day conditional. We reccmnend that the septic tank not be pumped at this time~ a~-&t may need to be pumped at a later time to verify size or upgrade system. Aw ell flow was performed on the subject lot on April 8, 1986 (report attached). Well yield of 12 gallons per hour (288 gals/day) does not meet MDA requiranents for this 3 bedroom home; However~ the hcmeowner has a 120 gallon storage tank and has experienced no problems in using the well for the past 18 years. Ourrently, only two people reside in the house. We feel upgrading the well at this time for the current homeowners needs is unnecessary. We recomnend the well be conditionally approved for the present owners that if the property is ever rented or sold, the well rmst be upgraded to meet M3A requirements. If you have any questions, please call. Dennis Roe Field Engineer Approved by: OY C, REID~ JR. ~ . 1200 [~esl 33rd ~uenue, ~uile ~ *~nchoroqe, ~[osko 99503.(907) 561-5040 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) MDNiCIP^LITY O~ ANCHORAG~ DEPT. OF HEALTH & CHECKLIST- FEBRUARY 1984 I:NVIRONMENTAL PROTI~CTION .J L o 1986 WELLDAT ECEIVED 264-4720 Legal Description: -7,~e,-/..~: ~/ / Well Classification Well Log Present ~) Total Depth z'/oO Cased to Static Water Level '~' Casing Height Above Ground Electrical Wiring in Conduit ~1) Separation Distances from Welk If A, B, C, D.E.C. Approved (Y/N) Date Completed -~- 2- 2_ -~ Yield To Septic/Holding Tank on Lot Depth of Grouting Pump Set At Sanitary Seal on Casing ~) Depression Around Wellhead (Y/~_""~ /38 ; On Adjoining Lots ~T /oo Water Sample Test Results Comments To Nearest Edge of Absorption Field on Lot / ~ ~ ; On Adjoining Lots To Nearest Public Sewer Line /~/A To Nearest Public Sewer Cleanout/Manhole ~ 4 To Nearest Sewer Service Line on Lot /t/,~ Water Sample Collected by (-~. o-,-c7' (/~E'c--5.2 ;Date 2~ B. SEPTIC/HOLDING TANK DATA Date Installed /3 J~.~ Standpipes ~) Air-tight Caps ~N) Depression over Tank (Y/~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /v Separation Distances from Septic/Holding Tank: To Water-Supply Well /3 To Property Line {/.~ To Water Main/Service Line Course ~7" /O~ Size / Ooo No. of Compartments Foundation Cleanout (~N) Date Last Pumped ; for Temporary Holding Tank Permit (WN) To Building Foundation ~' ! To Disposal Field ~ 4/' ~' To Stream, Pond, Lake, or Major Drainage Page I of 2 . 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /,,~ ,5' ¢¢/ Date Installed /.~ ~n¢ /¢8~' U-/ Square Feet of Absorption Area Depression over Field (Y/~(~/ Results of Last Adequacy Test /v' .,4 Separation Distance from Absorption Field: To Water-Supply Well / To Building Foundation Lot ~7'" ~0 To Water Main/Service Line E~ ?-- fO To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design '7'>e,~- Length of Field -~O Depth of Field Gravel Bed Thickness Standpipes Presen~/~/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots ~'7- To Cutbank (if present) G7~ 1oo Comments Dimensions siza in Ga?ne Tested for ./' ~ PU~ during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comment / ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, v,c.,rified, or conformed to all M?A and HAA guidelines in effect on the date of this inspection. Signed ~'~'~ ~"~¢'~'~--¢¢~'~'~---~15ate ~ ,.~O--8~ Company ,~'C- ~ MOA No. 5F ¢ ~ O ~ Receipt No. ~00/ OOl ~ Dateof Payment ~/~]/~6 Amount: $ ~, O0 Page 2 of 2 72~026 {11/84) :-!, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) (address or d'irecti/ens) Location Applicant Name .~¢'~' h/'~/' '~'¢~'~' 5 Telephone' Ho~e ~ ¢~/~¢~ (b) [ : , . ~ B~ Applicant Address ¢~ :: ~(~ ~¢~ ~o~ ~o~ ~ ~¢ ~/0 (c) Applicant is (check one):'~;~,ding Institution B; Owner/builder; Buyer B; Other~ (exp~i,n); ~ ~ (d) Lending Institution Address Telephone (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~t~ Multi-Family [] Number of Bedrooms ~ Other 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 ~vell system, must ha(,e written Cof~firmation from the State Department Of Environmental Conservation attesting to the legality and status. ~age I of 2 72-025 (11/84) 5. ENGINEERINGFIRM PROVIDING INSPECTIONs, TEsTs, FiLESEARI3H, DATAAND INFORMATION As cert f ed by my seal I~ff xed hereio and as of thevalidatlon dateshown below, I verity that my[nvestigatlon of ~hls Health Authority Approval shows that the.o~-site water supply and/or wastewater disposal systerd is safe, functional and ad'equate - for_the number of bedrooms artd typ~ o[ str~ictu[ein~c~icated herein, I further verify-that based onthe:informatlon obtained - from tl~e Munc pa ty-~of AnChorage files and from-~y investigation ~d irt~p~btlon the-on~,si~e water supply and/or wastewhter disposal syster~is inc0r~ph"ance withall-~Municlpal end'rate c0desoYdi~ances, and regblations in effect On the date of this L - Term~ . The Munclpali!y of Anchorage DepaJ Health ,and Environmental Protection (DHEP) issues Health Authority · 'Al~proval certificates I~ased ~olelyul~on tI~erepresent~.b~ns given in paragraph 5above byan independent professional ' - engineer registered inthe State of-Alaska, The DHEP.'doe_s this ~s a courtesy t0purchasers of homes end theirle~ding : Institutions Inorder~o satisfy certain federal and staterequirements. Employees of DHEP do not condt~ct Inspectionso~ · analyze d~ta before a',ce~tificat~ Isissued. The Municipality of Anchorage is not ~e~sponsible for ~rrors or omissions in the pr-ofessional engineers wbrk~ ' - -- - ' - Page2of2 - _ ' - -_ - - _ MUNICIPALITY OF ANCHORAGE (MOA) - .E^L*H AU*.OR, Y ^PP.OVAL =~1~.,. ~uH & 264L4720 ..... ~ PROTE~ioN APR ] 6' ~j Legal Description: Z ///, A. WELLD^ AREC£1V_ED. Well Classification If A, B, C, D.E.C. Approved (Y/N) ~¢'~ WeJl Log Present(~N) Total Depth /?~ Cased to Static Water Level ((~ Casing Height Above Ground Electrical Wiring in Conduit~,l) Separation Distances from Well: To Septic/Holding Tank on Lot ~/~'~ Date Completed ~ ~.--,~ ~ ~ ~<~ Yield Depth of Grouting Pump Set At /~'~,, ~'- Sanitary Seal on Casing (~) Depression Around Wellhead (Y~_~ ,~ E;./~, ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~k~',~.¢ ~-.-,¢-,; On Adjoining Lots /~ ~ ~/'¢'~ To Nearest Public Sewer / /(-/~ To Nearest Sewer Service Line on Lot ? ~' ¥' / B. SEPTIC/HOLDING TANK DATA Date Installed ¢41~4~/~'¢0 ~ Standpipes(~N) Depression over Tank (Ye Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances fr ~/~'~ep,tic/Holding Tank: To Property Line /O To Water Main/Service Line Course ~7'- / Comments ~ No. of Compartments Air-tight Caps (Y~). Foundation Cleanout (Y/~) Date Last Pumped LIA ; for Temporary Holding Tank Permit (Y/N) To Building Foundation I~'~F ~ ~' P. TO Disposal Field ~'..¢~ ~-~ o ~ To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Str/ata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/8 Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /~tn '2' Type of System Design Length of Field (~'~¢<~"~ Depth of Field ¢' Gravel Bed Thickness Standpipes Present (Y(~ Date of Last Adequacy Test To Building Foundation ,or ____ To Water Main/Service Line ..~. ~' /f To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) /(2 Comments D. 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..(P~/ "Pu m.p,~evel at // Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify thatl have checke¢~ verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S ghee ¢/~L~ ,~'¢-~' (~ Date ~f -/(¢) ':-~ Company __A~-~5 ..-[~¢-~-( MOA No. ~'~'~¢~-F Receipt No. ,~'~ ~(~ ~1 Date of Payment ~-~ - ~ ~ - ~ Amount: $ ~>~ ~ O~ 72-026 (1 t/84)