HomeMy WebLinkAboutUS SURVEY 3043 LT 18 S2 T10N R2E SEC 18Onsite File
US Survey 3043
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EI 1� I - 2 v-D'Y',on a I
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEAL?H AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information
Application Date
(a) Legal Description (include lot, block, subdivision, section,
Location (address or directions)
(b) Applican~s Name /~g~ ~¢~O~D
township, range)
Telephone - Nome Business
Applicants Address
(c) Applicant is (check ong) Lending Institution ~; Ownerf~U!~k~a;
Buyer ~--~ ; Other~ (explain);
(d) Lending Institution 5 ~c~ ~ ~ ~ ? 7~zu~ ~ ~9~Telephone
Address
(e) Real Estate Co. & Agent
Address
Telephone
(f) Mail the HAA to the following address:
2. T¥~e of Residence
Single-Famfly~
Number of Bedrooms
3o Water.Suppl~
Individual Well~
Multi-Family ~--~
Other (describe)
Community~ Publicly]
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 ~ Public ~ Community ~ Holding Tank~
Note: If community well system, must have v~itten confirmation from the State
Department of Environmental Conservation attesting co the legality and status.
[Page 1 of 2]
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, th& on-site water supply and/or wastewater disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm
Telephone
Address
Approved for ~ bed e
Approved __ Conditional
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVA~ CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS 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 REQUIRE-
MENTS. 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.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
DATE:
TO:
FROM:
SUBJECT:
Municipality of Anchorage
MEMORANDUM
March 22, 1985
MOA Department of Health and Environmental Protection
Engineering Design, Anchorage Water & Wastewater Utility
SNOW VALLEY SANITARY SEWER LID NO. 60-3
This memo is to confirm that the South 1/2 of Lot 18, Section 18,
T10N, R2E (also known as Lot 18A, U.S. Survey 3043) in Girdwood
is a part of the subject project. AWWU anticipates the project
will be advertised for construction bids mid- or late-summer 1985
depending on the outcome of several permit applications:
Well/Sewer separation waiver applications
US Dept of the Army COE Wetlands Permit Application ~
Gravel Extraction Permits (ADONR) Application
Creek Crossing Permits (ADOF&G) Application
ADOTPF Utility Permit Application to cross Alyeska
Highway
If you have further questions, please
786-9755.
Anchorage Water & Wastewater Utility
DCK/dwJ18
Attachment: AO NO. 84-24
call Don Keefer at
ALASKA IFIC.
e LIIROllmellTAL COFITROL Sl kuicl $,
(~n§ineerinq 6 ~nuironmenl~l $1udies
03/11/85
HARVEY REDMOND
P. O. BOX 488
GIRDWOOD AK 99587
SELLER - HARVEY REDMOND BUYER -
SUBDIVISION - USS 3042 BLOCK - LOT - 1SA
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A BED WITH AN AREA OF 1600 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 150 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 200 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A
HOME OF 4 BEDROOMS.
A FLOW TEST WAS PREFORMED ON THE WELL. 600 GALLONS OF WATER WAS
PUMPED AT A RATE OF 4 GPM OVER A DURATION OF 2.5 HOURS.
THE DRAWDOWN WAS 6.7' WITH A RECOVERY TIME OF 45 MINUTES
AND THE STATIC WATER LEVEL WAS 62.83 FEET.
THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1000
250 GALLONS FOR THIS HOUSE OF 4 BEDROOMS.
GALLONS IS INADEQUATE BY
1200 UJcst 33r(I Auenue, Suite B ',, Anchoroqe, Ah~sb, 99503 ,{907} 561-5040
Certified Well
For ........... f
Depth of well ...........
Size of casing ........ de ...............
Distance to water.
Distance to water while
of ........ ~ c/
· ' ~(:%: ':'-Y3"~ ~47'.- '-':~¢ :~l"certi£y the above true,and correct.
' ' : ~:' Driller
Sw=fford' Drilling
3401 Spena~d Road ,.. ..
SD ":~ '
enard, Alaska "~'
We advise you to attach this certificate, to your ileed.
~'.v! · :~ ~,~ ....
General Contractor
P.O. Box 488
Girdwood, Alaska 99587
Phone (907) 783-2373
March q985.
~UBJECT: On - Site Sewer System for Harvey R. and
Jean S. Redmond
Located in Girwood, Alaska
Lot q8a U. S. S.
~000 Gal. Concrete Septic Tank.
Drainage Field consists of 200' 4" perforated pipe
in area 40' x 40' x 7'.
Drainage material consists of coarse, sandy gravel.
System has been in operation for ~8 yea~s.
Municipal Sewer to the property will be installed
this year.
'~HEMICAL
TELEPHONE (907)562-2343 ANCHORAGE INDUSTRIAL CENTER
5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
WATER SYSTEM:
LD. NO. ¢'
/4Fc
Water System Name Phone No.
MO. Day Year
TO BE COMPLETED BY WATER SUPPLIER
Zip Code
SAMPLE TYPE:
~¢~outlne
heck Sample (for routine sample [] Treated Water
with lab ref. no. ) ,,.J;~"Untreated Water
[] Special Purpose
SAMPLE Time Collected
NO. LOCATION Collected By
~ J L-Tt~I~., U~s .~vz. J /4.3o
4 I
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
i~Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 30 hours old at examination to
indicate reliable results. Please send new
sample via special delivery mail.
Date Received 'L~ ~ ' (~ ~- -
Time Received
Analytical Method:
[] Fermentation Tube
.~fqlembrane Filter
Lab Ref. No. Result* A~alys, t
I I [-~
i F1
I F-F1
06-1220 ('o)
BACTERIO/OG ICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Membrane Filler:. Direct Count
Verification: LTB
Final Membrane Filter Re~,~lt~
BGB
Date
Time:
TNTC-- Too Numerous To Count
Coliforrnll00ml
MUNICIPALITY OF ANCHORAGE (MOAi
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Legal Description:
M[JNICIPALD-Y OF ANCHORAO,5
DEPT. OF HEALTH &
ENVIRONMENTAL PI~O [£CT]ON
fvJAR 2 0 1985
RECEIVED
Well Classification ~Np
Well Log P~esent ~/N) ye> Date Completed
Total Depth ~7' ~ Cased to ~f' ,
Static Water Level ~ ~ ' Pump Set At
Casing Height Above Ground ' I, 7'
Electrical Wiring in Conduit Q/N) Lie>
Separation Distances f~c~ We.ll: ~ ,..
TO Septic~ on Lot ~ '7 ~ 1/
To N~est Edge of Absc~ption Field o~' Lot ~'/-'~
If A, B, c~ C, D,E.C. Approved(Y/N)
To Nearest Public Sewer Line
Cleancut/Manhole
Water Sample Collected By
Wate~ Sample Test Results
Depth of G~outing R//~ ~
Sanitary Seal on Casing ~/N)~3
Depression A~ound Wellhead (Y~)~O
; On Adjoining Lots ~rloo '
; On Adjoining Lots
TO Nearest Public Sewer
TO Nearest Sewe~ Service Line on Lot
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ~. 6$~l~.u~,~ze /~Z)d No. of
Stan~i~s~) Ai~-ti~t ~Ds ~) Foun~tion Cleanout ~)
~ession o~ Ta~ (~ ~te ~t ~d ~ '- ~
P~ing~intenan~ ~n~a~ ~ File (Y~)~ ; fo~
Holding Ta~ High-Wate~ ~a~ (Y~) ~ ~ Holdi~ Ta~ ~r~t (Y~)
~p~ation Distan~s ~ ~ptic~olding Ta~:
To Watem-Supply W~ll
To P~operty Line
To Water Main/Service Line
Course (rT~oo
To Building Foundation ! ~
To Disposal Field I'O '
To Stream, Pond, Lake, c~ Major D~ainage
Receipt
Date Paid:
Amount:
[Page 1 of 2] 2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~i;
Width of Field
Type of System Design
Length of Field ~ £~r
Depth of Field ~ ~?
Gravel Bed Thickness 7' e"$~
Square Feet of Absorption A~ea /~ O0~L Standpipes P~esent (Y~
Depression over Field (Y~ Date of ~st A~a~ ~st
Results of ~st Ade~a~ ~st U~s~7~sF~
Sep~ation Distan~ ~n ~s~ption Field:
To ~te~-Supply ~11 ~ ~ ~ ' To ~o~rty Li~ ~r ~ o o '
To Building Foun~tion f%~ /o ' To Existing
Lot ~ .. ; ~ ~joining ~ts
To Wate~ Main/~rvi~ Line ~ To ~t~(if preenS) /0
To Stre~ond~ke/~ ~jo~ ~aina~ C~se
To ~i~way, Parki~ ~ea, ~ Vehicle Stora~ ~ea ~ '
LIFT STATION
"Pump On" Level at ~
High Water Alarm Level at
Tested fo~
Electrical Codes(Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Pumpi ng~yc~e s
Comments
du~~Tevent (Y/N)
st. M~ets MOA
** Check Permitted Bedrccm Rating Against HAA P~quest
I certify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect
Date ~-/!~~ ~
MOA No. ~-OZ~ ~