HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 5
~)~GREA
ANCHORAGE AREA BORO,,,,GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH_
SFEPAGE PIT:
- NUMBER OF
_ MANUFACTURER_,~'~'V_F~' ~ M^TER,AL_/~/,4S;'--/~ COMPARTMENTS / _
_ INSIDE WIDTH LIQUID DEPTH ......... LIQDID CAPAClTY~~ GALLONS.
LINING MATERIAL -/~--~--/¢-- dZ~]~/l~ CRiB SIZE: DIAMETER
BUILDING FOUNDATION'~~', NEAREST LOT LINE '~O/
ADDITIONAl_ ABSORPTION
LENGTH~___~, DEPTH
DEPTH .... DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) SQ. FT,
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE __
OTHER SOURCES
DISAPPROVE[)
NEAREST
SEWER LINE
REMARKS
DEPHI DISTANCE FROM:
SEPTIC SEEPAGE
TANK __, SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL'
LOT SLOPE:
REMAR~S: _S'6/~
DATE
APPROVED
..~ /l/c- bl~~
G.A.A.B.
GrEA R ANCHORAGE AREA BOR
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
IGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION ~/ p~-'~l%~ C~eel~
LEGAL. DESCRIPTION (,~'r %~
INSTALLATION OF: SEPTIC TANK .
TYPE AND SIZE OF FACILITY TO ~E SERVED
FINANCED THROUGH
SOIL 'rEST RESULTS ~
MAILING
PHONE
SEEPAge PIT--!/"-,
TO BE INSTALLED BY
, DRAIN FIELD , OTHER
NOTEI THIB PERMIT I~ NOT VALID WITHODT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL [NSPEETION BY THE
DEPARTMI:NT OF ENVIRONMENTAL, QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
~EPTIC TANK SIZE /~O TY~E ' ¢~ SEEPAge AREA S'ZE -~ ~ ~
MINIMUM DISTANCES, REQUIREMENT5 DIAGRAM On' Z[~
FOUNDATION TO SEPTIC TANK __L~-I
FOUNDATION TO EEEPAGE PIT ~ £
SePTICTANK TO SEEPAGE PIT WALL
WELL TO SEPTIC TANK /~)~ ,SEEPAGE PiT /~/~ ~
, DRAIN FIELD
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD --
SEPTIC TANK,'~"/~ I .. SEEPAGE PIT
TO RIVER, LAKE. STREAM.
, SEEPAGE PIT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTUSBED SOIL,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SERTIO 'TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BADKFILL
OR
THE REQUIREMENTS OF RE TER ANCHOR~E AREA ~OROUGH
DATE ~'~:~FORM NO. EQ'0'6 APPLICANT'S SIGHAT~~'~ '(* '~'-
(}REATER ANCIIOI&(;t ARLA UDRDUGt,
Oepartment of Envi ronmel~ La1 Qua Ii Ly
3330 "C" Street
Anchorage, Alaska YYb03
SOII,S I,O(i I~]';ROI,ATION TEST
Performed for' ._~?~!N6__~Ag$~ ,}ate
lhis form reports: Soils 'log._~ ................ Percolation ~,est
l)ep th
Feet
2
3
4
5
6
7
8
9
10
11
12
13
14
Was ground water encountered? _~_(~__ .... If yes, at wiiat: depth?
Reading Date Gross Time Net Time ._?_p?_._L_-o__W_a_te~i Net iJrop
Fe-FE%=I ~aTi-o~- -~ a ~ 'e ............... ;, FG-u -t -e-.'
· Proposed installa-t]~-o'n-:-- S--~b~a-'.qe Pit Drain Field
Depl:h of Inlet . Deptfi--t'o' i~b'E-(o~--b:F-'pit or trencl,
040 (6/74)
MUNICIPALITY OF ANCHORAGE
DIVISION OF Eg]VIRONMENTAL HEALrFH
DEPAF~TMENT OF HEAL'I~ AND ENVIRONMENTAL PROTECTION
APPLICATIC~N ~I)R HFJ%LTH AI~I'HORITY APPROVAL CERTIFICATE
1. C~rmra]. Infor:nkntion Applic'ation Date ,fD%~/ L
/7~
(a) 5egal Description (include lot, block, subdivision, section, township, range)
Location (add. ss o~ directions)
(b) Applicants Nan.. ~.o,'~ ~, ?~ ~, ,:.~;: ...-, .. ~
(c) Applicant is '(check o~) ~nding Institution
Mult i-F~i3.y
OtJ~er (describe)
Note: If co.~un:Lty %911 system, must have. written confirmation frcm the State
Depa~tn~nt of EnviromN~ntal Conservation attesting to the legality and status~
Is the v~ll adequate fo~ the n%~r of ~ s~cified in this H~ (Y~)
(~nsite J~ ]~tblic ~ C~lnity ~j~ Holding I'a~
Is the wastewater dJ.s~sal system adequate f~: ~e
[Pa~) 1 of 2]
2-.15=84
5. En~ij~eri~n~ Firm )
?rovld]n [ns ctlons, l~.sts, Data and Inforraation
I oai, tify that I have checked, verified, or cxDnforn~d to all MOA [tAA Guidelines in
effect o~% the date of ~tis in~ctJon.
6 ..D.H_E?_ _ADu?. r oval
Appr, ove d for
Appr eve d"~
'Ferns of O~nditional App:cw~l
21~e Municipality of AnchoFa(3e t~)pa~tJr~nt of F~alth and Environn~ntal Protection dces
not guarantee the_ continued satisfactory p~rformance cf the wate~ supply aria/or the
wastewater dis.~osal system° This approval indicates that, as of th~ validation date
shugn above, bas.~d on the data and info~mation furnished ~¥ an engineer ~egistered in
the State of Alaska, the water supply and ¢mstowater disposal system is safe and func-
tional for the nua~e~ of bedroom and typ~ of structure indicated.
KB2/d5/s
[Page 2 of 2]
2-15-84
A®
MUNICIPALITY OF ANCHOPAGE
DEPT. OF HEALTH
ENVIRONMENTAL PROTECTION
MAY '1. 0 1984
,CEIVE[)
MUNICIPALITY OF ANCHORAGE (MOA)
H[LALTH A~I~ORITY APPROVAL (HAA)
CHF. CKLIST - FEBRUARY 1984
Well Classification
Well Log P~esent (__Y/N)
Total ~p~ Cazed to
Static Wate~ ~1
Casing E~ight ~ G~nd
Elee~ical Wi~ing in Conduit
~p~ation Distan~s f~ ~11:
To ~ptic~olding Ta~ ~
To ~%a~est ]~ of ~so~ption Field on ~t
To Newest Public ~ Line
C ],ean~t/Ma~ole
Wate~ S~le Collected By
, Wate~ S~le Test ~sults
C~nts ~C C/~ r z
MUNICIPALITY OF ^NCHORAOE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MAY 1 0 1984
E E YE[
~1/
I~;~B, o~ C, D.E.C. Approved~
Date (km~pleted Yield
Depth of Grouting
Pump Set At
Sanitary 'Seal on Casing (Y/N)
Depression A~ound Wel]ahead (Y/N)
; On ~]joining Lots
; (~ Adjoining Lots
To Ne[~zest Public Se~r
To Neazest Sewer E~rvice Line on Lot
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ~'///97~-' Size /~o ~/ No. of Compartments
Standpipes (Y/N) /~3 Air-tight Caps (Y/N),~'~ 3_ Foundation Cleanout (Y/N)
Depression OVer Tank (_Y/N) /~o Date Last Pumped /~'~, '/ :l ~
/~. ·
PumDing/Maintenance Contract c~ File (Y/N) '~/~, for
Holding Tank High-Water Alarm (Y/N) __ Temporary Holding Tank Permit (Y/N)
Sep~u~ation Distances frcm Septic/Holding Tank: ~"'
TO Water-Supply Well ? ~ ~ To Building Foundation
To l{eoperty Line _ '~ ',.~ /
To Water Main/Service Line ~ ~"~ / '~
co~.~
To Disposal Field _ ~ /
To Stream, Pond, Lake, c~ Major Drainage ·
Coni~nts
[Page 1 of 2]
' bkFi. OF HEALTH
,ENVIRONMENtAl. PROT£CTION
MAY 1 0 1984
.RECEI EI)
2-15-84
C. ABSORPTION FIELD DATA
Soils Pating in Absorption Strata
Date Installed /~ ~J-
Width of Field /~/~
Square Feet of Absorption A~ea
Type of System Design
Length of Field ...... ~ ~
Depth of Field ~
Gravel Bed Thickness ~-
~ Standpipes P~esent (Y/N)
Depression over Field (Y/N) ///~ Date of last Adequacy Test
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Wall ~ ~[-~ z To P~operty Line ~ o ?
To Building Foundation ~ ~ ; To Existing or Abandoned System an
Lot ~,/~ ; On Adjoining Lots ?~/ / ~
To Water Main/Service Line ~/5~/ ~ To Cutbank(if pre ,s~nt)
To Stream/Pond/Lake/or Major D~ainage Course /V/~
To Driveway, Parking Area, o~ Vehicle Storage A~ea ,~ /
C~,~ents
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested fo~
Electrical Codes(Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles du~ing Adequacy Test.
Meets MOA
Con~nts
** Check Permitted Bedroom Rating Against HAA Request ** ~
I certify that I have checked, verified, c~ conformed to all MOA HAAGuidelines in effect
on t.he date of this inspection.
Signed ~-~-~~ Date ~/0/~C/
/
KB1/dS/s
[Page 2 of 2]
2-15-84
CONSULTING ENGINEER TELEPHONE: (907) 279-3J16
Darlene Nicolaysen
Box 770848
Eagle River, AK 99577
May 3, 1984
SEPTIC SYSTEM ADEQUACY TEST
LEGAL: Lot 5 Block 1 Wynterpark Subdivision
LOCATION: Peters Creek, Alaska
OWNER: Donna Throckmorton
RESIDENCE: 3 bedroom trailer
WATER SYSTEM: Community
SEPTIC SYSTEM:
From Municipal Records
Tank 1000 Gallon ;iberglass installea 1975
Absorption System 12'x12'x6' log crib
Soil rating - 85
DATE OF TEST: May l, 1984
TEST PROCEDURE: Tank was completely pumpee and verified to contain
1000 gallons. The seeoage oit was charged with 1000+ gallons of fresh
water an~ within a 24 hour period the water had entirely percolated
OU~,
TEST RESULT: The system is adequate on this date.
DEIPT. OF ENVIRONMENTAL CONSERVATION
SOUTHCENTRAL REGIONAL OFFICE
437 "E" STREET, SUITE 200
ANCHORAGE, ALASKA 9950].
BILL SHEFFIELD, GOVERNOR
Telephone: (907)
Address:
274-2533
To W]~om It May Concern:
~'/~'¢t~ Water System is in compliattce wit' g
Water Regulations.
Sincerely,