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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,