HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 39
MUNICIPALITY OF ANCHORAGE
DE' ~TMENT OF HEALTH AND HUMAN SEll' ES
Environmental Health Division
825 '%" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Address
LEGAL DESCRIPTION
TANKS
DISTANCES
~""'----. TI
FROrfl ~
SEPTIC ABSORPTION WELL
TANK FIELB
SEPTIC -/~",~'/,~'t~,~,'~ [] HOLDING
,...~"t'c.<~- T~;~'~
TYPE OF SYSTEM
TRENCH [~J' BEE) [~] W. DRAIN E] OTNER
bottom lion, Total depth horn or,g,nal grade
O~ '3 Fl'
FT
FT
W E'; L LS..~_.~ ~ ,~,
E} PRIVATE J~ OTHER {Identify)
~lassdmahon (A,B.CI Tolal DepthFY Cased to
FT
REMARKS:
was perfornled accordifl[I tO ~11
72-0/3 (3/85)
l'J D X '/'7 0'7 & &
&13D '-.'=? :1. :1. CI
c? ,.? 5 '? '7
{'(::~'ll'i by LI-ic.:, H~ul:ic:::il::)~.~J. iLy cH' (.'dlc::l"H:~l'~rd~e (I"IC](~) arid
~:.~,l'~c:l Jn c: c:mll::) ]. :[ o. rlr::l::¢ v.Q.I.I1 Lhi::.! (:l~:J~:i:i.!jrl c:FJ.'Le?r-:i.a ct)[ 'Lii:L!~J
:'!;,, :1: ,,,~:i.:l :1 ,:~dh~:a~'~a 'l'.i::) aJJ. HE)(:I and Ckt.,i:tl'.c) of /:~:l.a!M<a I'(:,qL.~J,l'(~lfi('.!l'~[.'.~ ['CH" 'l'.h6z
MUNICIPALITY OF ANCIqORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR~
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
DATE PERFORMED:
SLOPE SITE PLAN
10
11
13
14
15
t6-
17-
18
19
20
COMMENTS.
PERFORMED BY:
72-oo8 (6/79)
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
/ ', Z-l/~& i~,..~,~, ~-/o
/ ~"
PERCOLATION RATE c~ 7 (minutes/Inch)
TF. ST RUN BETWEEN ~ ~-~. FT AND --~' -- FT
6M-5195
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
FNVIF~ONMENTAL ENGINEERING DIVISION
825 L Street - Ancltorage, Alaska 99501 TolepI]one 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PNONE .~ E] NEW
NO. OF BEDROOMS
Manufacturer ~a ~ ~ Material ~ N°' of compartments
Liq, capacity in gallons Inside length Width Liquid depth
l ~ IF NOMEMADE:
DISTANCE TO: Well Dwelling PERMIT NO,
Manufacturer Material Liquid capacity in gallons
DISTANCE TO: Well ~/~ Foundation , Nearest lot lin PERMIT NO.
No. of lines ~ ~e.gth of ea/z~Jine Total le~?l~f ?nes Trench width~ inches Distance between lines
Top of tile to finish grade / Material beneath tile Total effective absorption area
OTHER
· 013 (Rev. 3/78)
I "~1 !i; JZ ;ii:
'Fl!!.
'FI'II!: I.I}:i',!(!il'll E:,]:i"llEIq:~i;]:Ol",t JZ::!; 1'1'1!~: !
TI!l: I:::,!i~Zl:::'-l'l~l O1:::' F:] t!;i:Ii!:NC:II CtF;: I:::']:i' ]::}; THli: t:::, :!: ::i; I F1N(':! i: ~i;t!i:'ll.,ll!;li!i:t'-,I Fl"lli: %LI[,~:I:::I:::IC:!!iiZ CII:: '!!'liE
IZ:i!::~:I3tJi'-,!E:, I:::lh!E:, 'il'l[iZ !!?,CI'TI'CII'! CII::: 71ti.'
'!'lllii:F?E: :1: :~:; NE) :!:,li:'i !,! J: E:,T! '[ F:'t)F:'. t
'!'!!l!i: L!iI:;i:F:I~,/Ii:I. [)li:!::"ll'! Z!:::; II'l?iZ !'l]:h!]:hlt..it'[ E:,I:Zf::'TII CII:: iZiFi:F:t¥11:I, lii',liZTH[iZ!iZi',t 'l'l'I[i: I::Zll_lll:::'t:.:li..I. t:::']:F:'!
F:i?,tI:) 'l'tll:!Z F',(Z) I !'()['q i31::' I'lff!: !:i:;:':;C:l::l'v'l:::l F :!: Cliq ,:Z J: I",t l::l!i:[['t ).
ii1 ii?[iii ;::'." Ji F",' l'l'II:::i3
.:L: ]: FiM I:::I::IH]:I.:[I:::!I:;i: !,!lZl'!! f?lE
I:::OI;i:'t ! '~ I?'/ 'TI !I!E !'lI.Jh[ :!Z C: ]1] I::'!::IL ]!Z '?'l" (1i:::
;i~:: ]: .,l ]: ] N'.!:713:::II.L II~EZ :i:i;"?:!;l'iii':t'! ]: t', I:::iI:':C:iLff;?.E:q:::I!',!C:Ei 1'1 ]: T[I "tile C:CIDE'.:i!i;.
:!::: :i: I.INI)Ii:Fi::!i;t'i:::Ii",!E:~ l!ff::f[ Till!: "l"'"x::lTI:::' .:::,r::Hl::,.
I:;~:[!::ii;]:l:)q::l",!C:lE ':::; !:;;:liZMC~E:'!ii:!.li:E:' '1'O
:[}!; Z[ *;'}l",[I]i]Zl::': [:::IF:fi'L. ]J I]:i::ll",l 1' I*~-PII¢'.:~; .]'F:liql!]:i:
Russe/I Oyster
694-2774
Soila ~ Foundations
GE(;. £CHNICAL ~ DEVELJPMENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 088-2280
CO.
SOIL LOG
J 688-2286
Perfomed for: Name:~ ~-
Mailing Address: ~ ~ ~'-'
~De~th (feet)
0
2
4
10~__
11~_
12._.__
13
15
Ground Water Encountered: Yes No~ If yes, what depth_~_=
Proposed Installation: Seepage Pit.._____ Drain Field
GRE
'"[ ANCHORAGE! AREA BOF"U"H
Department of Environmental (;~uality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME.'//~/~'I¢~ /¢ ~//~//d¢¢-// _ MAILING ADDRESS ~2/7~// ~'/D /~ S'~- ~/~/~, PHONE LEGAL DESCRIPTION ~
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER _'~/~1(' ~,F/~'/~-
MATERIAL
INSIDE LENGTH.
_ INSIDE WIDTH
__LIQUID DEPTH
~_/~ NUMBER OF
~ COMPARTMENTS '~--
LIQUID CAPACITY /~--O~] _GALLONS.
SEEPAGE PIT:
NUMBER OF PITS /--.
LINING MATERIAL ~O(~
BUILDING FOUNDATION____
ADDITIONAl_ ABSORPTION
DIAMETER~7z! OR WIDTH /g2)~ LENGTH~_~/ DEPTH
CRIB SIZE~ DIAMETER~ /DF;PTH ~2 DISTANCF FROM= WELL
TOTAL EFFECTIVE
NEAREST LOT LINE _~(¢' ABSORPTION AREA (WALL AREA)
FT.
WELL: ('.~2,/{.'J J~ ~1/f.//r'~/
TYPE CONSTRUCTION_
BUILDING NEAREST NEAREST
FOUNDATION LOT LINE SEWER LINE
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH
SEPTIC
TANK __
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:.
PIPE MATERIAL'
LOT SLOPE: .
REMARKS:
Form No. EO-031
DIAGRAM OF SYSTEM
///G.A.A.B. '
GREA"FEF~ ANCHORAGE AREA BOROUGH
SEWAG" DISPOSAL SYSTEM -- APPLICATION AND PERMIT
V
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVE[)
FINANCED THROUGH
SOIL TEST RESULTS
_ SEE AGE PIT , DFIA[N FIELD , OTHER
COMPLETION DATE ANTICIPATED --
FINAL INSPECTION: 24 HOUr NOTICE REQUIRED. BACKFILLiNg OF ANY SYSTEM WITItOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL E~E SUBJECT TO PROSECUTION.
SEPtiC TANK SIZE /~C¢~ ___TYPE ~ SEEPAGE AREA SIZE TYPE
SEPTIC TANK TO SEEPAGE Pit WALL
., SEEPAGE PIT ~
, ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK ., SEEPAGE PIT ,
DltAIN FIELD-
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INS'rALLATION.
LICENSED DESIGNER
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL H(~g '~:~ C)
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date August 19, 1988
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 39: Block 1]~lterpa~ .q,~h~vlsion
Location (address or directions)
Hearthstone Drive
(b) Property Owner
Mailing Address
(c) Lending Institution
Mailing Address
(d)
A~ F C -'~ ¢"0'¢~. 5--,5"',/ Telephone: Home
520 East 34th, _A~¢ho3G~gLe, Alaska 995OA
AHFC Telephone
same as above
561-1900
Business
Real Estate Company and Agent JACK WHITE CONPAN~Z/LyJ:ldc-L~annPr-
Address 10928 Eaqle River Road, Eagle River, Alas~ QQ~.~-7
Telephone 694-5500
(e)
Mail the HAA to the followino address: or: Check here ~, if hold for pick up.
List contact person and day phone number below.
S & S ENGINEERING/694-2979
17034 Eagle River ]',cop Road, Suih~ 204 .
Eaqle River, Alaska 99577
Ordered by Lynda Banner
TYPE OF RESIDENCE
Single-Family [~
Number of Bedrooms.
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 well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2
5, ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As cedified 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 dis posal system is safe, fu nctional 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 Firmr¢
Address
Date
S & S ENGINEERING
Eagle River's. Alaska 995~7
Telephone
DHHS APPROVAL
Approved for ~ bedrooms by
Approved .;/'~ Disapproved
Terms of Conditional Approval
Conditional
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
certificates based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in
order to satisfy certain federal and state requirements. Employees of DHHS 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
7~'-025 IRev 8/86) Beck
WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
MUNICIPALI'fY OF ANCHORAGE
£NvIRONMEN~AL SERVICES DIViSiON
AUG 2 9 1988
264-4?44 ..... , · ~
Legal Dese(iption: t~' "~'¢~ ~I~'D
Well Classification
Well Log Present (Y/N)
Tota~ Depth
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot /~..¢~'~.:2 I~.
To Nearest Edge of Absorption Field on Lot ~ ~
If A, B, C, D.E.C. ApprovedCC~'N)
Date Completed Yield
Cased to _ Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/Ni
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments '~/~;,) ~..S .'~~
To Nearest Public Sewer
'Fo Nearest Sewer Service Line on Lot
; Date
B. SEPTIC/HOLDING TANK DATA
StandpipesON) y Air-tight Caps'/N)
Depression over Tank (Y/~) f~
Pumping/Maintenance Contract on File (Y/N) .~
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/~Tank:
To Water-Supply Well ~ ~
To Property Line _~ ~ ~
To Water Main/Service Line ~ ~ ~
Course ~ ~ ~ ~
__ No. of Compartments
Foundation Cleanoutd~N)
~ Date Last Pumped ~
J'~/,/A- ;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72 026 f~ev 8/861 Front
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata ~"¢/~,"~"'¢"~ Type of System Design
Date Installed I O ~ "~-'~ ~ ~ Length of Field ~
Width of Field ~' ~
Square Feet of Absorption Area \
Depression over Field (Y/~[~
Results of Last Adequacy Test '~--~,/~".
Separation Distance from Absorption Field:
To Water-Supply Well /?....¢2¢2 I.~
To Building Foundation
Lot ~
To Water Main/Service Line ___~_~:::' I ..~
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Depth of Field
Gravel Bed Thickness ~ ,~"
Standpipes Present 4~N)
Date of Last Adequacy Test
To Properly Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
Comments
"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
Pumping
Cy-0t~;~ng Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all M~A. and HAA guidelines in effect on the date of this inspection.
Signed ~INE£RfNG __ Da e ~'~/¢(/'/¢/~-
Compa~0~agle Rl~er Lo~ Roa~ No~ No. ~ ~ ~
R ~lg O Rl~e~nska 99577
ANCHORAGE/WESTERN DISTRICT OFFICE
~601 C STREET SUITE 1334
ANCHORAGE, ALASKA 99503
STEVE COWPER, GOVERNOR
563-6775
To Whom It May Concern:
Accor'dinq to the records on ,Pile in th~s oFf'ice, lhe /~r~v,,,~
~'~ ?.(7 ...... War System is ~n comp'liance w~th the
State or alaska Bntnl(~nq Watec Requ]a[~ons,
RSK:sa
APPLIt N'r FILLS OUT UPPER HA' 'ONLY
~aglng Addr.~,~ .~ ,_:1 ZF(~ /IF//~ //'W/://A:h, l/Jr :.h: z~p Code '
I
Address ~//?(//i/F/?~;~ Zip Code
, ' , ~ /~//] 7/~ ,~t~ Phone
Lending Institution /'~4{57 /P~?~ ~-t/i//., ~; ~u ~ / /,'x, ,~1~
Realty Co. & A~nt /~?[t/Z: Phone
LegalDescrlptlon /~"2:' ~F~ ~6;~':' /. /~} V/~/IL:,('~ 1~,')~:'4' ':'*/, >2lNf~x>'/~ >~ /~: :':
Time Time Time Time
Date Date Date Date
inspector Inspector Insp~lor Inepmtor
0 ELTtON
~ } ~ APPROVE~ ~E~ROOMS >~ dONDmONSqF ~ O~AL
( ) DISAPPROVED ~9 ),::~',¢,~_1[ ~: , -{_)t::' ~ }, ·
Soils Rating Date ~wer Installed Well To Absorplion Area Well Log Received
! ~: ~ WelltoTank Septic T~k SIze f:'" --
EAGLE RIVER ENGINEERING SERVICES
P.O. BOX 773294
EAGLE RIVER, ALASKA 99577
694-6195
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Lot 39, Block 1 Wynter Park #1
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. Ail materials and workmanship shall meet the requirements of
the Anchorage Department of Health and State D.E.C.
4. Ail soil tests are advisory to the design and are to be
verified or modified in the field by the engineer.
5. Ail excavations and depths are advisory and are to be w~rified or
modified in the field by the contractor to meet MOA, D.E.C require-
ments.
6. It is the responsibility of the owner to obtain all necessary
permits or easements and to locate any adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan,
any dewiation requires engineer approval,
8. It is always recommended that a surveyor locate 'the nearest lot line
position and the location of any easements.
B. DRAINFIELD
2.
3.
4
5
6
7
8
The drainfield is to follow the natural land contour to maintain
uniform total depth of the bed bottom.
The bottom of the bed shall be level, plus or minus 1.5".
The total depth of the trench excavation is not to exceed 11' at
any point.
The sewer line is to replace the existing sewer line tht leads to
the existing trench.
The bed gravel is to be covered with typar fabric material.
Soil or combination of soil and extruded board insulation to a depth
of 4' or equivalent is to be placed over the drainfield.
The area over the bed is to be finish graded to prevent ponding
of surface water runoff.
The septic tank and leaohfield must not be closer 'than 100 feet to
any existing private well, 150' to any Class "C" well, or 200 feet
to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS
TOTAL DEPTH:: 5,5' GRAVEL DEl?TH-- 6" BED LENGTH= 67' BED WIDTH= 30'
Bedroom Capacity = 5
Septic tank size-- 2000
Alt. Trench 8'T.D., 4'
Gravel Depth,
Trench Length
p_$--BU I!LT
hereby certify that LOT
~ , BLOC~
¥.}y~. /-~,~.~ ~ ~::~,) ,~a, / ~urve ed
nchorage Recording District, Ala~ka, has been y by me and
~hat no encroachments exist except as shown hereon, it ts the
responsibility of the owner to determine the existence of any
easements, co~enants, or restrictions which do not appear on the
recorded subdivision plat. Listed distances prevail and scaling
shoutd not be attempted to determine unshown dimensions. This
survey Is not adequate for, nor should It be used for
establishing boundary or ·fence lines.
Phone (907) 688-4499
JOB NO.
GR[O ~J~ I$~ I
FIELO BOOr, ~G~-'- 3'?._ SCALE
..... .~¢,,%~'.-~ ,~ ~'
~,~ .... ..~,o ~ ~. ~,~ ..~ L
, ~;....~~ ~,~ _. ¢~4~
~ .... ~;~ *septic plan only..
McCLINTOC
LAND SURVEY COMPANY
P,O. Box 67~089
Chugiak, Alaska 99567
EXCAVATION ROBERT A. SHAFER
WORK
CIVIL ENGINEER
69~-2979
November 22, 1982
MUNICIPALITY OF ANCHORAGE
Steve Geoghegan
SR 2, Box 4842
[[earth,stone Drlve,
Chugi,:d<., Alaska 99567
RECEIVED
Dear ;¢,r. Geoghegan,
Reference: Lot 39;
Block 1~ Wynter Park subdivision
A sewer system adequacy test was performed on the system
located on the referenced property, as you. requested.
The septic tank was pumped and in accordance with Municipality
records has a capacity of 1500 gallons. The absorption trench
was tested by a continuous flow of water over a period of
24. hours without any adverse effect on the system.
It can be concluded from this test 'that the waste water disposal
system serving the four bedroom residence located on this
property is currently functioning adequately. However, the
system cannot be guaranteed against subsequent failure.
If we may be of :further service, please do not hesitate to
ca]_]..
Sincerely,
cc: First I:ational H"nk of .¢~chorage
ATT .?,] :T ION: Debbie Redding
Municipality off Anchorage
Department of Ilealth and Environmental Protection
SR8 196X EAGLE RIVER,ALASKA