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Home My WebLink AboutWYNTER PARK #1 BLK 2 LT 4 GREI · ANCHORAGE AREA BOR"""H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC:TANK: ~J_L _~L i~'~/ ?~// DISTANCE NUMBER OF FROM WELL '- MANUFACTURER ~;~'"'~/~'/'~-(~ / MATERIAL ..~/Z~ ~ / COMPARTMENTS ~ INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY //~J~/~-') GALLONS. SEEPAGE PIT: NUMBER OF PITS / LINING MATERIAL ~-~::~-~ BUILDING FOUNDATION__ DIAMETER '2//°~¢~ /OR WIDTH , LENGTH /~¢~, DEPTH / CRIB SIZE: DIAMETER i~ DEPTH ~ / __ DISTANCE FROM: WELL NEAREST LOT LINE ,-~' / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~o~>oG' SQ, FT. ADDITIONAL ABSORPTION WELL: TYPE ~/"~///'~'~ CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK SYSTEM REMARKS DISTANCES: ~'~'/~/'~/?~ ,(~r-/~--~7'--"/~ INSTALLED BY: PIPE MATERIAL: .(~ LOT SLOPE: REMARKS: Form No, EQ-031 DIAGRAM OF SYSTEM NAME OF APPLICANT INSTALLATION LOCATION GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PeRM{T NO. PHONE LEGal DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPe AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH ~O[L TEST RESULTS , COMPLETION DATE ANTICIPATED SEEPAGE PIT ~ , DRAIN FIELD ., OTHER TO BE INSTALLED BY NOTEI THl~ PERMIT FOUNDATION TO SEEPAGE PIT ~0 SEPTIC TANK TO SEEPAGE PIT WALL To NEAREST lOT LIN . ., DRAIN FIELD , seepage PIT '~ ~ DRAIN FIELD , SEEPAGE Pit ALSO CONSIDER AREA WELLS. , DRAIN CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. TYPE BIAGRAM OF SYSTEM I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, E8-68 AND THAT THE ABOVE DESCRIBE SYSTEM IS IN ACCORDANCE WITH SAID CODE. /~ ~ J~ MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4; Block 2; Wyntcr Park Subdivision; Location (address or directions) NHN Park D,'uLv¢ (b) Property owner Mailing Address A.H.F.C. # 97150 520 Eat 34th Avenue Telephone:(home) Anchorage, Alaska 99503 Business (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent JACK WHITE COMPANY ATTN: Crittenden Address 10-9¢~¢~¢~& RLve*- Rc,..~,- E~ ~Lv~¢, A~ska 99577 Barbara Telephone 694-5500 (e) Mail the HAA to the following address: (or check here,k~, if hold for pick up.) List contact person and day phone number below: S & S ENGINEER. lNG 17034 Eaqie River Loop Road No, 204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms 3. WATER SUPPLY Individual Well [] Community E~x Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site B:N 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. ENGIHEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, [ 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, 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 S ~ s ~.NGINF-I~IzING Telephone 17034 Eagle River Loop Road No, Address ___Ea~ta River~ Alaska 99577 6. DHHS APPROVAL Approved for .~' bedrooms by Approved ~. Disapproved Terms of Conditional Approval ~'t I TF/- Date Conditional The Mu nicipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. A. WELL DATA Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground C MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) IPALITY OFCAI~I~I~"~T ' FEBRUARY 1984 ENVIRONMENTAL SERVICES OlVlSl~j~3'4744 JUN 1 4 ]990 Date Completed _Depth of Grouting Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~ {"~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments F[t' ~, / ~ ~ ~/[ ~l,~1 If A, B, C, D.E.C. Approved~N) _~ . Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~ /¢¢,.~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING T]ANK DATA Date Installed ~/~ Size~/ Stand pipes 4~!:N) ~ Air-tight Caps(~N) Depression over Tank (Y/~[~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) No. of Compartments ~-- F Foundation .Cleanout ¢¢:;~N) ~' / Date Last Pumped'-~"-~-~ -- 8~ Temporary Holding Tank Permit (Y/N) /4//~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well "~;;/'¢" To Building Foundation To Disposal Field To Property Line / O t..~ To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments ~ ~2:::?/,~ f2~_--~ ~y "~__.1s 72-O26 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption St,~ta Date Installed ',¢~/*'7'~ Width of Field Type of System Design Length of Field Depth of Field Square Feet of Absortion Area Depression over Field (Y/~) Results of Last Adequacy Test Gravel Bed Thickness ~¢' ¢ '~ Statndpipes Present<:¢~) y Date of Last Adequacy Test,~ ~"~/¢'"" ~:~ To Water-Supply Well TOLotBUilding Fo u ndo~o/~ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area SEPARAT ON DISTANCE FROM ABSORPTION FIELD: '~:2}/.../. TO Property Line /C2/.'~ ,/ ._,~ I .¢~ To Existing or Abandoned System on ; On Adjoining Lots / O ~ To Cutback (if present) /,cz:;/./., Comments D. LIFT STATION Date I n stal~......~ Dimensions Size in Gallons % Manhole/Access (Y/N) "Pump On" Level at -"~"~__ "Pump off" Level at Water Alarm Level at ~ Vent (Y/N) High Tested for ~ ~.~Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments "'"'"'"'"'-~ _....._........ **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company Date MOA No. 17034 Eagle River Loop Road No. 204 ~Eagl~Rivey, Alaska 99577 Receipt No. Date of Payment Amount: $ 72-028 (Rev. 7/88) 8ack Receipt No. Waiver Fee: Date of Payment Page 2 of 2 DEPT. OF ENVIRONMENTAL CONSERVATION/ ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 June 12, 1990 STEVE COWPER, GOVERNOR 563-6775 S & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, Alaska 99577 Attn: Roger Shafer PWSID: #~1~431 According to the records on file in this office, the D~wn Water ComPany Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, Richard Sunder Environmental Field Officer RS:bas Time Time ,e Date Date Date Inspector Inspector Inspector ~ ~ ' (2~) Approved Bodroomo ( ) Dbmpprcv~d ( ) Date Sewer Installed Permit ~.' Septic Tank Size ~. ~ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received ~ Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~ ~ ~ ~bb~ Phone Mailing Address ~. O. ~X 426, ~g[e ~ve~, ~aa~ 99.577 688-3546 Buyer 4325 ~e[ S~ee~ ~e 225 Address Lending Institution ~,~.~, Phone Address ~. O. ~ 2680 "C" ~ ~& ~E~ [~ 265-2781 Realty Co. & Agent ~8~ ~ ~a~e '~ Phone ~04 W..~ Li~ts 248-2804 Address Legal Description Street Location ~k ~tve Typepf Residence ~ Single Family [~ Multiple Family No. of Bedrooms 3 ~ Other Water Supply ~ Individual A~ACH WELL LOG. A well Icg is required for all wells drffled since June Community J975. For wells drilled prior to that date, give well depth (attach Icg if ~ Public Utility available.} ...... Sewa~ Disposal C~ individual Year Individual Installed:. ~ Public Utility When Connected to Public Utility: ~- ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INmATED. STATE (2) D~WN HEARTST TR (~) DUN' - ALASKA I FIUIROFImI FITAL COFITROL S RUICI $, IRC. ~ncjJneerinq 6 ~nuJr0nmenml Studies APRIL 9 1982 NATIONAL BANK OF AK POUCH 7-025 ANCHORAGE AK 99503 SELLER - GOBBI BUYER-COFFMAN SU BDIVISIO N-WINTER P A R K BLOCK-2 LOT-4 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 288 SQFT. THE SYSTEM IS CAPABLE OF ACCEPT/NG 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 700 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 4/9/82 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. ~ Leroy C. ~eld, Jr. ~ 1000 IS ADEQUATE FOR 1220 LUest 251h Aucnu~ · J~nchora§e, ^lasko 99503 · [907] 276-t361