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Home My WebLink AboutWYNTER PARK #1 BLK 2 LT 18 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELl.. INSPECTION REPORT N.me DISTANCES Address ~'~)'['~-~ -~ ~ ~ ~ SEPTIC ABSOflPTION Phone(s) I Permit No No. o~ed¢ooms WELL Township, Range, Section AS-BUILT DIAGRAM ~ ~ ~l ~) ~ lO m,veway, water ~od,es, etc) Manufacturer Capacity in gallons TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~ravel lenglh ~l ET ~,0 FT Total absorpti ...... Distance between lines ~ PRIVATE ~' OTHER {Identify) C~ihcalion (A.B.C) __~ ~ Total Depth FT c~.d,o Municipal and Slale guidelines in ellecl o~ Ihls dB~ _/ .~/ ~ / 72-013 (3/85) U O0 C) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: [~/~"" ~v"~-] 1~[5) ~-- 1 2 3- 4- 6- 7 8 9- 11 ~ICobbLC 13- 15- 16- 17- 18- 19- 20- Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN S L IF YES, AT WHAT O DEPTH7 p E MoniloriflD? FJ U~'k~Oale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN FT AND FT CO~ME.TS q~'l ~¢;~Io~e~ ~t~OL~i'~,{ ~,-~ ~.~ ~4,~, ~ V~u~h ~1 ~ PERFORMED BY: ~OL~((-~% '~¢,v~.¢~( I ~ ~'-L%c~% CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFEC, ON THIS DATE. DA,E: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~, & PHONE LEGAL DESCRIPTIQN LOCATION NO. OF BEDR 3~' J Well I Absorption area Dwelling PERMIT NO. DISTANCE TO: ~ 0 ~ ~ ~ Liq. capacity in g Ins ~ leng{h Width Liquid depth IF HOMEMADE: ~ ~ DISTANCE TO: Well ~/ / Dwelling PERMiTNO. ~-[ DISTANCE TO: .~m~ell N ~ Foundation~ ~ Nearest lot ~ ~o. oflines / kenotho, e~l~o[ Total len,tho, lino~ - '~,~ ~ inches Distance between lines ' ~ ~ Top of tHo to ~inish grade ~ , Material beneath tile __~ DI~ TO: Absorption area(s) OTHER REMARKS ~¢br,~> z~~ / //: P APPRO P ~ D . LEGAL 72-013 er. 3/78) MUNICIPALITY OF ANCHORAGE Department ( Health and Environmental '-rotection 825 L Street, Anchorage, AK. 5 J01/~ 264-4720 /~ W-E-L-k--AN~D-/~R** * HANDWRITTENoN_SiTE PERMIT**PERMiT* Permit ~ ~, ' S~W~p , Location: Ph:Number: Legal Description: L t~ /;0~ ~.. ~'u~/1,,~ ~'~ P~, LOt Size: T~pe of Soil Absorption System~: Trench: Drainfield: ~ Seepage Bed~ __ Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) ! The Required Size o~ ~ne Soil Absorption System Is: ! DEPTH 7 LENGTH ~3 / GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). ~/~ · * REQUIRED SEPTIC(HOLDING) TANK SIZETM GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. · * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. · * * PERMIT EXPIRES DECEMBER 3L 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if that ~bedrooms the residence is remodeled to include more ~.~_ ~/~~~ Signe~: Issued by: ApplicantDate: SWP/024(1/S1) 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 525 L, Street, Anchorage, Alaska 99501 ;264-4720 SOILS LOG- PERCOLATION TEST 9 GW WAS GROUND WATER ENCOUNTERED? 11 IF YES, AT WHAT DEPTH? 13- SOILS LOG [] PERCOLATION TEST 1 14- 15 16 17 18 19 20 COMMENTS Reading Date Gross Net Depth to Net Time Time Water Drop 4/ - / ./ PERCOLATION RATE //~'~ (minutes/inch) TEST RUN BETWEEN FT~/Q) FT ANCHORAGE AREA BOF" 'IGH Department of Environmental (Auality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ¢o~ ~'~O~(~tCe. -- MAILING ADDRESS PHONE. 'OC^T,ON SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTFI MANUFACTURER ~'~f.~CK' ~'"~¢LOU- MATERIAL ~'~-~-~ INSIDE WIDTH LIQUID DEPTH __ NUMBER OF COMPARTMENTS .LIQUID CAPACITY /000 GALLONS, SEEPAGE PIT: NUMBER OF PITS / LINING MATERIAL [oq BUILDING FOUNDATION ADDITIONAL ABSORPTION DIAMETER_~I OR WIDTH I~'1, LENGTH I~1, DEPTH CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE , NEAREST LOT LINE I ABSORPTION AREA (WALL AREA) ~-~ ,SQ, FT. WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH DISTANCE FROM: NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE TANK , SYSTEM , OTHER SOURCES DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL, LOT SLOPE: Form No, LQ-031 APPROVED G .A~/~ DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Se~lces P.O. Box 196650 A~chorage, Alasl(a"~ 99519.6650 · : ' ' : '~" CERTIFICA~'EOFHEALTHiAUTHORITY APPROVAL FORA - ~ 7 Parcel I.D.# ~'/ ¥~ ~/ 1, GENERAL INFORMATION Complete legal description LoZ 1~ Location (site address or directions) w Property owner And~c~ SiZva Day phone ' Mailing address .....C/0 REMAX EAGLE RIVER 16600':Ce,Z~fi~.~d Dr. Eagl~ R~cv~,' Lending ~gency. Day phone Mailing address. Agent, Sh~o~ Mi~h/ REMAX 0F EAGLE RIVER "=~' Day phone Address 16600 C~rfi~d D ' · ~v~ Eagle' R~v~r, AK 99577 AK 99577.. 694-4200 Unless otherwise requested, HAA will b eld for plclcup. NUMBER OF BEDROOMS: ? ~ a TYPE OF WATER SUPPLY: Individual well ' Community wel . XX× Public water !..r NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legalityand status of system. '~ ":; TYPE OF WASTEWATER DISPOSAL: ,:,ndvdua on-ste ~: X×X.~, on NOT~, If communlt~ wa~towator sy, t~ ~ro~Jdo, wrl~on conhrmation from St~to AD~¢ attesting to the legahtyand statuus fsvstem 'b' ' ~' '"'1 "~ ....... : Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITy APPROVAL CHECKLIST A. Well Data Well type k Log present (Y/N) Total depth Cased to Sanitary seal (Y/N) Parcel I.D. 0 ~'-.) - ~-/ ~/ '2. --/ ~ If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller FROM WELL LOG , g.p.m. Date of test Static'water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/hoMi¢~ tank on lot Absorption field on lot Public sewer main Sewer service line casing height Wires properly protected (Y/N) AT INSPECTION g.p.m~ z~ zo ~cent lots lots __Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESt Coliform D~ of sample: Nitrate Collected by: Other bacteria B. SE PTIC/H~E'BtN~ TAN K DATA Date installed Cleanouts (~) High water alarm Date of pumping Tank size '¢-~c::,z:> Compartments Foundation cleanout ~;~N) ~/ Depression (Y/~I~ Alarm tested (Y/N) ,-~I,~. \'¢~- 5" ~ ~ '~ Pumper Z.-.-.-~ ¢.-. ~--~$eoo L- To property line ~' Surface water/drainage SEPARATION DISTANCES FROM SEPTIC/H6[L';D$[~ TANK TO: Well(s) on lot ..~,:, o L ~- On adjacent lots Absorption field Ioo~P Foundation Water main/servJce line 72-026 (3/93)* Front CONTINUED ON BACK PAGE APPLIC .~IT FILLS OUT UPPER HAL ONLY Property Owner Phone Robert and Camille Cone 688-2996 Euyer Andrew and Esperanza Silva SRA Box 3500-A Anchorage, Alaska 99507 Address Zip Code 9 9 5 0 7 Lendlnglnstitution Alaska USA Federal Credit Union Phone Address Debarr Road ¥~ A,,,.,,~,,,~, Ak mpC°de 995?. 276-5!00 Realty Co. & Agent Phone Todays Real Estate Nancy Stably Address P.O. BOX 279 Chugiak Ak ZipCode 99567 688-3999 Legal Description Lot 18 Block 2 t4ynter Park #1 , Street Location Sparkle Drive ~ Type of Residence X[~X Single Family C1 Multiple Family No. of Bedrooms 3 [] Other Water Supply [] Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ~ X;ommunity Daw n W ate r For wells drilled prior to that date, give well depth (aHach log if available), Public Utility Sewer Disposal I~"PU~'biJo UHiJty Year Individual Ins,ailed:__ 19~3 apx When Connected to Public Utility: NOTE: THE iNSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, Date Date gate Date Inspector Inspector Inspector Inspec~,~/ Pteld Note,: '7 0 JUL ~M[micipalily of Anchora~" ( ~ROVEO BEDROOMS ~ *CONDITIONS OF APPROVAL "PCpt. of ( ) DISAPPROVED ~tvh~ilmcntal Protecti0~" ( ) CONDITIONAL APPROVAL' Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic Trak Size EXCAVATION ROBERT A. SHAFER WORK July 31, 1983 CIVIL ENGINEER 694-2979 Todayls Real Estate / ATTENTION: Nancy / Mile 21 Old Glen Highway Chugiak, Alaska 99567 Dear Nancy, Reference: Lot 18: Block 2t-Wynterpark 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 verified to have a g_a~paui-t~-of_t000 gallons. The seepage pit was charged with"~50 gallons of fresh water and after a period of 24 hours approximately 154 gallons had percolated out of the crib. It can be concluded from this test that the septic tank has ~n___~D_~c~__~e capacity for the three bedroom mobile trailer ocated on-~h~ ~erty,'-however the s~p~ge pit appears only to be percolating an adequate amount for one bedroom. It will be necessary for you to have the absorption area upgraded before the system can be considered adequate for three bedrooms. At the request of the current owners we are arranging to have a soil test performed and an upgrade of the system. If we may be of further service, please do not hesitate to call. J~s/ss cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA MUNICIPALITY OF ANCHORAGE MEMORANDUM Date 19 91-015 (Rev, 1/81)