HomeMy WebLinkAboutWYNTER PARK #1 BLK 3 LT 18
GREA,dR ANCHORAGE AREA BOR ,,;GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~'
SEPTIC TANK:
INSIDE LENGTH
INSIDE WIDTH
NUMBER OF
MATERIAL ~ ~ '~'' COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY/ ZL~)GALLONS,
TILE DRAIN F"IELD:,,~,i~?U~
DISTANCE FROM WELL ¢ I~(I FOUNDATION
NUMBER OF LINES___ / DISTANCE BETWEEN LINES
ABSORPTION AREA_ /2~2~ Sq. FT. LENGTH OF EACH LINE / $~ J/~2~'
DEPTH OF FILTER ,~
DEPTH: TOP OF TILE TO FINISH GRADE ~ MATERIAL BENEATH TII_E__.__'~ '_IN, ABOVE TILE
TOTAL LENGTH
NEAREST LOT LINE '~ OF LINES (/~Z
_TRENCH WIDTH®- tN. TOTAL EFFECTIVE
IN.
TYPE CONSTRUCTIO'
BUILDING
FOUNDATION
CESSPOOL
APPROVED
NEAREST
LOT LINE
OTHER SOU RCLS
DISAPPROVED
NEAREST SEPTIC
SEWER LINE TANK____
REMARKS
DEPTH
SEEPAGE
SYSTEM.
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL' ~/t/)'~'T"
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE///~
Form EQ-032
NAME OF APPLICANT
/-YellO/~g~ '-/-,4~'~
GRE, .R ANCHORAGE AREA E~Oi JGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
, DRAIN ]FIELD . , OTHER .
THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION; 24 HOUR NOTICE REC4UIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAl. INSPFCTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION,
~LL TO ~¢TfC TANK
SEEPAGE AREA SIZE
, DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT .
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
TYPE
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E~orouGh ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SA[L) CODE.
DATE / APPLICANT'S SIGNATURE
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C"STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456!
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
LEGAL DESCRIPTION ~O 7'- / ~/
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS /It/O ~ / /- ¢ /
SEEPAGE PiT
TO BE INSTALLED BY
/ .z...¢''~'7/~L/~_ '¢
NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL
COMPLETION
DATE
ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, bACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
fOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALl
SEPTIC TANK-- ~ ! -, SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO sePtiC TANK / ~
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
16-6 t
SEEPAGE AREA SIZE
DRAIN FIELD
/E) /
DRAIN FIELD
--, SEEPAGE PIT
, ALSO CONSIDER AREA WELLS.
, SEEPAGE PIT
/6-¢ / /,¢~ /
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 TANN AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. O
TYPE
AND THAT THE ABOVE
0 Er E GEO'~ ,CHNICAL El- DEVELk., MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Ovster· Ead Ellis
694-2774 S.O,~. ~., LOG 68~-2280
soils 8- Foundations Land Development
Perfomed for: Name:.. ~'~.
Hatltng A(Idress:.
Legal Description: ~--c~' \4
~th (feat.).
SoJ.1 Character~stlc~
1
2
]2 ....... ~ ___.
].3
Ground Water Encountered:
Proposed
Confronts:
Yes___ No ~ If yes, what depth
Xnsta]latlon: Seepage Ptt___~ D~etn
Department of [nvironmenLal Quo.
.. 3330 "C" Streel;
Anchorage, Alaska 99b03
This form reports: SO~ls,io~ [~r/4 ,
as ground water encountered? If yes, at what depth? .......
Reading
Date
Net Time
Depth to Water
TZ'..T.T-ZZ
Net Drop ..
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
~(~"k_Z~ \ - L~ D_-.~% / HAA# ~ ~-~ ~
1, GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 18; Block 3; Wynter Park Subdivision ~1
Location (address or directions)
21010 Ferndale
(b) Property owner Ak. U.S.A. Fed. Ct. Un. Telephone : (home) . Business~86-2882
(Suite 305)
Mailing Address ATTENTION: Steve Fassbender¢ P.O. Box 196613, Anchorage, Ak. 99519
(c) Lending Institution
Telephone
Mailing Address
(d) Real Estate Company and Agent
Address
Telephone
(e)Mail the HAA to the following 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 Loop Road, S~te 204
Eagle River, Alaska 99577
2, TYPE OF RESIDENCE
Single-Family [] Number of bedrooms 3
3. WATER SUPPLY
Individual Well [] Community B{ Public []
Note: If community well system, must have written confirmation from the State Dep~.rtment 9f Environmental
Conservati0'n attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site [] 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.
72-025(Rev. 7/88) Page 1 of 2
'~JOM %Jeeu!J~ue leUO.SSe~LoJd eql u!
suolssiuJo. . Jo sJoJJe JoJ elq~suodseJ. Jou m. ebeJOqOUV Jo ,(liledlo. . . un~N eq/'penes~. 91. e:leOlJlJJeo,, e eJo~eq e~ep @z,~ieue Jo
suo!loedsu! ~,onpuoo lou op Si-INa 1o SeeXoIdLU~] 'slueuJeJinbeJ ejels pue eJepej ule~/Jeo Xjs Jes ol JepJo Ul suoqn~, Jsu
§u!puel J!eqJ pue seuJoq jo sJeeeqoflnd o], ,~Se:lflnoo e se 8!LIJ seop SHHC] eq/ 'e~S~l¥ ;o elel8 ell1 u! p@JeJs!~eJ
Jeeu![~ue leUO!eSejoJd :lu@puedepu! ue ,~q eAoqe ~ LldeJl~eji;d Ul. ue^10. 8uo.lejuesejdej 9qj uodn/~lUO peeeq pe:JBoljueo..
leAoJddv ~l!JOLJinv qlleeH senss! (SHH(]) seo!^JeS ueuunH pue LllleeH jo lUaLUlJ~dec] eeeJoqouV Jo Xl!ledF:)!u nv,~ eLlJ.
leUO!l!puoo peAoJddes!a
el~a ~q swooJp@q
le^oJddv leUOR!puoo Jo swJei
peAo~ddv
~ Jol peAoJddv
'lVAOIdcldV SHHQ '9
euoqdelei
'uo!loedsu. s.ql ~o elep eql uo loeiie u! suo!lelneej pue 'seoueu!pJo 'sepoo elel$
pue ed!o!un~ e qlIM eoUe!lduJoo u si LUeJSXS lesods!p JeleMelSeM Jo/pue Xlddns Je~eM eifs-uo aq~ 'uof~oadsu!
pue UO!lee!~seAu! X~ moji pub Sel!¢ aBeJoMouv jo Xl!ledio!un~ eq~ ~oJ¢ peu!elqo uo!lemJoIu! eql uo peseq
leql X~!JeA JeqlJn~ I 'u!eJeq Peleo!pu! eJnlonJls Jo adXl pue s~ooJpaq Io Jeq~nu aql Jol elenbepe pue leUOilOUn¢
'a~es sI ~alSXS lesodsip JeleMelSeM Jo/pue Xlddns JeleM e~!s-uo aH1 leql SMOHS leAoJddv XliJoqlnv qlleaH
s!ql Jo uoRee!lseAuI X~ l~ql XjpeA I 'MOlaq UMOqS elep UO!leP!leA eqj ;o se pue olaJeq pex!jje lees X~ Xq PeiJ!lJaO sv
NOI&~BOJNI aNY Y&Ya 'MO~t tllJ '8~8~& 'eNOI~O~SNI 9NlalAOM~ ~1~ 9NIB~NI9N~ 'g
MUNICIPALITY OF ANCHORAGI= (MOA)
Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
343-4744
Legal Description:
A. WELL DATA
Well Classification
Well Log Present (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
SEPARATION DISTANCES FROM WELL.:
To Septic/Holding Tank on Lot ¢.,¢.~:~, .k--
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
'1'o Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
Comments ~:;~'~-~ \ ~ ~
Date Completed
Depth of Grouting
If A, B, C, D,E.C. Approved t~N)' '%'~
Yield
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
7..-,:~o~¥ ; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ~\-'5-'~ Size
Standpipes (l~/N)_ ~/
Depression over Tank (Y~
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
\l.~''° No. of Compartments \
Air-tight Caps ~XN) ~ Foundation
h~, Date Last Pumped
:for
Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well
To Property Line
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
To Building Foundation
To Disposal Field
72-028 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed \\ -
Width of Field ~L.~
Square Feet of Absortion Area
Depression over Field (Y,(~
Results of Last Adequacy Test
Type of System Design
Length of Field
Depth of Field "7
Gravel Bed Thickness ~
Statndpipes Present ~)'N)
Date of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
Lot ~'~
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments ~ oO¢-~-
To Property Line. ~
To Existing or Abandoned System on
; On Adjoining Lots -~:::> ~
To Cutback (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pum~
High Water Alarm Level at
Tested for
Meets MOA Electrical Cod~
Comments ~
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
during Adequacy Test,
**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
inspection.
Signed
Company Eagle River,
Date
MOA NO. ¢~
Lhis
?
Date of Payment
Amount: $ ~,('~
72-026 (Rev. 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE DISTRICT OFFICE
3601 C STREET, SUITE 322
ANCHORAGE, ALASKA 99503
WALTER J. HICKEL, GOVERNOR
563-6775
March 12, 1991
FOR: Ray
S & S Engineering
PWSID ~211431 Dawn Water ComDany
My review of the records on file in this office reveals that the
Dawn Water Company Class A Public Water System is in compliance
with the provisions of 18 AAC 80.060, State of Alaska Drinking
Water Regulations. /
Sincerely,
~. Karnowski
Environmental Engineer
MUNICIPALITY OF ANCHORAGE
, DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRCY~ECTION
APPLICATION FOR HEALTH AUTHOtLITY APPROVAl. CERTIFICATE
C~neral Information Application Date(
1.
(a) I~al Description (include lot, btoek,nsubdivision,~section,' t~c3?.;nship3 range)
Location (add~es~s o~, directions) /~ ) ~ /1 ' , ..._
Applicants Add~,es
(e) ~al Estate ~. & Ag. nt
Address __
Te le phone
2. T_yl0e of Pssidence
Single-Family ~ Multi-Family
Number of Bedrooms __~ ~J --
O~er (~s~i~)
3. _Water Supply
Individual Well [--[ Cormunity
Note: If community %~11 system, must have wcitten confirmation f~,om the State
Depa~ar~nt of E~vironm~=ntal Conservation attesting to tb~ legality and status.
Is the ~11 adequate fo~ the numbsr of bedrccrms specified in this ~AA (__Y/?) /_1,~i___
4. _S~wage Di~P~i
0nsite 5~ mblic ~ ~m~unity r--] Holding Ta~ IXI
Is the wastewate~ dis~sal sys~m adequate f~ the au~ of ~dr~ (Y~) Y
[Page 1 of 2]
2-15-84
5. Engineering Firm Pr__ov__i__d~n_Jt_Ins__~.c__tions- , Tests, Data and Information
I certify that I have shacked, verified, or confor~.d to all ~f3A HAA Guicl~.lines in
effect on the date of this inspection.
Nan~ of Firm__~_~- ~/~: _~D.~:Llud.~." '~-~'" ~'~ Telephone_~__~_~a2'
Si d
(ENGINEER SEAL)
Approved for
Approved
Disapp~'ove d E=-~_'[
Terr~ of Conditional Approval
'Ihe Municipality of Anchorage Dapa~tn~nt of Health and Enviro~mr~.ntal Protection do~.s
not guarantee the ccntinued satisfactory perfo]!mance of the water supply arid/or the
wastewater disposal system. %~is approval indicates that, as of the validation date
sho~ above, based on the data and information furnished 1¥ an engineer registered in
the State of Alaska, the water supply and wastewate~ disposal system is safe and func-
tional for the number of badroo~s a~d type of stg~uctul, e indicated.
( L~EP SFAL)
7. Mail the HAA to the.. foll(7~ing address:
KB2/d5/s t c'~~ ..... ' -
[Page 2 of 2]
2--15=8~
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Well Classification Co~, %u,,,~j~ gF3/e~
Well Log P~esent (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical wiring in Conduit _(Y/N)
Separation Distances f~c~l Well:
To Septic/}{olding Tank on Lot_
To Nearest Edge of Absomption Field on Lot
To Nearest Public Sewer Line
Clean<ut/Manhole
Water Sample Collected By
Water Sample Test Results
MUNICIPALITy OF ANCHORAGE
DI~P'r, OF HI~ALTH &
I~NVIRONMENTAL PROTECTION'
"JUl_ 6 1984
Legal Description: /~,'~' /~ ~)i~ -F
If A, B, C~ C, D.E.C. ~p~o~d(Y~)
~te ~leted Yield
~pth of G~outinG
Pump Set At
Sanitary Seal on Casing (_Y/N)
Depression A~ound Wellhead (__Y/N)
; On Adjoining Lots
; On Adjoining Lots
TO Nearest Public Sewer
To Nearest Sewe~ Service Line on Lot
; Date
B. SEPTIC/MSf~D~NG TANK DATA
Date Installed //- ~'- ~',-5- Size / ~ ~-~) No. of Cc, mpavtmsnts __ /
Standpims (y~) y Ai~-tight Caps (Y~) y _ Foundation C].ean~t (Y~)
~p~ession o~ Ta~ JY~) ~ ~te ~st P~d 7- ~ - ~ ~
P~ing~intenan~ ~n~a~ ~ File (Y~) ~ ; fo~_
Holding Ta~ High-Wate~ Ala~ (Y~) ~/M ~a~y Holdi~ ?a~k ~mit (Y~)
~p~ation Distan~s ~ ~ptie~olding Ta~:
To Water-Supply ~11 ~OO/ + To ~ilding Fo~da~iqn~
To P~ope~ty Line . /,~' v~
To Water Main/Se~vice Line
Course ~OO'+
TO Disposal Fi~!d '." ~/ '
To' Stream, Pond,' Lake, az Majo~ D~ainage
ColTments
[Page 1 of 2]
2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed / / - 3 ~- ?~$-
Width of Field 2?6/'
Squal~e Feet of Absorption A~ea
Depression over Field (Y/N)
Results of Last Adequacy Test
427~/~ Type of System Design
Length of Field ~ ~'
Depth of Field 7 ;/P-'
Gravel Bed Thickness ~' /~e/0~o
.fy~z Standpipes P~esent (Y/N)
Date of Last Adequacy Test 7 - J - % g/-
Separation Distance f~om Absorption Field:
To Water-Supply Well ~ 0 ~P ' g- To P~operty Line / ~-
To Bu.ilding Foundation ~ CP ~v~ To Existing or Abandoned System
Lot /V,//I ; On Adjoining Lots ,3 ~- ~-
To Wate~ Main/Service Line /~P'~ To Cutbank(if present)
To Stream/Pond/Lake/or Majo~ Drainage Ccul~se... ~ ~3
To Driveway, Pa~king A~ea, or Vehicle Storage A~ea ~'7~
Co2wents
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested fo~
Electrical Codes(Y/N)
Dinmnsions
Manhole/access .(.Y/N )
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles du~ing Adequacy Test.
Y~ets MOA
Comments
** Cheek Permitted B~d~ocm Rating A~ainst HAA Raquest **
I certify that I have checked, verified, or conforn~d to all MOA HAA ,C~jj~j,j~e~s in effect
on the date of this inspection. ·
KB1/d5/s , ~% Ja~Lth~e ~,~
2=15-84
FROM
· M
Redi~orm® 4S 472
FROM
I~edi~rm® 4S 472
P~Iy Pal~ 150 selsl 4P472
D]tPT. OF~ ENV~RONMF~NT~'~ ~ONS]ERVATION
JAY $. HAMMOND, Governor
/ SOUTHCENTRAL REGIONAL OFFICE
MACKAY BLDG.
338 DENALI STREET
ANCHORAGE 99501
October 7, i].975
Ms. Susan Oswald
Dept. of Environmental Quality
~chorage Municipality
3330 C Street
Anchorage, AK 99503
Subject: Let 18, Block 3.. Wynter Park
Subdivision (C. E. Pclen)
Dear Ms. Oswald:
If a valid pumping contract will exist for the holding tank we have
no ob]_c'taon to its installation. I agree with your evaluation of
percolation 'test results in general
Sincerely,
Kyle J. Cherry, P.E\,~
Regional Environmental Supervisor
cc: C.E. Polen
ADEQUACY TEST REPORT
Performed byz
,James L. Thode, P.E.
JLT Engineering
1546 Eagle River Road
Eagle River, Alaska 99577
Performed for,
William H. MeW]Il]ams
P.O. Box ].237
Eagle River, Alaska
99577
Legal descriptionz Lot 18 BLK 3 Wynter Park #1
Dates of test. July 2 and 3, ]984 ~-~ ~
and absorption trench. The system serves ~ fou~ bedroom double
wide mobile home which is currently oecupie~ by fiv~people.
Test procedure~
The system was in normal use before and during the test. In
addition to the normaI load on the system a surge load of 600
gallons was applied for each of the two days of the test. The
system accepted approximately 800 gallons per day during the
test without asing the tetAl capacity of 'the absorption system
and with no indication of failure.
Conclusion~
Bas~don the test preformed this system is currently adequate
to handle the waste water disposal requirements at this site.
DEPT. OF ENVIRONMENTAL CONSERVATION
SOUTHCENTRAL REGIONAL OFFICE
437 "E" STREET, SUITE 200
ANCHORAGE, ALASKA 9950
BILL SHEFFIELD, GOVERNOR
Telephone; (907)
Address:
274-2533
DATE:
PWS I.D.
To Whom It May Concern
According to records on file in this office the
Water System is in compliance with the State Drinking
Water Regulations.
Sincerely,