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Home My WebLink AboutWOODRIDGE BLK 2 LT 10 NAME 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 PHONE MAILING ADDRESS :703 Wesv 22''-L-~ /~¢e. /r~cc-I~e. At,,¢s/~,4 LEGAL DESCRIPTION LO'T ~ 0 ~oc~ 2- WOO~DC~E ~O~blv~s~ ~'~ ~c'o~_¢~ '~ /~4'~ ~ ~o.o~oo~ Well Absorption ar a / Dweging ~305 DISTANCE TO: I~ /:0'* ' I ~, 0 I 2~, 0 No, ofcornpar~ents Manufacturer . Material Liq. capacity in gallons IF HOMEMADE I nside leng~/~ I Width Manufacturer DISTANCE TO: No, of lines / Top of tile to fi~h~ Length Type of crib DISTANCE TO: DISTANCE TO: Well l O0"t Length f-e Material Liquid capacity in gallons Nearest lot line3~ ~ Width Crib diameter Well Depth Building foundation OTHER PIPE MATERIALS ~PPRbVED~ / '- . ~ ~ LEG L E:,EF'I::IF~tTf"IENT r'h FIEF:FIL.'rH I::ti'.,l[::, Ei'.,I'v'IRCINMEI'.,H"FIL. F'I:;":TE'"'I~'[::H~" ~'~'~'~,~,~L~-~-, .... .... "L." _, I RI:..E 1., I::II",IE:~IOF:FIGE., FII<. 99501 < :BX.':05i5 F:IF'F:'L :CF:ff'~T .]'ERCd"IE [:'OI)GE: 7'05 H. ;.:-':6TH FINCH. LO CFli ! O L. EG:::I . LOT :[.O BLK 2 I.,.IOO[:,F.:I[:*[iE SUE', LO"r SIZE ;;!'.76--,0289 9999~I SI;!I..II:::IFE:[i~ F'EET 'T'¢I::",:: OF::' SOIL. RE~SC~I~:F'TION SYSTEM iS: 'TF:IEi,ICI'I ]"ll::l;:';:i:H!.l}"l NI.JMF~ER ElF' BE[:'ROOM:.5 =: 4 SOIL RFITINCi (SL::! I"-]"/BR)= ::LL::5 ']"1 il~ :i:ji:i~:!l...I iI~:ED EJI ZE O1:::' THE :5[)I L I::IE:SORP !':1: ON S'¢2;TEM I:5: ii:: i._E]',I[:q"FI [:, I I'IEN'.:~; I O1'.,! I S TFIE I..ENGTil ,:: i N FEE-[ > OF ]"HE' TRENCH OF,~'. DRFI I NF ]: ELI::,. i iii: I:)EF'TH OF' FI TREI'.,IC'H OR F' I T' I t5 -i"]iE C, i STFINCE BETI.,.IEEh! THE '::URFFICE 01::' THE (~i:X:flJN[:, I::]1",1[:, THE BO'T]"OH OF' THE E';.~',C,'-:iVFI'r']:C~N ,::IN FEE]'::,. i i:i:iJii: ]:2; IqO SI~:]" I.,.IIE:,TH r::'OR 'FRENCIIE!iL :i! Eff;i'.FI'v'E:L. [:,EI:::"TH :tX5 TH[i: MINZHIJM [:,i!l:::'TIl OF' GRFi'v'EL. ESZTMEEN TI-.IE OU'TT:FILL F'IPE ~ ~ i :, TIlE E',t3TTOM OF: I'HE EXCFI',/FFF I ON ,:: I i',i Fi2i:liiT). F:'lliiZt:;i:Hi i::it::'[::'L. ICFIi',IT HI:I:::; 'I"I*IE RE:L:;F'Oi'.,I~:IBIL..X]".¢ "FO II'.,IF'OI~:M 'FI-.II:5 [:,EF'FIF~:THEi'.,IT [:)LI[;i::[I'.,IG THE IN~;'i :iL.LF'Fi"ION ZI'-,ISF'ECTZOI'.,I:::: OF F'IN"r' I.,.IEL. L~5 FI[.,.J'FICEi",iT TO THIS F'ROF'EF:.'T'¢ FIN[:, THE i'.4LIHi~:i~:J:i: OF:' RESI[:,EI'qCE!5 THr::FI" 'r'HE HELL HILL. 5ER',,,'E. F',',:tCI(F ]: L.I. I i',lf_:i [)F' FIIq"r' :5'.r':STEH I'.11T[IOI..FF I:: I NI::IL. I 1",I:SPEC]" :1: Ol"~ FIND FIPPRO'v'FII_ B"/ 'TFI I.'5 [:,EPFIRTMENT I.,.!IL.I. E~E: '.E;I...IB..:[E:C:"!' TO F'r~'.OSECUTIOIq. i"IINIMUM [:,I~.::TFIi',ICE: BEI"H[{EN I:::1 I,.IELL FIND FINY ON-..SITE SEI.,.IFIGE [:,ISF:'OSFIL S'¢STEM IS :L00 FEET FOR FI F'I:;~::['v'FFI"E HELL OR ::L50 'T'O 200 I:"EE'f' I::'ROH FI F'IJBLIC HEZLL [:,EF:'EI',IE:,ING LIPOI",I THE Th"F'!!i: OF PLIBLIC HELl .... I"IINIMIJH D!'i;TFINC:E FF, b3M F'I F'F~L'(',,,'FITE I.,.IELL TO FI I::'F:::[',/FITE SE:P.IER LII",IE IS ;25 FEE]" F:iN[:' TO F! COMI'IlJNi-I*'t' SEI.qER L:[NE ]7.:5 75 FEET. I.'.ff!i:i..L.L.OGS FIRE REQUIRED laN[:, HLI:5-F E',E RETURI',IED TO THE D, EF'FIRTMEI",IT I.,I]:THII",I :3:0 [)F:l"r".5 OF THE [4ELL. CC$1F'LET]:ON. OTHER RIE6!U):F:'.Ef'IENT:5 MFI"r' F:tI:'PL"r'. SF'ECIFICFI'FIONS FIND CO?',ISTRIJCTZOI",I DIFIGRFtMS FIRE R","FIILFIBLE 'FO I NSLIFdZ F:'ROPER INSTFtLLFFFION. I CERT ]:F'T' THF:IT ::1.: I FIM F'FIHII...IFII:::: p. I I]'H "I'HE I:.~:EQLI:[REHENTS F'OF:: OI',I--'SITE SEI.,.IER:E; RND 14EELLE; FI:5 SE'T' FO~'.'r'!-I E~h.' THE HLIIq I O Z I::'FIL ~ T'¢ OF FIIqCHOF'.F~GE. [~:: I I..IIL..I_ IIq~TFILL THE Sh.%TEM Ihl FtC:CORDFINCE I.qZTH THE COB, lES. Eft: I LINI)ERSTFINE:, ]q..Im' THE OF,F...SiTIE SE{I.,.IEFE'. S'¢STEI~I 1'4Fib~ RE~;K.IIRE ENLFtF~:GEMEI'.,IT ZF THE RE:SZDENCE :1:~ RE:MOC, EI..E[:, ]'O ZhlCL. I..IDE MORE THFtN 4 E~EE:,ROOHS. ..... , . c45 :: I .:tP lEI .......... ~ ........ :. ,I-[' ..)'ERI:IIqE 712_5 OLD S~WAIRD HWY. ANCHORAGE, ALASKA 9950:5 .349 - GDCol 4 8 I1 16 18 19 JOHN E. SWANSON 1834-E PltoFI:SS O~ SIX INCH Water WELL DRILLED AND CASED OUT TO THE DEPth OF drilled AT tide rate OF $2~o00 PEr FOOT. PRoPertY OwNEr //Z~. & ///~1o ~o/n~ & ~ 2)od¢~ 276-028~0 70~g ~. LOCATION OF WELL SITE ..'~"' 10 B,~... 2 ..~U~.. ~ood..'~z~ /~ WELL LOG: 0 .... 16' ,¢'m~ o~,M-.:h. 355 c,6a¢ 16---35' $,b/.O; me, f, eta,/. ~,,t4h. 2.5~ coa,~e $5--220~ Bec~acL. ;t ,~extdamnAwW. a, ocL. fla ~,~ p,,~a~n. ,ol~,b~ 179 g/c. 1/2 ~?~ ~o ~ ~ ~ ~ ~ 2 1/2 ~ ~ 189 ~ g~ ~~ ~ ga 220 ~, ~~ ~ ~~ ~ 5~. a pa~o~ ~ ~ 210 ~ 277 ~ ohomo ~o ~. $23.00 p~ ~ X 220 ~: $5060.00 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAiD DRILLING. WRITE CheCK PAYable TO RAMPART DRILLINg WORKS fOR the sum OF $5060.00 THANK YOU VERY MUCH. BERN. I,E CLAUS OF RAMPART ]:~RILI~ING WORKS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF iNSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date '~--//~//~.~ ~' GENERAL INFORMATION (a) (b) (c) Legal Description (include lot, block, subdivision, sec[ion, township, range) Location (address or directions) ~ / ~ , . .- '~C::~.~__ Telephone: Hpme Z-'~ - ~7_.,~_ Business 0 Applicant Name Applicant is (check one): Lending Institution,~ Owner/builder []; Buyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms Other 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 {-I Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. ~u[rlon[y P. pproval snows ina[ uie on-site wa[er supply anO/or wastewater disposal system IS sate, 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 An rage files and from my investigation and ' ~ection, the on-site water supply and/or wastewater disposal system h, ,,~ compliance with all Municipal and State co~,.~s, ordinances, and regulations in effect on the date of this inspection. Name of Firm "~,-v' (,~"r.z.//¢-,... Address ~O Date ~// / Engineer's Seal Approved for /~ ~/Z. b e d r co m s ~t--? ~'¢"~/-~.--~-~ Approved ,~,./ Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOor HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: WELL DATA Static Water Level ..~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Welh Total Depth ~- 2...~ ! t* _ Cased to ~2.~ Depth of Grouting Pump Set At (Y/N) ~ Y,eld 5~'"'~ ~'¢ 2/,t¢2/'~"~ Sanitary Seal on Casing (Y/N) ~ Depression Around Wellhead (Y/N) _ ~ To Septic/Holding Tank on Lot / '~"2. ! ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ¢z~¢, ~2 / ; On Adjoining Lots To Nearest Public Sewer Line _ ,/l~'z~.t..~ To Nearest Public Sewer Cleanout/Manhole /'/.~'~,"~'~--- To Nearest Sewer Service Line on Water Sample Collected by ~ ~..¢,~4.f._ ,~'~; Date Water Sample Test Results r'(~ Comments B, SEPTIC/HOLDING 'TANK DATA Date Installed ~/~ Standpipes (Y/N) ' U'/' Depression over Tank (Y/N) Size r/ ~ No. of Compartments __ Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N) /~ Date Last Pumped Pumping/Maintenance Contract on I:ile (Y/N) ,,,(~/~Ef ; for Holding Tank High-Water Alarm (Y/N) _ _,,~/)/~ _ Temporary Holding Tank Permit (Y/N) ~/~ -- Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ / ~ ~ ~ To Building Foundation ~ / To Property Line ~ f ;~ To Disposal Field ~ ~ ~ To Water Main/Service Line ~ tX ~ --__ To Stream, P~gd, Lake, or MajorrDrain~ge cours _ Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test /~'y~ ~ Type of System Design "~7-~ ~:/''~'~ Length of Field ~"-~) Depth of Field <:~ Gravel Bed Thickness ~ Standpipes Present (Y/N) _ Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /'~:' ~ ! To Building Foundation Lot .'"L'/',~ To Water Mai~Lin~"~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area LIFT_STATION Date~ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments To Property Line To Existing or Abandoned System on ; On Adjoining Lots /,~d:~ · '-/- To Cutbank (if present) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Pum~AOequacy Test. Meets MOA °* Check Permitted Bedroom Rating Against HAA Request I certify that Ih~ 0h4¢~, v/e ddi/e~, or conformed to all MOA. end H.~A guidelines in effect on the date of this inspection. Company Receipt No Date of Pavment ~ ¢~ ~%.'" ~ '"'.'~ Engineer's Seal Amount: $ - .......... ~..~ ..... ~.2~ MUNICIPALITY OF ANCHORAGE OEPARTi~IENT OF HEAL'ri-! AND ENVIRONMFNTAL PROTECTION DIVISION OF ENVIRONIVIENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTNORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) ............... ~ ..... . ~//~'¢5/¢,,',,-¢ Location (address or directions) Applicant is (check one): Lending Institution ~; Owner/builder~; Buyer [~: Other E] (explain); (e) (f) Address Real Estate Co~mpany and Agent .._ Address Telephone Mail the HAA to the following address: TYPE OF RESIDENCE ~ Single-Family'[~ Multi-Family Number of Bedrooms/~- / Other WATER SUPPLY Individual Well~[, Community ~ Public E] Note: If cornmunity well system, must have written confirmation from the State Department of Environmental Conservation attesting to tho legality and status. SEWAGE DISPOSAL Onsite~ Public E] Community ~ Fielding Tank D Note: If community well system, *-nust have written confirmation from tile State Department of [:nvironmental Conservation attesting to the legality and status Page 1 of 2 72 o25o] 8,~ As certified by my seal affixed hereto and ~s of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site w~ter supply and/or wastewater dispos~J system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I fudher verify that based oe the information obtained from the Municipality of Anchorage files and from my investigation ~nd inspection, the on-site water supply wastewater disposal system is in compliance with all Municipal and State codes, ordinances, ~nd regulations ~n effect on the date of this inspection. Name of Firm ~/t;¢~,,./~ ~;~'~/~ .Telephone _~/'-" ~Z~ ~ Address ~-O ~ ~,~0 ~ / /~~___~-.. ~¢~ Date Approved for 42/.,,,f __ bedrooms by Approved Disapproved Conditional CAUTION Th(! Muncipality of Anchorage Department of Health and Environmental Protection (DI-IEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent prolessionaf engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of I~omes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not condect 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 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHORAGE DI~PT. OF HEAL'tH ENVJRONMENTA~ PROTECTIO~ MAY 2:5 1985 WELL DATA Well Classification "~P~.~ V fYT'~:~' If A, B, C, D.E.C. Appl'oved (Y/N) Well Log Present (Y/N) _ ~ Date Completed _ [/'/~.~/~ ~ Yield ~"~'/~ Total Depth '2-~...z> / Cased to ,~..-~.4~ ' Depth of Grouting Static Water Level ~ I Pump Set At __ ~P-,/¢;> ~ # Sanitary Seal on Casing (Y/N) K ~ Depression Around Wellhead (Y/N) Casing Height Above Ground Electrical Wiring in Conduit (Y/N) _ Separation Distances from Well: To Septic/Holding Tank on Lot / ~'"~ ! ~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot_ /~ i ~; On Adjoining Lots To Nearest Public Sewer Line _~ ~ To Nearest Public Sewer Cleanout/Manhole _ ~ __ To Nearest Sewer Service Line on Water Sample Collected by ~ ~~-~ ___ ;Date Water Sample Test Results ¢ ¢~¢,~ ~ ,~ B. SEPTIC/HOLDING TANK DA'rA Date Installed /[/~/~ ~__ Size /~..;~-~ q~0_ No. of Compartments Standpipes (Y/N) ~ Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N). Depression over Tank (Y/N) ~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ~ ; for Holding Tank High-Water Alarm (Y/N) _ ~/~' Temporary Holding Tank Permit (Y/N) _ Separation Distances from Septic/Holding Tank: To Water-Supply Well / ~ / To Building Foundation To Property Line ~ ~ ~ To Disposal Field To Water Main/Service Line 8~' ~ ~ ~t¢~ ~;~ To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(1 ~/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ,'/ ~"~- .'~. Type of System Design Date Installed ,,t//_~/~.~ Length of Field Width of Field ~ · Depth of Field '~ ! Gravel Bed Thickness :;~.,ll l. k)~'~/~ ~-,~c~ ; ~.'~,[/~.. "/'o ~ ! Square Feet of Absorption Area (~O ~ / Standpipes Present (Y/N) Y" Depression over Field (Y/N) //tV/ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well // To Building Foundation Lot __ /~o ~-/~ To Water Main~ Date of Last Adequacy Test To Property Line ~ ~- / To Existing or Abandoned System on ; On Adjoining Lots /~,¢, To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area D. LIFT STATION '~ Date /~/'O ~,," ,~ Installed 'Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that l h~.e ch ec.~_~, v/......crifie/.d~ or conformed to all M CA/end HAA guidelines in effect on the date of this inspection, Company ~__~¢,,~fi~/C'-,,la-__ _~-, MOA No. Date of Payment %- Amount: $ L~. CO - Page 2 of 2 72-026 (11/84) PENINSUI ENG INEEI NG /t40 W. Benson Blvd. Suite gOO Anchorage, Alaska 99503 (907) 561-5107 November 27, 1985 Municipality of Anchorage Department of Health and Environmental Protection Anchorage, Alaska Attn: John Kennedy RE: Lot 10 Block 2 Woodridge Subdivision 4910 Woodridge Circle Health Authority Approval Dear Mr. Kennedy: This letter is written to verify that the electrical conduit has been installed from the well sanitary seal to below grade and the power line has been buried from the well to the house on the above property. If you have any questions please call. Sincerely, ENG INC. 7125 OLD SEWARD HIGHWAY o ANCHORAGE, ALASKA 99502 November 10, 1983 Mr. Cory Willis Department of Health and Environmental Protection 825 "C" Street Anchorage, AK 99501 Dear Mr. Willis: The purpose of this letter is to verily that a 1250 gallon steel septic tank was installed on Lot 10s Block 2s Woodridge Subdivision~ Anchorages Alaska. This in:[ormation was overlooked on the original sewage disposal inspection report. If you have any further questionss please contact us at 3#9-6561. Sincerelys S & S Engineerss Inc. E. Richard Rahaim ERR:wel Job 3t/56 Code #81 WASILLA (907) 376-3770 ANCHORAGE (907) 349.6561 SOLDOTNA (907) 262-9534