HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 1 LT 11
GE fER ANCHORAGE AREA BOROb
t}EPAR'rMENT 0F ENVIRONMENTAL QUALII~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCAtiON.
SEPTIC TANK:
MAILING
____ADDRESS_
LEGAL DESCRIPTION
PFtONE.
DISTANCE FROM WELL
MATERIAL
NUMBER OF
COMPARTMENTS _
LIQUID CAPACIfY ~"~z- ;c-:'''~
LIQUID
GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH__--
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PiTS _] OUTSIDE DIAMETER _ OR WIDTH ,.;%,-)1 ,~'~, LENGLH~ ct/ /
--.- ~ ~ __, DEPTH.
LINING MATERIAL.~~ (~,(.¢,,,'*,.~L, (~.'l~¢'. "~(? ~ ~a..t-,~.~. . DISTANCE FROM WELl~)k~'-~ gZL"~'~ , BUILDING FOUNDATION
NEAREST LOT LINE~ ~'.kb~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~'('¢ k~ SQ FT.
TILE! DRA)N FIELD:
x.... TRENC' WIDTH__
__DISTAN ¢~E/~'E f WEEN LR"4 ES __
f OTAL~I~d~GTH
., .,~q ES ___ ,
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TiLE TO FINISH GRADE__
DEPTH OF FILTER MATERIAL BENEA1H TILE
IN. ABOVE TILE --
WELL:
Typ E ¥'~,4, f?, :,'c ¢~ , DEPTH__
NEAREST
LOT LINE __ , SEWER LINE
DISTANCE FROM WATER
, BUILDING FOLJNDAIION._ SAMPLE_
SEPTIC SEEPAGE
, TANK , SYSTEM ..... CESSPOO~
NEAREST
OTHER
, SOURCES
DISTANCES:
,~ ,r% (~.~),DIAGR_~A~M OF SYSTEM
APPROVED ~ '¢ '~' '
G,A.A.B.
NAME OF APPLICANT
J NSTALLAI'I ON LOCATION
LEGAL DESCRIPTION
GREA'FE:R ANCHORAGE AREA BOF,,JUGH
DE:PARTMENT OF' E:NVIRONMENYAL ~)[JALI~ PERMIT NO. __
SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT ~z,~---
INSTALLATION Of: SEPTIC 'rANK X SEEPAGE PIT
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
WATER MAIN TO SEPTIC- TANI(
DRAIN FIELD __
/() '
____, SEEPAGE: PIT
-, DRAIN FIELD
~ONPO~M TO ~O]~OUGH ~EOULATIONS I~£GA~DIN~ INSTALLATION.
T.H.--I
7-17-72
ORGANICS
ORGANIC SILT
Radish Brown
O,OI
SILTY SANDY GRAVEL (GM)
W/SOME COBBLES
No water table
Note: Hole excovated with tractor mounted backhoe.
Roy Newbold Property
b--ngineerlng ~ Geological Consultonfe LOG OF TEST BORING
Anchorage Alaska
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTN AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SI-rE SEWER AND WATER FACILITY
264-4720
Application Date 12-8-86
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lotll Block 1Z Zodiak Manor Subdivisiof%
t.ocation (address or directions)
4460 Mars Drive
(b) Applicant Name Brad Heqg. imbathan Telephone: Home 274-8881 Business 272-6023
Applicant Address 941 David Place Anchorage, AK. 9950;[
(c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer i-]; Other [] (explain);
(d) I_ending Institution Alask¢ Pacific Mortgage
Address _ Anchors~.!e, AK.
(e) Real Estate Company and Agent None/Rc~'F'inanc¢~
Address
.. _ Telephone
Telephone
(f)
the HAA to the following address:
:AGLE RIVF~,,~t(
TYPE OF RESIDENCE
Single-Family [] Multi-Family []
Number of Bedrooms 3
Other
3. 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.
4. SEWAGE DISPOSAL
Onsite ~ Public [] Com. munity [] Holding Tank []
Note: Il community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality' and status.
72-025 (lbB4)
Page 1 of 2
EI:GINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE'-' SEARCH, DAI"A AND INFORMATION.
As certified by my sea[ affixed hereto and as of the validation date shown below, I verify that my i nvestigatioa of this'H,~alt~¥
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 informatio~ 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 _ ,¢,~LS~IGINEEEING
Address _ SR P~ 1_~6X
Date EAGLE ROVER~ AK 99577
Telephone
Approved'lb; ~' ~ ~--bedrooms by ,
Approved _:_ Disapproved Conditional
Terms of Conditional Appr0yal
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 [1
WELL DATA ~%
on
Well Classificeti
Tota~ Depth ~
MUNICIPALITY OF ANCHORAGE (MO~)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description: LJ /
If A, B, C, D,E.C. Approved (~¢N~
Date C~mpieted /¢2_ ~fo ~. ! ~ ;2 ._~- Yield
Cased to Z.~ ~ Depth! of Grouting _~- ~
Static Water Level
Casing Height Above Ground ['2_,, ~'( "~
Electrical Wiring in Condui Yt~,~) --
Separation Distances from Well:
/
To Septic/Holding Tank on Lot . c~
To Nearest Edge of Absorption Field on Lot
Pump Set At ~. c,f
Sanitary Seal on Casing CN)
Depression Around Wellhead (Y/~)
; On Adjoining Lots
t..~ ; On Adjoining Lots
To Nearest Public Sewer Line _~,~"-t.~ f . To Nearest Public Sewer
Cleanout/Manhole _ ~ ,~*'~" To Nearest Sewer Service Line on Lot .
Water Sample Collected by , ~ ~. ~¢~~~ ' Date 1~ ~ ¢ --
Water Sample Test Results ~/Y~,~
B. SEPTIC/HOLDING TANK DA'FA
Date Installed ~-g,C--'~Z- Size
Standpipes¢/N) Air-tight Caps (~N)
Depression over Tank (Y4~
Pumping/Maintenance Contract on File (Ye
Holding Tank High-Water Alarm
Separation Distances from Septic/N~cldi,~g Tank:
To Water-Supply Well ~'~-- t
To Property Line ~_
To Water Main/Service Line ~ ~' Course
No. of Compartments
Foundation Cleanout (Y/I~
Date Last Pumped
; for
Temporary Holding Tank Permit (Y/¢
To Building Foundation ...¢0 "
To Disposal Field /~..z~ *'
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026{11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata _
Date Installed ? -- '~-~-
Width of Field ~---"~ ~
73g
Square Feet of Absorption Area
Depression over Field (Y/~_
of Laat Adequacy Test
Results
Separation Distance from Absorption Field:
To Water-Supply Well ~0
Type of System Design
/ · --
Length of Field
Depth of Field _ /'2_. f
Gravel Bed Thickness '~' !
Standpipes Present CN)
Date of Last Adequacy Test
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
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ~c~
To Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
,~V.//~,~ "Pump Off" Level atvent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify t hat,~ i~ ~¢ ~ ~c~ ~v~li~Go r conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed _~.~ 'i~X Date
Company * t CA No. ~'" ~ --/.¢ ~, ~ .'~ .,. ,.',, ......
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (H/84)
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
Anchorage, Alaska 99518
13rinking Water Analysis Report for Total ColifOrm Bacteria
TO BE COMPLETED BY WATER SUPPLIER
EG- PRIVATI-- WATER SYSTEM
Mailing Address
City Stale
Mo. Day Year
SAMPLE TYPE:
-¢l~-R ou tin e
[] Check Sample (for routine sample
with lab ref. no.
Lq Special Purpose
Zip Code
) [] Treated Water
-4~Untreated Water
SAMPLE
NO. LOCATION
2 l I
I
4 l I
Time ColLected
Collected /ffla/
TO BI-'- COMPLETED BY LABORATORY
[)ate Received
Time Received
Analytical Method:
Analysis shows this Water SAMPLE to be:
[t~ S;tisfactory
[] Unsatisfactory
[3 Sample too long in transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
f2/o,/x
/OOO
Membrane Filter
* No, of colonies/lO0 mi.
Lab Ref. No. Analyst
I
I
I
I
Result*
I-F1
BAO'f'ERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS ~ Membrane Filter: Direct Count
Coilformll00ml
BEFORE
COLLECTING SAMPLE
Verification: LTB
Final Membrane Filt~e~its: , ~'/
TNTC := Too Numberous'To Count
OB = Other Bacteria
BGB
Date_
Time:
~) Coilformll00ml
Is~O0 a.m.
T~-ector -- ~'~pector Inspector
~ ~l~°mments Conditional Approval
Date Sewer Installed Permit No. ~pt~'Tank
Soils Rating
Well To Absoretlon Are~
Well to Tank
Heldln~' Tank Size
Well Log Received
APPLICANT FILLS OUT LOWER HALF ONLY
Procerty Owner 7 /~)/T) /-']C~, ,-
Mailing Address
Buyer ~7.?/~
Lending Institution // Z W.3 ~ ~/ ~ d'/ ' ~ '
'Address /~)
Realty Co. & Agent
Address
Legal Description
Street
Location
Type 9f~sidenc¢
L%Slngle Family
[] Multiple Family
E] Other
Phone
Phone
No. of Bedrooms
/?) // /u ,~ /
Water, S~lpply
[/~dividua
[] Community
[] PuL)lie Utility
Sewage~Dlsposal
L"[ Individual
[] Public Utility
[] Holding -rank
ATTACH WELL LOG. A well Icg Is reamree for all wells drilled since June
1975. For wells drilled l)rier [o that date. g~ve well depth (attaci' log if
available.)
/
Year Individual rmtelled: _ --
When Connected to Public Utility:
NOTE:: Tllr~ INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INI'I'IATED.
JAIVIES [3, ROBEEI::II'S, PE, RLS
ENGINEER & S U I:lV E YO I:!
(90'7)
SEPTIC SYSTEM ADEQUACY TEST
DATE 7-/~-~ _
CLIENT:
Telephone
LEGAL DESCRIPTION:
SEPTIC TANK:
LEACH PIT:
DRAIN FIELD:
Material 'Type
Size /~.~/
Number Bedrooms .~
Surcharge Test __.~t,~/.
Rate of percolation
Required Tank Size
gal. water; 0.80 (150 x No. bedrooms) min.
gal./day
I ~0'7
East ~4 th Avenue
SOUTHCENT'RAL REGIONAL OFFIC[:
f
MUNICIPALITY OF ANCHORAG~
DEPT. OF Hi:;.i[ I &
JUL 1 'j 1981
RECEIVF_.D
437 E. STREET
SECOND FLOOR
ANCHORAGE, ALASKA 99501
(907) 274-2533
~o. BOX 615
KODIAK, ALASKA 996'15
(907] 48~-3350
P.O. HOX 1207
SOLDOTNA, ALASKA ~669
(907] 2~2-5210
P.O, BOX 1709
VALDEZ, ALASKA ~)~8~
(907) 835~98
P.O. BOX I0~
WASILI.A, ALASKA 99687
[907) 376' 5038
&~].y 8, Z981
Cortland Braberg
8429 JupLter Drive
B2~chorage, Alaska 99507
Subj ect:
1981 Sewer Extension, Pluto ])rive
Wastewater Review 11812].-])A036
Zodiak Manor S/Ds Anchorage
Dear bir. Broberg:
a reduction o~ the protective radii for the well located on
Lot 26, Block 6, Zodiak Manor S/D.
We hereby grant a waiver of 18AAE 80 020 which ~:eClU~res a
rain]taunt sepe[ation of 75 feet between a private single family
seperation of 100 feet between a private single fam~il.y well
and a sewer main cleanout to 40 feet for the suhjeet project.
The project :is here by approved for construction for ~he iLems
with which that departnent is concerned. ThRs letter constitutes
the permit required by A.S. 66.03.720 (a) for approval of
sewerage systems,
If you ]lave an quest]one, fee] free to contact me.
cc: A.D.II.E,P.
TI,bi/town
SOUFHCEN?RAL REGIONAL OFFICE
.~une 29, 1981
],fY $. tt,l,qOOtlO,
437 E. STREET
SECOND
ANCHORAGE. ALASKA 09501
fOO7] 274.2533
KODIAK. ALASKA 99615
(.9071 48~.3350
SOLDOTN,4. ALASKA 99669
[907] 262 5210
(907) 8354~8
WASIL~. ALASKA 99687
Cortland it. Bl:obel:g
Professionnl Engineering
8429 .lup[ter Drive
Ancbo rage, Alaska 99507
Subject:
1981 Sewer Extension, Pluto Drive
Wastewater Review # 8121--DA036
Zed[ak~,,lan~)r' S/I), Anchorage
MUNiCiPALITY OF ANCHORAGE
DEPT. GF HFALI~i &
ENV[RONMENIAL i ~ O~ECIION
JUl. 2/981
RECEIVED
Dear Mr. Bceberg:
We have reviewed tile pi.aha and ~xpeclficatinns for the subject project,
the proposed a]:tgmnent wi.l.[ infr£nge upnn the proteetl~re
well on lot: 26.
this time as
redE[ of the
I [lave enclosed a copy of the State Drinking Water Regulation ~Jhich
defines tbe m/n.Lmurn contaminate separat[on dLstance of lO0 feet between a
private well and a community sewer line clean-out, and 75 feet between a
private well and a community sewer line. (18 AAC 80.020 d)
providing site conditLons justify a ].esse. r distnnce.
r[~l]OI]l;lS L. 5hlrre] 1
A. D. H , E. I?./''V'
A, W ,S, [J,
TLH/wih
R&M
Civil Engineers
ENGINEERING c% GEOLOGICAl. CONSIJLTANTS
229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503 TELEPHONE 907 -279-0,183 TELEX 090-35410
Geologists Land Surveyors
JAMES W. [lOONEY, P. E.
MALCOI_M A, MENZIES, P.E., L.S.
JAMES H. WELLMAN, P.E.
]tdy 18, 1972
R & M l~Io. 26540-8
HAL_PFI FI. MIGLIACCIO
Mr. Roy Newbold
4121 Grape Place, Apt. ~4
Anchorage, Alaska 99504
RE: Test Hole and SoJ~[ Log Report for Sanitary System
Lot ]1, Block 1, Zodiak Manor S/d
Dear Mr. Newbold:
We are submit't{ng herewith the test boring results and our comments regarding
soil conditions encountered at the subject site. This investigation was performed
in accordance wkth your request of July 17, 1972, and those procedures outlined in a
letter dated September 13, ].971 by 1VL~. Roll Stzicl4and of the Greater Anchorage
Area Borough Department of Envirommen'tal Quality.
A single test hole was pat down within the Lot ]1 area for 'the purpose o~ deining
general subsurface so{1 conditions for 'the proposed sanitary system. Excavation
was accomplished with a tractor-mounted ba hoe and the test hole was extended
to a ~otal depth of 12 feet below ground st~rface. The ~{na]. log prepared for the
tes't hole has been included in ]Drawing A-01.
Ground water was not encountered in-the test hole.
We appreciate being given this oppoz~anlty 'to be of service to yon. Should you
have any questions with regard to the above, please do not hesitate to contact
US.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL CONSULTANTS
~-/ James W. Rooney
JWR:wb
Enclosc~re
xc: Greater Anchorage Area Borough¢
JUL 2 0
BILL SHEFFIELD, GOVERNOR
~]~. O~~ ~VI[~tONMENT/~H~ ~ON§ERVATION~
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA 99501
274=2533
Alaska Environmental
Control Services
1200 West 33rd Avenue
Suite B
Anchorage, Alaska 99503
October 15, 1984
NOV 2 i984
SUBJECT:
Waiver Horizontal Separation Between Well and Septic
Tank, Lot 9, Block 1, Zodiak Manor
(8521-WA-048)
Dear Sir:
The Department has reviewed the subject waiver request and hereby waives
the horizontal separation between the well and septic tank to 95 feet
on the subject property for a 4 bedroom single family residence only.
Sincerely,
r~u~ce E. Erickson
District Engineer
BEE/dd