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Home My WebLink AboutVALLEY VIEW TERRACE BLK 3 LT 5 %_~' 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 [~"N E W DISTANCE TO: I We~' ¢0 / I Abs°rpti°n are~~/ Dwelling~ Manufacturer ~ ~ Mag~ Liq. a acity in gallons Inside length Width Liquid.~.~ Well Foundation Neares~ ,i Length, ~/ Ji~ Total~vJe. th lines Trench w~,~ inches Distance between lines /~ Total effective absorptio~lCtPAL~ OF ANCHO~G~ DISTANCE TO: ENViRONI,~ENTAL pgOTECTIO~ 1~,'~, ~. ~.~ .. ~ / / / ,~ // MU~IICIPALITY OF ANUHu.,AuE DEPARTMENT OP HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, 8K '~95el u"-u~,~--~ ! TE SEI-.-IER ,~;J: I..-IISLL PERI"I I T PERMIT N0: DATE ISSUED: APPL I CANT: ADDRESS: CONTACT PHONE 8404=~ 06,~06,.'"~4 . C?O S & S ENG"G SOUTH FORK CONSTR. EAGLE RIVER, AK 995?? 694-29?9 LEGAL DE_,uRIF. LOT SIZE: MAX BEDROOMS: SUBDIVISION: VALLEY VIEW TERRACE SECTION: ±5 TOWNSHIP: 14N I. 02A (SQ. FT. OR ACRES) LOT: 5 BLuCK. 3: RANGE: LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOLI IN DESIGNING YOUR SEPTIC SYSTEM. uHOO_.E THE OPTION THAT BEST FITS YOUR SITE. BE[) I-..I. DRF-~ I N DEPTH T0 PIPE BOTTOM (FT.) 4. 0 4. 9 4. ~ T~E~-ICH GRAVEL DEPTH (FT.) 5.8 8.5 ~.5 TOTAL DEPTH (~T.) 9.9 4.5 7.5 GRAVEL WIDTH (FT.) 2,5 22.0 5.9 GRAVEL LENGTH (FT.) 68.0 44.0 73.0 GRAVEL VOLUME (CU~YDS.)' ~4.6 ~5.8 54.0 TANK SIZE (GRL~) 1,000.0 mm 1,000.0 ~m ±,000. 0 SOIL RATING (SQ. FT./BR) 225 ~i~ 2~5 · '~. TANK MUST HAVE AT LEAST TWO COMPARTMENTS I CERTIFY THAT: ±. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. I WILL ADHERE TO ALL MOR AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES PROM ANY EXISTING WELL¢ NASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR RN~ ADJACENT OR NEARBY LOT. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF ~ BEDROOMS AND 8NY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF A THEN WILL ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN, APPLICANT: C/O S & ~ ENG"~ SOUTH FORK CO~TR. /v I~_LIED Be DATE: LIFT STATION IS INSTALLED IN RM AREA COVERED BY MOA BUILDING CODES., (i) AN ELE_.TRICML PERMIT AND INSPECTION HU~T BE OBTAINED.~ (2) A=,-BUILT~ NOT BE APPROVED WITHOLIT AN ELECTRICAL INSPECTION REPORT; AND ¢~) THE 'L , MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] SOILS LOG PERCOLATION TEST PERFORMED FOR: ,5L~£}~'1~;4 ~2:> ~-~/J,-- t'/~ t~J .~.'~ SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18- 19- 20- COMMENTS PERFORMED BY: 72-008 (6/79) ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN ,~' FT AND (minutes/inch) FT DOC Co. dba p. o. BoX 272, CHUGIAK, ALASKA 9956-/ ~ TELEPHONE 688-2759 KIND OF CASING IND OF FORMATION: rom ~r~ Ft. t~ rom ~3. Ft. to '~ q ,, Ft. tom rom ~ ~m ,/~ ~" Ft. to . ,- rom_ Ft. to . rom Ft. to rom/ 3 Ft. to rom Ft. to Ft, rom Ft. to Ft. tom Ft. to Ft. rom__.Ft, to Ft. :om Ft. to Ft Ft. Ft. Ft. Ft, - Ft From · Ft. to Ft. _ ~"~ DS?~- ~',,~,~O~' From From Ft. From__Ft. to F~, ~ ~ ~ ~ ' . From Ft.'to h~ ~t'. F~om Ft. to Ft, From Ft. to~Ft, ~'om Ft. t6.__.Ft From FL to Ft, tom Ft. to ., Ft._ From ' ' Ft. to_ Ft. corn Ft. to Ft. From __ Ft. to Ft. rom Ft. to Ft. From _Ft. to Ft. ISCL. INFORMATION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# {r"~,~_~.q.q~.~._ 1. GENERAL INFORMATION Corn piete'legal description Location (site address or directions) ,~io'pbdy:owner" ~Madlngaddres.s:. : :, Day phone ~. Lend ng agency .......... ;'Mailing,addres~ ." '- ? Day ~hone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: . Individual well Community well Public water NOTE: Day phone ~- ~ t- ~-~/~ -- c;~ ,~ If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA~21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by myseal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application 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-~:~V~c~ Address'~. Engineer's bedrooms. DHHS SIGNATURE 'l/" A.p. proved for 'T/~/~'~' Disapproved. Conditional approval for Phone Date bedrooms, with the following stipulations: Additiona~ Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates 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 pu rchasars of homes and their lending institutions in order to satisfy eertain federal and state req uirements. 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. Municipality of Anchorage n r ~" r DEPARTMENT OF HEALTH & HUMAN SER~I~(]~ £ ! V E D Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 ° (~)~.~)3~-z~ Municipality of Anchorage Health Authority Approval Check, at Health & Human Services Legal Description: ~::,"~'~ WA ~ V/c~.,~J -.~X'~, Parcel I.D.: A. WELL DATA Well type ~::~C2tO~-z~..~ Log present (Y/N) I t Total depth '~ ~ Sanitary seal (Y/N) IfA, B, Or C, attach ADEC letter. ADEC water system number Date completed ~//~ ~ Cased to ~'C~'r- Casing height (above ground) ! Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG AT INSPECTION S g.p.m. 3~ ~ g.p.m. WATER SAMPLE RESULTS: Coliform '-- O~ Date of sample: cC/IbiS' Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed ~//~'~/(~ cc Foundation cleanout (Y/N) Date of Pumping ~'/~'?' C. ABSORPTION FIELD DATA Length "~"~ ' Width Effective absorption area /~ ~ Date of adequacy test ~/Ig/~ Tank size /c:,c~p Number of Compartments Z CIeanouts (Y/N) ( ~ ~ '~ Depression (Y/N) ~ High water alarm (Y/N) ~ - ¢ ~ Pumper :~'~-[ ~ ~ Fluid depth in absorption field before test (in.); Fluid depth ~-/~ (ins) Minutes later: N Soilrating (g.p.d./ff~ ~'~5'- Systemtype '"'D-C- Grave th ckness below pipe . g, ~ Totaldepth ~-'~' / Monitoring Tube present (Y/N) 'T~ Depression over field (Y/N) Results (Pass/Fail)'~'¢,,.S % For ~ bedrooms Immediately after.5-c~ gal. water added (in.): Absorption rate = ~--~:~(:~ g.p.d. Peroxide treatment (past 12 months) (Y/N) ~¢¢~',,Jc~,-~,,-,.,- If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION [)ate installed ~~g~lo n s Manhole/Access (Y/N) ~ ..2~r~on" level at* .~(High w~ /~ tested ,/~ *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on 1ct Absorption field on lot Public sewer main Sewer/septic service line "Pump off" level at* On adjacent lots /' On adjacent lots / Public sewer manhole/cleanout "~/ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~'5-~ Property line /~::) -~' Water main/service line -~c~ Surface wateddrainage /¢o'¢' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / ~:~ '-~ Building foundation ~ ~ t Absorption field Wells on adjacent lots Water main/service line Surface water Curtain drain ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots ./~ o I certify that I have determined thru field inspections anc in conformance with MOA HAA guidelines in effect on this date. Signatur6..__~~ ---_. ~ Engineer's Name ,~.~-C--LC~C__.vt2%:~.~/¢¢,¢~.~ ~ ~-. Date <:~//~/~ ' HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Steven R. Pannone, P.E. Consulting Engineer P.O. Box 102954 Anchorage, Alaska 99510 (907) 272-8218 SEPTIC SYSTEM AND WELL ADEQUACY TEST Legal: Owner: Residence: Lot 5, Block 3 Valley View Terrace S/D Mr. Upper Terrace Drive, Eagle River, AK 99577 Septic System: Tank Size: 1000 gallons. Absorption System Type: Deep Trench (from Municipal records) Absorption System Size: 57x6x2.5 Absorption Area: 684 s.f. Installation Date: 6/16/84 Soil Rating: 225 sf/br Date of Pu.mping: 4-15-99 By: JR's Pumping Date of Test: 9-16-99 Test Procedure: System was inspected visually and measured. The tank was found to have 3 feet of cover. Liquid depth was measured to be 50 Inches. The drain field was found to have 12" to 36" of cover and a total depth of 7-9'. There was 46 inches of liquid measured in the field's monitor tube. Water was added from a JR's Pump truck over ten minutes. The water levels in the tank and drain-field monitor tubes were monitored. A total of 500 gallons of water was added. During the test, the liquid levels did not rise in the tank. The liquid level rose 26 inches in the drain field. The infiltration rate was monitored for 1440 hours. During this period, a total of 500 gallons were absorbed. By the observations made, this system has an absorption rate 500 gallons per day at the time of the test. A welt flow test was conducted prior to testing the septic system. The static water level was found to be 102 feet below the top of the casing. Water was pumped from the well at a rate of 3.6 gallons per minute (GPM). The static water level dropped to a depth of 137 feet from the top of the casing. We attempted to increase the output of the well. This lowered the static water level below the pump intake level. The well will produce a flow of 3.6 GPM. Water samples were taken to test the water for Bacteria and nitrates. These samples were turned into CTE Environmental Testing on 9/16/99. Results are not available at the time of this writing. TEST RESULTS: This system meets the code and operational requirements of the Municipality of Anchorage. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with the MOA Health Authority Approval Guidelines. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and' the water usage of the family being served by the system. These conditions are outside the control of the evahiator of this system. All s~,stems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidd~C!achments. We can therefore not give any estimate of how long the system will contin~,,,~q~t;g'~.~al requirements of the Municipality and State. T-OOE P.O,/OS F-EO0 ~mpl~ P, emarla: 1. General Information e 1,UDNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HF~kLTH AND ENVIRONMENTAL PROTECTION A PLICA ZON A=NOHITY PROW Application Date /~C~-' ~(include ~o~bloc~,,subdivis~gn, sectio~o~ship, range) hocation (address or directions) ~ ~'~ 7/ ~/ (b) Applicants Name ~~ ~ Telephone - Home Business (c) (d) Applicants Applicant is (check one) Lending Institution ~-~ ; Owner/build~r~ Buyer ~-~; Other ~ (explain); Lending Institution (e) Real Estate Coo & Agent Address (f) Telephone the HAA to the following address: T_~_pe of Residence Single-Family~ Number of Bedrooms Multi-Family~ Other (describe) Water Suppl_J~' Individual Well ~ Community ~ Public ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting ~o the legality and status. Sewage Disposal Onsite~ Public ~--~ Community ~ Holding Tank ~__~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation~attesttng to the legality and status. [Page 1 of 2] 5. Ensineering Firm Providin~ Inspectio_ns~ Tests~ File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I ~ 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 M~nicipality 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 regula- tions in effect on the date of this inspection. Name of Ficm ,, ~. 8RB tS~X . Address I~L~ ~IV~R, ALmoSt{%. '~SS77 Telephon~ 6. DHEP Approval Approved fo edrooms Approved ~ Disapproved Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY A~ INDEPENDE~ PROFESSIONAL ENGINEER REGISTERED IN Tile STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL ~ND - STATE REQUIRE- MENTS. 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. , (DHEP SF L) RR4/e~/D18 [Page 2 of 2] 7-19-84 A® MUNICIPALITY OF ANCHORAGE (MQ~gNICIPALITY OF ANCHO~AOE DEPT. OF HEALTH & H.~'~ J~JrJL'~Ol~ APPROUAL (,.g,k~)qVIRONMENTAL PROTECTION CHECKLIST - FEBRUARY 1984 ,OCT 4 1984 Well Classif icati~p~l ~)~ ~ Well Log P~esent (~//~) Total Depth ~ OO Cased to Static Water Level /~' ' Casing Height Above Ground Electrical Wiring in Conduit (~Y~N~ Separation Distances from Well: To Septic/~Icl~in~ Tank on Lot To Nearest Edge of Absorption Field on Lot RECEIVED If A, B, C~ C, DoEoC. Approved(Y/N) Yield F~fC~_~_~ Date Corr~leted A ~/ ~ O~ ~p~ of ~outing. ~ ~t At ~ ~ Sanit~ ~al on ~sing~(~ ~ession ~ound ~l~ead ; On Adjoining LO~s //3 ~ On Adjoining Lots To Nearest Public Sewer Line /~J//';) To Nearest Public Sewer Clea~out/MaD_hole /J ) ~ To Nearest Sewer Service Line on LOt Wate~ Sample Collected By ~ .-' S ~m~ ,'~F~-~'~ 7 ; Date Water Sample Test l~sults ~_%/~ ~"~ .5 Cc~ments B. SEPTIC~ T.~NK DATA Date Installed ~/~ Size /~DO No. of Cc~pa~tments Standpipes ~) Air-tight ~aps ~/~) Foundation Cleanout Depression over Tank (;f~ Date Last Pumped Pumping/Maintenance Cont~ac+~ on File (Y/N Pr ; for Holding Tank High-Water AlaEm (Y/N~I ~ Temporary Holding Tank Permit (Y~/N) Separation Distances f~om Septic/~l~i~a~ Tank: To Water-Supply Well /~ To P~ope~ty Line /d~ TO Wate~ M~Service Line Course ~J Co, manta To BuildiDg Foundation ~ ' To Disposal Field w~ / To Stream, Pond' Lake, c~ Ma3o~ DEainage [Page 1 of 2] ABSORPTION FIELD DATA Soils Rating in Absorption St~ata Z ~ ~ ~/~t'W Type of System Design ~.~ ~.__ Date Installed Width of Field Square Feet of Absorption A~ea Depression over Field (¥~) Results of Last Adequacy Test Length of Field ~-/~ ! Depth of Field ~/ravel Bed Thickness /- Standpipes P~esent Date of Last Adequacy Test SeDaration Distance f~om Absorption Field: To ~ter-Supply W~ll //~ ! To P~operty Line To Building Foundation ~'3 ' To Existing Lot /~3 /;/4 ; On Adjoining Lots {.~ /-~ ~ ~.~..) TO Water Me~i~/Service Line ~--0 ~ To Cutbank(if p~esent) To Stream/Pond/Lake/cc Major D~ainage Course /o /~t To D~iveway, Parking Area, o~ Vehicle Stccage Area Cerements /~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water AlarmLevel at Tested fo~ Electrical Codes(Y/N) Di~nsions Manhole/Access (Y/N) 6/ /"Pump Off" Level at ///+ Vent (Y/N) Pumping Cycles du~lng Adequacy Test. Meets MOA Cor~r~nts ** Check Permitted Bedroom Rating Against HAA Pequest I certify that I have checked, verified, or confo=r~d to all MOA HAA Guidelines in effect on the date of this inspection. Signed C~.~an,, KB1/d5/s Date MOA No. [Pa~e 2 of 2] . 2-15-84