HomeMy WebLinkAboutGRANITE VIEW BLK 7 LT 12
GREK(ER ANCHORAGE AREA BORUdGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL MANUFACTURER MATERIAL
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH '
NUMBER OF
COMPARTMENTS
CAPACITY/ '%LLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTIO' R~E~EA
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATION _ NEAREST LOT LINE ~' OF LINES
SQ. FT. LENGTH OF EACH LINE 2 (--¢ f / 4;~ ¢ ~''
DEPTHOF F,LTER 3¢ 72
MATERIAL BENEATH TILE IN. ABOVE TILE IN.
WELL:..--,
-- -~
BUILDING /~"' [ NEAREST ,,,,-~ /
FOUNDATION
CESSPOOL - OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH ¢/~DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY':
SEWER LINE DEPTH:.
PIPE MATERIAL:
DIAGRAM OF SYSTEM
· " 2. 7 9 ,"" 2: ~ :L
f::l I:::' F' L. ): C f:l t",1T
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LiiEJ ,-:il:Il
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-660, Anchorage, Alaska 99602 276-2221
SOILS LOG- PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
Lodr
5L~ 7
6-
7
8
9-
10-
12
13-
15-
16-
19-
SLOPE
DATE ~E.EOR~ED: 5'--'l S- 7 7
SITE PLAN
WAS GROUND WATER
ENCOUNTERED;) / ~' ¢.,, L~i
IF YES, AT WHAT E
DEPTH?
Reading Date
Gross
Time
Net
Time
Net
Drop
Depth to
Water
20-
PERCOLATION RATE (minutes/inch)
.... ' ,'~' s,,~ x~ /l ¥ a, , f l ~. ~..~ 'f- z,14~.~
72-008 (7/76)
Certified Well
For.._ 1~1, il.l'l ~,r~l.. IB_I ue ....................................................................... .
Loca do~---.-Ia~' ~2....G~.~nl.~.e-...V.l.~-w-_ .~.ubd l ~.£8;kon ..............
.:S~e of ~g._6..~h._ " -": : ': ' -
' '.~e to ~:7: ~o~-~~e~. --,-; '..,L:.~,_:..~ '- '., :
::' :' ~'D~ tO ~ ~hile pum~ng..~T~-~.~._ : .~t ~: '?:
' ' :" ":' ::' ' ..... ';' ~k" "' - - ' ' " ";:"-;~
· 'Description of Fore.tion, E-F [.. ' .; '~ ' imm 'w
~lav & ~.ravel -'.-"Brni~'--- 0 '12
Olay & Oravel ..... '~"'"'~ "' '
. . . ~ ' ..~ ~.~:~-~- ~ · ,
, . : .,~.,.~ .: '..-'~¢:,.;~':~:::-_: ,-- . ....
' ' '' ' ' ':'"'"' ' '~'~Yi'" "'- ~ '
. :: _ -.I certify the a ~l:~f_e true and correct. ·
' . - :.. . - Driller- '~='
C- Y.-Foss DBA ' ..!:~
. We advise you to attach thi~ certificate to your deed.
BF~SSE, EPPS & POTTS
2220 EAST 88 AVENUE
ANCHORAGE, AK 99507
(9O7) 349-645~
Lot: /~
Tester:
Initial Reading om Meter: ,.>_'~/,
iD
~/~
Production Rate.: ~,// GPM 24-Hour Capacity
L~,,, MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTII~ICATE.OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
/ /
Location (address or directions)
,Applicant Name .Z~i~~.~- Telephone: Home
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
L./2_, P~7 , G'4,4,V/TE. ~-:W' ~'u~/¢~/b,v , gEC. 9, T~2~ ~ ~ ~, ~,~-,~
Business ~ ~-(~--t
Applicant Address
(c) Applicant is (check one): Lending Institution I~Owner/builder I~; 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 J~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite [] Public J~ 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 (11/84)
Page 1 of 2
Date
EN'GINEERING FIRM PROVIE~%~ INSPECTIONS, TESTS, FILE SEARCH, [,~y'A 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 nd cared 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. I ~
Name of Firm ,,z~r-~_~..~-- i ~.( "/~ Telephone
Address ~-~' ~ ~/ ~ ~ ~ ~'~ ~.
Approved for ~'f~ beOroomsby te ~:~
Approved Disapproved Conditional ~
~ ~. Terms of Conditional Approval , ~~ ~ ~~ ~ ~~- /~ ~~~
- _ /-- . / /..
%~:;::; The Muncipality of Anchorage Depa~ment of Health and Environmental Protection (DHEP) issues Health Authority
_,.~ ,;~ ,; Approval cedificates 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 asa coudesy to purchasers of homes and their lending
~¢¢~,?: institutions in order to satisfy cedain federal and state requirements. Employees of DHEP do not conduct inspections or
[~'¢' ;;~ ~::~ analyze data before a cedificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
~, ~,. :. professional engineer's work.
WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
L~/C~al Description: ~'~:
· ; ¢//¢¢~Z_-¢' ~'¢'~'-If A, B, C, D.E.C. Approved (Y/N) ~
Wel; Classification "~/~'~ '~"
Well Log Presen~N) Date Completed .~,¢ ~ /-~¢~J Yield ~¢-¢ .~¢~4/ /~¢/~.,,~
Total Depth 0-'¢72~'''? Cased to_ E~'~' /
Static Water Level
Casing Height Above Ground
Electrical Wiring in Condu~)
Separation Distances from Well:
/
To Septic/Holding Tank on Lot ~¢'~' ~
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line ,,'~'~ /' -'~ ~'
Depth of Grouting
Pump Set At ~
Sanitary Seal on Casin~_.N)
Depression Around Wellhead (Y~;
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
/¢¢4) "¢~ To Nearest Sewer Service Line on L~ot- ' ~ '¢~ ': -' - - -,
; Date ~'¢¢~ ~-¢ ~'~
Comments
Date Installed
Standpipes (Y/N) Air-tight Caps (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Se 3tic/Holding Tank:
To Water-Supply Well
To Property Line
To Water Main/Servide Line
Course
Size No. of Compartments
Foundation Cleanout (Y/N)
Date Last Pumped
· for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
BESSE, . PPS & POTTS
September 19, 1985
Municipality of Anchorage
Department of Health and
Environmental Protection
825 "L" Street
Anchorage, AK 99501
/MUNICIPALITY OF ANcH
,.,... DEPT. OF HEA,~. ORAQE
=~tVIRONMEN~,. '~utPI &
~L PROTE~io~
SEP 2 ~ 1985
RECEIYED
Attn: Mr. John Kennedy
.
Re: Lot 12,~G~a~ite View Subdivision
DHEP Approval" Application
Dear John,
The above referenced Lot 12 on-site leach system failed the
adequacy test. However, based on our investigation, there
does not exist any health problem and a City sewer service
connection is planned to be completed by October 1, 1985.
Please issue conditional approval contingent upon the
completion of the City sewer connection.
Please call if you have any questions.
Robert P. Wessels
Engineer
RPW/lbs
ENGINEERING, PLANNING, SURVEYING
2220 E. 88th Ave./Anchorage, Alaska 99507/Telephone 907-349-6451/344-1352
"Providin.q a quality personalized service to those buildin.q Alaska's future"
September 17, 1985
Schmidt Construction, Inc.
6251 Downey Finch Drive
Anchorage, Alaska 99516
Re: Notice to Proceed, 1985 Sewer Improvements
Granite View Subdivision Block 7, Lot 12
Anchorage Water and Wastewater Utility No. S 85-105
Dear Bill,
You are hereby given Notice to Proceed in regard to the sewer
constructio~ of the above referenced project.
Please secure all the necessary right-of-way permits before
initiating construction.
sincerely,
/ Dale R. M~rrel~,
Partner '
MGK/lbs
Approved:
John Klinger
Anchorage Water & Wastewater Utility
Developer
ENGINEERING, PLANNING, SURVEYING
2220 E. 88th Ave. / Anchorage. Alaska 99507 / Telephone 907-349-6451 / 344-1352
"Prov/d/ncl a qua#tv personal/zed se, vice to those buildinq Alaska's future"
September 17, 1985
Schmidt Construction, Inc.
6251 Downey Finch Drive
Anchorage, ~l~ska 99516
Re: Notice to Proceed, 1985 Sewer Improvements
Granite View Subdivision Block 7, Lot 12
Anchorage Water and Wastewater Utility No. S 85-105
Dear Bill,
You are hereby given Notice to Proceed in regard to the sewer
construction of the above referenced project.
Please secure all the necessary right-of-way' permits before
initiating construction.
Si_~.~ely,
/Dale R, Partne~ Merrell, ~.E.
MGK/lbs
Approve d:
Jotun K_linger
Anchorage Water & Wastewater Utility
ENGINEERING, PLANNING, SURVEYING
2220 f. 88th Ave./Anchorage, Alaska 99507/Telephone 907-349-6451 1344-1352
"Providin~l a clualitv 13ereonalized service to those buildincl Alaska's future"
B I;, PP$ & POTT$
September 17, 1985
Mr. John Klinger
Anchorage Water & Wastewater Utility
3000 Arctic Boulevard
Anchorage, AK 99503
Re:
Granite View Subdivision Block 7, Lot 12
1985 Sewer Improvements
Notice to Proceed Documentation
Dear Mr. Klinger,
This letter is to inform you that Besse, Epps & Potts will be
the Engineer for the above referenced improvements.
The construction schedule and quality control requirements are
detailed below:
Construction Schedule
Item of Work Time
Sewer Main Installation
Sewer Main Testing
Sewer Service Installation
September 19 - 24
September 20 - 26
September 20 - 26
The Contractor shall resubmit the schedule should work not
proceed as shown. Construction is anticipated to begin
September 19, 1985 with a completion date no later than
September 27, 1985.
~onu~o~ Requirements
Quality ....
Ail testiag shall be in accordance with the Procedules ~nual,
ConstrQction Administration and Inspection, and the Standard
Specifications.
Required Testing
Frequenc~
Density, Trench Backfill
Pressure & Chlorination Test
Three per 300 LF
Per MOA Standard
Specifications,
1984
ENGINEERING, PLANNING, SURVEYING
2220 E. 88th Ave./Anchorage, Alaska 99507/Telephone 907.349-6451/344-1352
"Providin~l a quality personalized service to those buildin.cl Alaska's future"
Mr. John Klinger
September 17, 1985
Page Two
As Engineer, we will maintain a testing file containing
results of all tests and ensure that all testing is done
· expeditiously and according to the tests and procedures
referenced in the Standard Specifications. Copies of the
inspection reports and test results will be transmitted to
the Municipality. As-builts will be submitted upon completion
of construction.
Alaska Test Lab will be retained to complete quality control
testing.
Sincerely,
MGK/lbs