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Home My WebLink AboutGREAT LAND ESTATES #3 BLK 5 LT 8Onsite File #051-133-03 MUNICIPALITY OF ANCHORAGE He~l and Environmental Protection Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ONLSITE SEWAGE DISPOSAL SYSTEM NA.',,'vIE ~.~[~_ ~<:[~'~ MAILING ADDRESS "~,X:),~O~' ~:~'( NE LOCATION LEGAL DESCRIPTION L.. ~'~ J~ ~:~- /~1~.t~.~ .,.,/~ ~ SEPTIC TANK: DISTANCE FROM WELL_~ lO INSIDE LENGTH MANUFACTURER _ ,~-'~b~ INSIDE WIDTH MATE RIAL LIQUID DEPTH NUMBER OF ____COMPARTMENTS LIQUID CAPACITY ?.,Z~"D GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL 1~:':'~1 FOUNDATION ~ of Lines __ DISTANCE BETWEEN LINES ABSORPTION AREA '.~(~Ot SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEpTII: TOP OF TILE TO FINISH GRADE TOTAL LENGTH,~(~ t NEAREST LOT LINE OF LINE I TRENCH WIDTH~"~- IN. TOTAL EFFECTIVE MATERIAL BENEATH TILE 6/ IN. ABOVE TILE IN. SEEPAGE PIT: Log Crib Rings BUILDING FOUNDATION. DIAMETER -- OR WIDTH EENGTH , DEPTH Crib Size:i DIAMETER___DEPTH. DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE____ ABSORPTION AREA (WALL AREA) .SQ. FT. Well Class: Depth: Well Distance To: Lot Line Bldg: Sewer:Line: Pipe Materials: ~ ~ of Bedrooms~ ~ Installer: ~ Remarks: p]!NI['Iurq [.:,I:.-.;tHNtJP: I::I:~iP-IEb. N R Wi:ELL HNL:, F]N"r' UJ"4-~;J.!E..":;b. HHL:iE L:,iSHO'::',F'IL..L-.,¥SiE1."i 1:::, 2. t:dl::.l PI::.Et t:Uj.,:l H PF.:l',,,'141'i::: J.qh]..L. UN'. ZE.'i~:..'t j.:j.r, bl FOF:: H PLtDLJ. L: P.IEL. L. Wb. LL. LUUL-., Hkb. I.,::l::[:.IiJ.l. f4t::[) HId,IL:, i"IU::;I' BLS t4.'EIIJR1..4EL:, Ut-- iHb. b4biL..L [.::CIMI--'LEI u iHEh:: I.-.:Et:.!U.LP.:P. Pl~:N ] ::, P'lj.4'~¢ HPPL.'r'. %PL:C:.LJ:: iU14':t'II.:)NS FIND CUN%i I-4:L.iL; i'.iLOi'.4 [.:,J. PIE. iRFti"]S 14RE H'VH i LHbJLi:. i U 11.4L-.,Ut.;?.E: I-~'J4:[.)F'E]f-.: l N~; i I:tLL14 t .L L.:[:.N~ l .[ H".i.' t HH ::L: I Hf'l I'- MPl i L...L I-.tR !.,.I l 'IH 'J J-'lb. I--?.i~):~U :[ REFtt2Ni '.:; F DJ',.'. ON'.-"-":; i/'El :bbJ,.iL~:N':-'; 14!'.40 i4ELL.'--', Hb h I...11~:'. i H b"¥' I i-'lb I"'IUN :[ L: ]. PJ.':IL ]: i "r' UJ.- 14NC14UI-:.t14(]E. Z: .L idj. t._.i~ Ii"4'=,iHL..L 'iHE 5'¢S'il::f"J ].1.4 HLL:L%)RL)IqNLT.P.. WLiH tI-i[:L L:ILJ[:,L-_~:,. L:!:: I Li1.'4L;,~:NI:::;tHNL:' IHI':Ii' 'J14J::; ON-t~:;Ji t'b: '_-.;bJ4JEj.4 '::,'T'~.;-IELFi P'iH'¢ l'4bJ.:.!Ui~:l~£ I:i:t"4L..H~4L'~EME]",Ji .LI':' i14[~ I,::I:.:.b ~L L:,E. NL;b J. '::; f-~.:blPtUL)E;t..E;[:' fU ~ t",tC:L.L.it:)P., f'IURt:; i 14!-'IN 4 CONSUL¥1NG GEOLOGIST bOX 476-M, STAR ROUTE A * ANCHORAGE, ALASKA 99507 · PHONE 344-7071 SOILS LOG Performed for ~-~[~ O'~"~e'(~dNO~'k"~' Date ~oca~o~ 5-~'~1'- ~ ~-~-~t~_~. ~= 5__~ %1 k Soil Type Water Level Remarks ~ 12 16 18 20 Total Depth of Excavation Material at Total Depth Groundwat er Bedrock ~<~ Not .Reached Depth, if Reached__ (). Not Reached Depth, if Reached / ~ Classification Method ~ Visual ( )' Sieve Analysis () Gary F. Player., Consulting Geologist MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SiTE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) G A-TL O LOT (b) Location (address or directions) Property Owner Mailing Address Telephone: Home Business '~ / --1['¢'7 (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the followina address: or: Check here,~, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family'~ Number of Bedrooms WATER SUPPLY Individual Well'~ Community [] Public [] Note: If com munity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite/~ Public [] Community [] HoldLng Tank Note; If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 IRev 8/86~ Front ENGINEERING FIRM PROVIDING INSPECTIONS, 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 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. Address 911 W CT~ A'~' °ate DHHS APPROVAL Approved for zed bedrooms by Approved .~. Disapproved Terms of Conditional Approval Conditional CAUTION The Municipality of Anchorage Department of. Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon lhe 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 purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. 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. Page 2 of 2 72-025 tRPv 8/861 Back WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: ~'~T L.~N~ E~-~T ;~'.-~ Well Classification '~[~[~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) ~[~ Date Completed J'~'"~"7 Yield Total Depth ~0 J t Cased to ,~ ~) I ,~ Depth of Grouting Static Water Level '7~ ! Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot · + I O01 ! To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line 4- 100~ Cleanout/Manhole Water Sample Collected by '~. ~'~011~ : Date Water Sample Test Results ~~[~ (~0~)~ ~ Comments ~ No ~E~ ~ A~IL~ (PI~LP B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) ~'-~ Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well I ~ To Property Line To Water Main/Service Line ~' tell , Course 'J¢ [001 Size i'Z'~'O.~¢'0'' No. of Compartments Air-tight Caps (Y/N) y Foundation Cleanout (Y/N) Y ¢ Date Last Pumped ~J/~ ;for ¢/~ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments "~'~NK A~'~R?..5 TO 5[~ I¢ 6y.¢eI.LE~1- Co~JO~T[O~. Page 1 of 2 72-026 (Rev 8/86~ Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed (fl / Width of Field Square Feet of Absorption Area Depression over Field (Y/N) ~ Results of Last Adequacy Test Separation Distance from Absorption Field: DDP..Fr"'~ Type of System Design Length of Field ~OI Depth of Field Gravel Bed Thickness ~ I Standpipes Present (Y/N) Date of Last Adequacy Test Ill&'/~jO To Water-Supply Well To Building Foundation -- Lot ~¢ IO r i 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 4- ~Ot To Existing or Abandoned System on ; On Adjoining Lots '~r ~0I To Cutbank (if present) 4- -7~ ~ + tOI 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) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I i~e chec~,~/.c[j verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed (,.,~/4' ~ Date ~J/(~/~/~ Company "~'f~x/C~i J~ill&lg ~JN~¢~ MOA No. Receipt No. ~ ~,~ ~ ~ OV ~ Date of Payment Amount: $ Page 2 of 2 72-026 fRev 8/861 Back NORTHERN TESTING LABORATORIES, INC. 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 907-277-8378 ~ FAX 274-9645 3330 INDUSTRIAL WAY FAIRBANKS, ALASKA 99701 907-456-3116 ~ FAX 456-3125 Tryck, Nyman & Hayes 911 West 8th Avenue Anchorage AK 99501 Attn: - Our Lab #: Location/Project: Your Sample ID: Sample Matrix: comments: A106905 Greatland Est. Peters Crk Lot 8, Block 5 Water Report Date: 11/09/90 Date Arrived: 11/07/90 Date Sampled: 11/07/90 Time Sampled: - Collected By: - Flag Definitions U = Below Detection Limit DL Stated in Result B = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Date Method Parameter Units Result Flag Analyzed EPA 300.0 Nitrate-N mg/1 2.0 11/08/90 ¢ Reported By: Francois Rodigari Anchorage Operations Manager U am A4 I 5