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Home My WebLink AboutGRECIAN HILLS BLK 1 LT 9 ......... ~/~LTH DEPARTMENT · . 327 E:\f..f[~: ST. ANCHORAGE, ALASKA 99501 2~-2511 iNSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY ¢--~J~ GALLONS. MAILING . ADDRESS c:~'Z~'~'~-'~-/x~"~ ~%'Z~ -"¢~ PHONE.,.~.~/.'~ LEGAL DESCRIPTION '~ ~'7'" ~' ~6 ~d~'~-~'/'J~2~'~'~ NUMBER OF MATERIAL- ~ ~/~C-~'7--'~'-':~-~ COMPARTMENTS INSIDE LENGTH. .INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS_ // OUTSIDE DIAMETER LINING MATERIAl ~ ~* ~'('~ ~-' NEAREST LOT LINE ,~ ~T, z' ~ '"--'--" OR WIDTH '/'~ ~'~ /' DISTANCE FROM WELL ,./ ~ c~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , DEPTH TILE DRAIN FIELD: DISTANCE FROM WELL ~ .F~)UNDATION , NEAREST LOT LINE PT~I(~'AREA~ SQ. FT. LEN TH OF EACH LINF ABS~ LEN~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH , OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE-- WELL: LOT LINE DISTANCE FROM ~.~/.'~-?..-~z~-~ WATER TYPE '~ ., . NEAREST SEPTIC ~-~ Ix' ~ SEEPAGE ~ J , NEAREST OTHER , SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE Ap p RO VED...,,.4~ L.4 HEALTH AUTHORITY Location: Legal Description: Type of Soil Absorption System Is: Trench: Drainfield: ~IUNICIHALI I Y UP AINit, MUKAbr- Departme. nt'~£ Health and Environmenta~...~_?rotection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * * * ~D/OR ON-SITE SEWER PERMIT Phone Number: Lot Size: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: ~._ Soil Rating (sq. ft/br) The Required Size of the Soil Absorption System Is: DEPTH LENGTH GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * *-R~(HOLDING) TANK SIZE = ~7~0o GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWo(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection.and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 $ 1 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if thezfre~si~e~ce is U¢~nodeled to include more that ~_bedr~ms. , Signe~: Issued by: ~pplicant ~ Date: ~/'~/~ / GAAB-HD-2 191~l~A'l'lSt "Mnl~glUl~.,'~ _ft~_l~.l~_~ .?Ut~Yl.~~, ~;ase r~o. "~-:? HEALTH DEPARTMENT "' ¢/ 279-2511t// 327 Eagle St. Anchorage, Alaska 99501 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT~2'~/~/~/~ ~J~-~ RESIDENCE ADDRESS ~-/0 /~/,¢~t//~' LEGAL DESCRIPTION MAILING ADDRESS?~/TN/~,,~,,~z/ ~T'" PHONE NO~72 ~27~ LOCATION OF INSTALLATION ~/'~-~r~ ~.~-~-~,~? ,~-1~,~? APPLICATION TO INSTALL: SEPTIC TANK .? , SEEPAGE PIT /~' ,DRAIN FIELD ,OTHER TO SERVE THE FOLLOWING FACILITY TO BE INSTALLED BY. FINANCED THROUGH,. ~ ' ~ ~ -J':-~ ANTICIPATED DATE OF COMPLETION pERCOLATION TEsT RESULTS. "BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SEI~VE AS /~ ~//~¢~ , PE"MIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~- SEPTIC TANK SIZE '-~'~-~) TYPE ~ SEEPAGE AREA DISTANCES: ,%, k .- ,, ,, HEALTH AUTHORITY LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordancewith said code. ~/~ .~" 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 9; Block I; Grecian Hi~Is Subdivision Location (site address or directions) 8101 Cox Drive Property owner Mailing address Lending agency Mailing address Agent Charles Address 4241 Dana Pace C/0"Vista Real Estate 4241 Day phone "B" Street Anchorage, AK 99503 Day phone Blalock/ Vista Real Estate Day phone "B" Street Anchorage, AK 99503 562-6464 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~-- TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: 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: XXX 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 my seal 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. $ & $ ENGINEERING Name of Firm ................................ Phone. (~' Address Eagle River, Alaska 99577 Engineer's signature ?~/~/'~v/4 - ./~, .~-~-..-.---~ Date DHHS SIGNATURE Approved for ~- Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date ¢ - ~' - ¢~' 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 professionaJ engineer registered in the State of Alaska. The DH HS 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. 72-025 (Rev. 1/91) Back MOA #21 MUNICIPALITY OF ANCHoP-.AGE ENVI;RONMENT/~. ~'~'RVICE$~NI N Municipality of Anchorage I~ DEPARTMENT OF HEALTH & HUMAN SERVICES AUG ~. ~ J99 Environmental Services Division ~E'~4E J V: E"~'~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34 Health Authority Approval Checklist Legal Description:Z,OZ'9, ~ o~/ ~o~'T,~ ~/~/~5' Parcel I.D.: A. WELL DATA Well type ,, Log present (Y/~ Total depth ~. Sanitary seal CN) Date of test if A, B, or C, attach ADEC letter. ADEC water system number Date completed ,~,,~'.Z'~,~ fo O~/,/~ Cased to ~//~' ~ Casing height (above ground) / ¢,, Wires properly protected C/N) Static water level Well production WATER SAMPLE RESULTS: Coliform ~:~ Date of sample: FROM WELL LOG Nitrate AT INSPECTION g.p.m. C= SEPTIC~~ TANK DATA ~ . Date installed /c~ ~"~ ~ / Tank size Z~,-' ~"/,~ Number of Compartments / Cleanou~N) Y~-.~ Foundation cleanout (Y~. ~ d Depression (Y~ ~ ¢ High water alar~N) ~ DateofRum~ih~':'-~ ~/~ ~' Pumper / tZ~ (¢¢~ Z~X~ ~ So~I rabng (g.p.d./ff or ft/bdrm) System ~pe ~ ,~ Length, · ~_, Gravel thickness below pipe ~taP~_ E~ect,9~ absorpt,on aroa ~~pm~~ ~;n over field ~/~)_ ~ Fluid~l~ti; ;f°~tcJ iq~Ys t°~2~i°ndepth ~ Imm~~field ~eforo t '.); Imm~ ~ul~ (~~__,_;o21'rata =-~'--~~water add*d (in.):~~.:.d. ~Orooms ast12 months) (Y/~) If yes, Cvo dato ~ 72-026 (Rev. 3/96)* Date installed ~'"-~-~--~-. Size in gali Manhole/Access (Y/N) "Pump off" level at* High water alarm leve~ *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic~g;tank on lot ("~ 7 ? Absorption field on lot /4/. /Cf, On adjacent lots On adjacent lots Public sewer main Public sewer manhole/cleanout -/b/' ,,5/' Sewer/septicserviceline ./bi, lC. ~ 2..~ /-/-- Liftstation / SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: ('/;,4'oi~, Foundation ~'~ ~ Property line ~ /~ Absorption field Water main/service line /¢ ~ Sudace water/drainage/~ ~' Wells on adjacent lots ~N DISTANCE FROM ABSORPTION FIELD ON LOTTO: W* ,/~',. Property line ~'~'-"~.~.. Building foundation .~Wator- arr~T~/service line Surface water HAA Fee $ Date of Payment Receipt Number ~'~._~~ri~ehicle sto rage Wells on adjacent~-ot~'*'-~--~ area Curtain ENGINEER'S CERTIFICATION in conformance with MOA HAA guidelines ip effect on this date. : Signature Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* .~tK CT&E Environmental Services Inc. CT&Ig Ref.# Client Name Project Name/// Client Sample ID Matrix Ordered By PWSID 96365700] $ & $ l~gimcriag 0 Sample Remark,s: Client PO// Printed Date/Time Collected Date/Time Received Date/Time Techniral Director 08t15/96 12;43 08109196 09:40 08/09/96 10:10 N~trate-N Total Coliform Re6Utte Units Method 1 o 0.200 m~/L EPA 353.Z 0 coL/lOOm~ $M18 9222B Limits Date Date In~t 08/I4/96 E$C 08/09/96 TAV ',~.~ ~ g,.._ _: RECEIVED " INSPECTION APPOINTMENTS ~'~ TIME ' " TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTO~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT ON DEPT. OF H~LTH 825 L Street - Anchorage. Alaska 99501 ~NVIRONMENTAL i ROTECTION ENVIRONMENTAL SANITATION DIVISION /~{J{~ I 8 1981 Telephone 264-4720 .o. o. A.. DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. ~PERTYOWNER L ~ PHONE ~MAILINGADDRESS~ - - ~ ~ '' ' ~ ' PROPERTY RESIDENT(If different from above) ~ I PHONE 2, BUYER - PHONE ;MAILING ADDRESS 3, LENDING INSTITUTION . ~.; .~ / ] PHONE I MAI LING ADDRESS · 4. REALTOR/AGENT ~ PHONE I ; MAILING ADDRESS 5. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE [~""'~SI NG L E FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four E~'~'Two [] Five [] Three [] Six Other 7. WATER SUPP~LY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG, A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) c~ ~ 8. SEWAGE DISPOSAL SYSTEM [~.~'T'NDIVIDUAL/ON-SITE** iF-~(~. YEAR ON-SITE SYSTEM WAS INSTALLED. [~ PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAl. SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE .DATE INSTALLED E~PUBLIC UTILITY -'.]. Connection Verified . INSTALLER []Septic Tank or ~_l Itoiding Tank Size: -~/~'c5 If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Abso~tion Area Sewer Line I Nearest Lot Line WELL TO: I Absorption Area to nearest Lot Line 5, COMMENTS ~"/APPROV ED FOR ~2~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) ~ DISAPPROVED DATE PENINSULA ENGINEERINg 5eptember I, 1981 Roberl & Dorothy Wal.ling NIIN C{,x I)riw' Anchorage, Alaska Re: Sewage Disposal Sysl:em Lot 9, Block 1, (;recian liills Subdivision Dear Mr. & Mrs. Walling: An analv,;is ,~f Ihe absorption data tahulated during tim adequacy test ihat I p~.rformed on August 24~ 1981 indicates that the soil io your yard area has very poor absorption characteristicS. Since lhe system you have inst:alled presently contains 2 seepage pits uttlizi,lg most of the front yard area, it will not likely improve your system significantly to i'nstall furLher absorption trenches or pits. I would suggest, that a holding tank would be [h~..only feasi,ble solution. The holding tank would most logically he instal [ed down line from your septic tank and connected .Lo the two seepage pi~' so that: any excess effluent from the pits would back up into the holding tank which could be pumped. Thi,( would bc my recommendation to you but pi. ease he advised that: Municipal approval will be required to install a holding tank. If I can be of any further assistance, please call. Sincerely, WIt: sa 2820 "C" Street, Suite #3, Anchorage, Alaska 99503 276-4855 PENINSLILA ENGINEERING AI)I';(,~UACY 'I')';!;T C1 iCnl : Ad,lr,,ss: I.eg;I I: System: ~)A'_Jr% _ 'J' ~!.~':_(,,, i,,) O AFt ~r 8/24/8 5 m i n l0 15 20 25 m i n 30 35 40 rain 4~ 50 m ........... I)1';'1"1'11 I ..;1"1'11 .,.U ._. E r. i% _T A___N_K_ :;~.:~.:VAt;~.: //2 Dorothy Walling NHN Cox Drive Lot 9, Block'll, Grecian S/D Septic Tank with Two Seepage Pits in Series ''W,VI'I.:'i~'-A'I)}II.;I) ._~j,.I) I~/VI'I'; 58" 147" 5" 137" (} rain 23" 127.5' 2rain 24" 130" lOmin 25" 130" 15mi. - 20min 28" 130" 35 Omin 30" 5 rain 30.5" lOmin 31" 126" 130" 130" (} 0 5 5 5 5 5 5 5 TOTAL WA'I'I.:I( AI)DI.;I) (~$;11.,) o O O 25 5o 75 lOO '],25 i50 175 2OO 225 25O 0 10 · 50 ].00 0 25 5O