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Home My WebLink AboutDEER PARK #1 BLK 2 LT 6Deer Park #1 Block 2 Lot 6 #051-042-61 ^ MUNICIPALITY OF ANCHORAGE DEPARTGzNT OF HEALTH & ENVIRONMENTAL PR07 ECTION j ENVIRONMENTAL ENGINEERING DIVISION 825 L Street. Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME A / PHONE '`1 U4L ❑UP RADE MAILING ADD 67 Z//vE Oe LEGAL DESCRIPTION etu e�,,c L G B 2 DEE 1-71-11C 1-r LOCATION NO. OF BEDR OMS„ DISTANCE TO: Well �Z Absorption area / Dwelling /O PERMIT N O>< iS SZ Manufacturer A NG / M�teri� / ! No. of compartr ZIS G. a Liq. capacity in gallons 5 IF HOMEMADE: Inside length Width Liquid depth — 0 dDZ DISTANCE TO: Well Dwelling PERMIT NO. Aj _? f Manufacturer Material Liquid capacity in gallons O W = DISTANCE TO: Well/� Foundation, y G Nearest llw Tv f L. Y EH I PT O. 0- S 7 � u.Z No. of lines / Length of each Ijrle Total len t17•pf Vines Trench warills Distance betyx i es inches %V cc F• Top of tile to finis gr (t- M teffall bene rile �j. Y Total eft tive absorp n area O j 7- - ti �/i O inches Z Length Width Uepth PERMIT NO. W a H wd Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well IBuilding foundation Nearest lot line Class I Depth Driller Distance to lot line PERMIT NO. J 001— DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS AC SOIL TEST RATI `' a INSTALLER oe REMARKS l to Ile c r F . Y A. Z1.0 - '. Z.1 khti lACli Pie, APPHOV ED.: Ii. •.- DAT t c .8REII lC0°�.:11 6/C 1-L rqu1'-a I c I B1=7L I TY aF= DEPARTMENT " HEALTH AND Ed'JIRONMENTAL� FECTION S25 . STREET, ANCHORAGE, AK =!'_ L 264-4 720 ca9 CAU4—On i TE fTE"L4EF L4C- L -L- F= E:F<_1'1 I T PERMIT NO: 840257 DATE ISSUED: 04/ZO/04 APPLICANT: TOM KOVALESKI ADDRESS: 71S2,SKYLINE DP,. EAGLE RIVER, SK 99577 LEGAL DESCRIP: SUBDIVISION: DEET: PARk: LOT: 6 SECTION: 4 TOWNSHIP: 15N RANGE: 11.1 LOT SIZE: :1.19A (SO. FT. OR: ACRES - HAY BEDROOMS: LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR. SITE. TANK MUST HAVE AT LEAST TWO COMPARTMENTS BLOCK: 2 YOUR. SEPTIC 1.4 d Ft: f -i I r•a 4. Cl 2.5 7.5 5.0 60.0 44.4 1, 000. 0 »:x 2c•,,. I CERTIFY THAT: 1. 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. 2. 1 WILL IN'_TALL THE SYSTEM IFN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IW COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. _. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY E:I=TING WELL, WASTEWATER DISPOSAL.SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIPUJM OF 3 BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY AOA BUILDING CODES, THE11 1:1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED: (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION DEPORT; AND (_) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. J211.LLt. ;eomaA-------------- DATE: SIGNED-------------- APPLICANT: !!! d u r D, `- t APPLICANT: TOM K 'PALESKI ISSUED BY ------------ DATE: TF�:Er'•4t--" BEES DEPTH TO F'IF'E BOTTOM (FT.) 4.0 4.0 GRAVEL DEPTH CFT.) 4.0 0.5 TOTAL DEPTH (FT.) S. 0 4. 5 GRAVEL WIDTH (FT.) 2.5 21.0 GRAVEL LENGTH (FT.) 65.0 40.0 GRAVEL VOLUME CCU. YD'_.) 20.7 31.1 TANK SIZE (GALS) 1, 000. ii a:r: 1, OCn_i. 0 »=r _.OIL RATING <S& FT. /DR) 1•^-•= 182 TANK MUST HAVE AT LEAST TWO COMPARTMENTS BLOCK: 2 YOUR. SEPTIC 1.4 d Ft: f -i I r•a 4. Cl 2.5 7.5 5.0 60.0 44.4 1, 000. 0 »:x 2c•,,. I CERTIFY THAT: 1. 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. 2. 1 WILL IN'_TALL THE SYSTEM IFN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IW COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. _. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY E:I=TING WELL, WASTEWATER DISPOSAL.SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIPUJM OF 3 BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY AOA BUILDING CODES, THE11 1:1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED: (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION DEPORT; AND (_) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. J211.LLt. ;eomaA-------------- DATE: SIGNED-------------- APPLICANT: !!! d u r D, `- t APPLICANT: TOM K 'PALESKI ISSUED BY ------------ DATE: r-„ o SOILS LOG MUNICIPALITY OF ANCHORAGE PERCOLATION • �r ` DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 7Es7 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: / h/ //n`I Ul�[.i/n//f'.I L �d� DATE PERFORMED: LEGAL DESCRIPTION: ` t/ C/ y ��1IP� r —7 DiH /^/ /) ) SLOPE SITE PLAN ILLLTI �/ r --- r --7--T --- 5 C / 6- 7- 8 8 9- 10- 10 13- 14- is- 16- 17- 18- 19- 20 - 1314151617181920 COMMENTS COMMENTS PERFORMED 72.009 (6/791 SiL7yS�jA1v µe, 1u7i : , Reading Date Gross Time Net Time Depth to Water Net Drop l 1Y- - ti .> PERCOLATION RATE 3 , 3 Iminutes/inch) TEST RUN BETWEEN FT AND _...i- FT L / IER4EirACASNA �£�7 CERTIFI i ✓ �` CHEMICAL a GEOLOGICAL LABORA, ORIES OF ALASKA, INC. P.O. BOX 4.1276 TELEPHONE )907)-279-4014 ANCHORAGE INDUSTRIAL CENTER Anchorage, Alaska 99509 274.3364 5633 B Street ANALYTICAL REPORTM��Cj�ys� " From FAmicipality of Anchorage Product Saul/Gravel Address Anchorage, Alaska Date August 20, 1981 Other Pertinent Data Analyzed by GY Date August 21, 1981 lab No. 8618 DUM SIEVE OPENING, INCIffS >4 >0.18 8 0.18-0.08 18 0.08-0.039 32 0.039-0.020 60 0.020-0.010 115 0.010-0.0049 250 0.0049-0.0025 <250 <0.0025 FlEPORT OF ANALYSIS DEER PARK SUB. ANCHORAGE, AK. MILLDIETERS 8 BY WEIGHT DESCRIPTION >4.8 25.5 Pebbles 4.8-2.5 7.1 Granules 2-1 7.0 'lery Coarse Sa 1-1/2 6.9 Coarse Sand 1/2-1/4 13.1 Medium Sand 1/4-1/8 17.1 Fine Sand 1/8-1/1616.0 Very Fine Sanc <1/16 7.3 Silt M -W DRILLING, Inc. P.O. Box 10.378 - 10300 Old Seward Highway (907) 349-8535 ANCHORAGE. ALASKA 99511 iLADRILLING LOG Well Owner rhilr Location (address of: Township, Range, Section, if known; or distance main road Lot 6 flock r7 Deer Fark� ejAjtjnn u, Size of casing 6' Depth of Hole 31'0 feet Cased to :�2I•$ feet 84-1.19 of Well;8,.e5b1e Static water levet 51 ft. (4156e6) (below) land surface. Finish of well (check one) open end ( ); Screen ( XXX ); Perforated ( ). Top of 4" riser pipe 236.7' 4" pipe size by N10 Slot screen Describe screen or perforation 256-8 to n07_3nnnlr, / a^nn -r• 111 Well pumping test at ;= gallons per IM -1a) (minute) for f hours with 100^ Xft, of drawdown from static level. Date of completion February 21. 1954 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 2 TO 4 4 TO 16 16 To 50 50 TO 62 62 To_ T_ E7 TO 13,) 139 TO 169 169 r195 195 TO211 211 TO 221 2�1 TO 256 �5G TO 279_ 279 TO 340 —TO— Casinr. stickup Sand - dry CD [!and 6 Gravel - tooee vravriy clay NWWA CaftlttYd COntractar Silty clnv Certificate No's. 814 do 973 silty sand - v. -t S11•v clay 3 - CONTRACTOR r^ r MUNICIPALITY OF ANCHORAGE DIVISION OF EWIRONMEXTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRO*fENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block subdivision, section, township, range) Lo -r- L., J31. X0 � )5E EI2 E-�� .. Location (address or directions) (b) Applicants Name--jo/.7 ej)Lt/IL_it-`%k, Telephone - Home Business Applicants G __ (c) Applicant is (check one) Lending Institution ; Owner/builder ; Buyer Other [-::I (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. b Agent Address Telephone (f) Mail the HAA to the following address: c C'�tiLTifCT �N'i �OV/�L.0-s K i 2. Type of Residence Single -Family Multi -Family Number of Bedrooms 3 3. Water Supply Individual Well RE5 Community Other (describe) Public M 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 ,-I Public Community Holding Tank Q 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 21 5. 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 regula— tions in effect on the date of this inspection. Name of Firm = n r• r`!r,!h!" 1\r Address""LE r'"11i DateZ 4% . (ENGINEER SEAL) 6. Dll'P Approval Approved for 3 bedrooms By Approved X Disapproved Conditio Terms of Conditional Approval Telephone R�S�r1•A. Sf skr �1 )aatete -ela,r;,;' b'/>- f /s c/ CAUTION THE 14MIICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRON`SENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT— ATIONS 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 REQUIRE— MENTS. DIPLOYEES 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 PROFESSIO11AL ENGINEER'S FORK. (DHEP SEAL) RR4/ej/D18 (Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) - `'l Y C r.r:c!-iCa,�Ce i'. 8 HEALTH XJIHORITY APPROVAL (H)AA) `:c criCN CHECKLIST - FEBRUARY 1984 AU Lor G s " 7— A. A. WELL DATA Well Classification 51 E If A, B, or C, D.E.C. Aoproved(Y/N) -� Well Log Present ((j N) Date Completed o? YieldzIC7PIVi Total Depth ,340 Cased to Sal � 5 � Cepth of Grouting --- Static Water Level S/ Pump Set At Ole Casing Height Above Ground 3o Sanitary Seal on Casing /N) Electrical Wiring in Conduit , io Depression Around Wellhead (YXO Separation Distances from Well: To Septic/6a14irg Tank on Lot /Z/ On Adjoining Lots 160 /4 - To Nearest Edge of Absorption Field or. Lot. / Ls ` On Adjoinirg Lots /O D if To Nearest Public (J Seder ire �fit1 To Nearest Public Sewer �,� Cleanout/Manhole - /fI To Nearest Fewer Service Line on Lot �_ Water Sample Collected,ByS,'S G � eel l; Date e�F I-19 u Water Sample Test -Results �S'A7ifPrl�T�rty /A1 Ex Ft c d F - 4- 4f'I77 , B. SEPTIC/HOLDING TANK DATA Date Installedy 1_ Size / coo No. of Carpartmerts 2 Standpipest. /N) Air -tight Caps a1N) Foundation Cleanout(i9/N) Depression over Tank (YAq Date Lastd Punping/Mairtenanoe Contract on File (Y/N) ,C for Holding Tank High -Water Alarm (Y/N) Temq»rary Holding Tank Permit (Y/N) N A Separation Distances from Septic/Tk7t41x;g Tank: To Water -Supply T4r11 /Z / `_ To Building Foundation /O r t� i TO Property Line 2 / 7To Disposal Field To Water Main/Service Lire �j A To Stream, Pond, Lake, or Major Drainage Course /A Comments 9 s °°'(..cu a9a'/s-e J--,2 7- " [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 1939"1g&_ Type of System Design Date Installed �; / ?hy Length of Field �8 Width of Field �— �t� Depth of Field Gravel Bed Thickness g' Square Feet of Absorption Area Standpipes Present(ON) Depression over Field (4�2 Date f Last Adequacy Test Results of Last Adequacy Tbst Separation Distance fron Absorption Field: To Water -Supply Db11 /2-5- To Property Line 2- To To Building Fqu//rdation Z3 To Existing or Abandoned System on 3D1ToLot Or. Adjoining Lots 3,914- To Water Main/Service Line � To Cutbark(if present) To Stream/Pond/Lake/or Major Drainage Course 4 To Driveway, Parking Area, or Vehicle Storage Area Zo Ccmmnts D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at —Vent (YIN) diring Adequacy Test. bbets 61]4 ** Check Permitted Bedroom Rating ?gainst HAA bequest ** I certify that I have checked, verified, or conformed to all t on the date of this inspection. Signed S £ z P1.OIN:_$1N , Date Crnpany I i4LE EN , Aua a 77 MOA No. KB1/d5/s (Page 2 of 21 �04II1 t