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Home My WebLink AboutCARHART LT 23A . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Envtronme~taJ Health Divl~on 825 "L" Street, Anchorage, Alaska gg502, Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ SEPTIC ABSORPTION .,~2ZI g., I~Z ,4c~E. TANK FIELD WELL TANKS SEPTIC D HOLDING II / M U Iq I C I P fl L i '1Y 0 k A N U H O R Department of Health & Human Services 8~b L Street, Anchorage~ Alaska 99501 545-47~ Permit Number: Date Issued: 0 N - S I T E S E W E R P E R M I T 900256 Upgrade l~('~f~ 00/27/90 Engineer Designed Owner Address: MACON ROBERTS .... 0 EAST l l4TH AVENUE ANCHORAGE, AK 99516 Day Phone: ~6~-~ .~90 Parcel Id: 018-191-22 Lot. Legal: Subdivision: CARHART SUBDIVISION Lot: Section: 55 Township: 12N Range: ~W Lot Size 49665 (sq.~t. or acres) Max Bedreoms: This Permit: 4. Total Capacity: 4 25A Block: SEPTIC ]ANI Minimum total septic tank tank must have at least 2 compartments. ~'eeL requires insulation over tank (s). capacity: 1,250 gallons. Each septic Depth to top o~ septic tank(s) < 4.0 INFORM D.H.H.S. PRIOR TO INSPECTIONS BY ENGINEER, IF AFl'ER OFFICE HOURS, CALL 345-4681 AND LEAVE A MESSAGE. CONS]RUC'I PER ENGINEERS ATTACHED DESIGN. ;HIS F'ERMIT EXPIRES 12/51/90 AND VALID FOR A SINGLE FAMILY HOME. I CERI~IFY II-IA'T: 1. I am Familiar with the requirements For on-site sewers and wells as set ~orth by the Municipality o~ Anchorage (MOA) and the State o~ Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria o£ this permit. 5. I will adhere to all MOA and State o~ Alaska requirements ~or the set back distances Crem any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid ~or a maximum o£ 4 bedrooms. 1 also understand that the capacity of the total system 4 bedrooms and any enlargement will requi~n additional permit, is (Owner) ' -'- ', MP~CON ROBERTS ~ERFORMED FOR:. Muni~pality of Anchorage DEPARTMENT OF HEALTH & HUMAN.SERVICES 825 'L' StraeL Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 7- 8- 9- 10- 11 12- 13- 14- 15- 16- 17- 18- 19- 20- C~MMENT$ Township. Range. Section: -~ .~, ,.~ 7- I Z/'./ WA~GROUNOWATER ENCOUNTERED? SI.OPE SITE PLAN t N /)e/v,TU~ IF YES. AT WHAT Reedlml Date T'~ T'~e Warn' I I' PEflCOLATION RATE (mm~,s~mC~l PEflC HOLE DIAMC~TEJ:I Jrt ANO IrT · I I I' 2 o' I ~onsib~ ~:he existence of any easements, covenants, or re- strfct,~ons ~htch do not appear on'the recorded sub' dtvJsJon plat..Under no ctrc~stances should any .. ' O~ RECORD,, · used for construc~on or for estab- SHOWN ON TIlE ~CORD~ P~T, ARE HOT lJshfng bounda~ or fence lJnes. ~e su~eyor'ta~er r~o~n~fbf]ftv for the fnftfal ~ransactt'on on]y. LOT~ "' BLOC~ ' ": ............ -~ .. ANCHORAGE RECORDING DISTRICT 1426 HYDRA S~REET ; I' ' ANCHORAGE. ALASKA 99~O, ' i GREATER ANCIIORAGE ARFA DOROL_., Department of Environmenlal Quality 3330 "C" Street Anchorage, Alaska 99b03 ~%~011,S I,()G = I'I.]I{.OI,A'rlON 'I'EST Legal bescrip~-i-oi~? '/~t-~___~ ~ ~..~o.~) lhis rom reports: ~-o~-~)-s l'og ~ - . . Percolation test Depth Feet m , \ 12-- , 13- 14- Was ground water encountered? If yes, at what depth? __ Reading Da te Gross Time Percolatio'n'r~te ...... minute. Net Time Depth to Water Net Urop · Proposed lnstallat--J~-n? Seepage Pit Drain Field Duptt, of Inlet . Depth to 1J-6-E't~--~-f--L)it o~r tf. enc~, ..,, ..... Pe rfomeO Dy :~_~_J~=_.~?_.~(~7 ..Certi fi ed By: ~ate: EQ-040 (6/74) rvI-w DRILLING, Inc. P. O. Box 4-1224 · 1310C International Airport Road (907) 274-461 ! ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner Aldon Carhart Use of Well Location (address of: Township, Range, Section, if known; or distance main road Dom Size of casing Static water level Screen ( ); Describe screen or perforation ~ llone Well pumping test at 10 gallons per (1~7~) (minute) for. of drawdown from static level. Date of completion 1~ Oct Depth of Hole 6r~ feet Cased to 6~ feet ft. (~%%~) .. (below) land surface. Finish of well (check one) Perforated ( . ). ~ 1 hours with 100% open end ( X ); WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 ~0 60 .TO TO TO TO TO TO TO TO TO .TO TO .TO. TO TO TO Silty Gravel B~ulder Cobble Orevell wet 60 _~revelly Wster Grevel 1~aYne E. Westbay: 1 --CUSTOMER 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) (b) (c) 1R:IORR Legal Description (include lot, block, subdivision, section, township, range) Lot 23A, Carhar~ Subd~vi.~i~n 9~l~N~3W:go~.~3 Location (address or directions) Property Owner Ma~c~,n Rc~h~,t-tR Telephone: Home 34el-t3R'14 Mailing Address 3'>~] 1~. 1-49~ .~.ve: Lending Institution. Telephone .. Mailing Address. Business (d) Real Estate Companyand Agent .. Address . Telephone .. (e) MailtheHAAtothefollowineaddress:ocCheckhere~,ifholdforpickup. LIstconta~pemonanddayphonenum~rbelow. Centrus't ~ort~a~e Corp, Attn. Kathy Arnol~ 4000 ~ld Seward Hwy. Suite ]03 Anehoraqe. Alaska 99503 2. TYPE OF RESIDENCE Single-Family rgx Number of Bedrooms ~O" WATER SUPPLY Individual Well,I( Communityr'l Publicl"l Note: If corem unity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite1'3r Public 1'3 Community I-I Holding Tank r'l 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 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 syslem 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 ellect on the date of this inspection. NameofFirm Q,~n~'n ~..ng~n,~,~-.l~ Telephone 9"/~;-'~?"/n Address 401 ~. Fireweed L~.. Anchorao_e. Alaska 99503 Date 12/17/86 Engi. ear's Seal Approved for _TWO (2) bedrooms by Date 12 / 26 / 86 Approved. Disapproved . Conditional __XXXX Terms of ConditionalApproval . Determinatior~ oE type and dimension oE absorpt:[on fe£1d, no later than June 15, 1987. CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph $ 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 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 GENERAL INFORMATION (a) (b) (c) Application Date Legal Description (include lot, block, subdivision, section, township, range) Lo~tion (addre~ or dire~ions) , . Applicant Name ~RC~M ~D~W Telephone: Home ~5-~8~ Applicant Address ~ 7 I ~, t~ ~ Applicant is (check one): Lending Institution D; Owner/builder I; Other ~ (explain); Business (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the followin TYPE OF RESIDENCE Single*-FamUyj~ Multi-Family [] Number of Bedrooms __~- Other WATER SUPPLY Individual Well"~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL *.? OnsiteJ~' Public[] Community[] Holding Tank [] Note: If community well system, must have written confirmation from Ihe State Department of Env ronmental Conservation attesting to the legality and s atus. Page 1 of 2 72'025 (11,84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATE 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. Name of Firm _OV,'~i)~.A -~,,~ G.,~ ~"~(..~?,.~l~J~., Telephone _ ~'7[, - ~7 70 Data zi 7/, l DHEP Approved Terms of ~ t,4tchae! F- A~der,..on 435! -E Engineer's Seal bedroom: Date /"~_~.~..~'/~-~_ .~,~'./~..~ · Conditional CAUTION · The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates 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 as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. 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. Paoe 2 nf ~. MUNICIPALITY Of ANCHOP. AG~ D(FT. Of HEALTH & ENVIRCR'IM~NTAL PROTECTION SEC 1 8 191 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 2644720 Legal Description: Well Classification ~/~',~'/V,4/"~' Well Log Present (Y/N) _ ~/ Total Depth ~ ~'' Cased to Static Water Level ,~ ~ Casing Height Above Ground ~/''° Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge o! Absorption Field on Lot To Nearest Publi~ Sewer Line If A. B, C, D.E.C. Approved (Y/N) _ Date Completed /~///,5//'~,V Yield · Depth of Grouting Pump Set At ~OT' Sanitary Seal on Casing (Y/N) .Y Depression Around Wellhead (Y/N) ; On Adjoining Lots .. ; On Adjoining Lots /~' 1" To Nearest Public Sewer Cleanout/Manhole ~' To Nearest Sewer Service Line on Lot Water Sample Collected by ~'c"F"A~:~'.,k/,/.~)/J AI:~,~ ; Date /~..//.~'.,/,~ Water Sample Test Results -~AT-I~ ~".,~"T~) ~, ~/ ~ Comments , t.~.~_z~_t/~,./-~- B. SEPTIC/HOLDING TANK DATA Date Installed T_~ Size/~ No. of Compartments _ I Standpipes (Y/N) __y Air-tight Caps (Y/N) __,Y Foundation Cleanout (Y/N) /Y Depression over '~ank (Y/N) _ ~,J Date Last Pumped ~~ Pumping/Maintenance Contract on File (Y/N) ~/. Holding Tank High-Water Alarm (Y/N) Separation Distances from Septi~ding Tank: TO Water-Supply Well . ( ~-' TO Property Line ~'~' To Water Main/Service Line ~'~,' Course _. /VdN~ I-'~/ ~4Jl:: E A ; for . Temporary Holding Tank Permit (Y/N) To Building Foundation ..b',~' To Disposal Field ~/? ' To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) · Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design To Water-Supply Well To Building Foundation Lot To Water Main/Service Line Square Feet o! Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: /// 77 , lbs ' To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ,A ~ ~0~ i=,'1" I o ~/ Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (WN) Date of Last Adequacy Test To Property Line .~O To Existing or Abandoned System on ; On Adjoining Lots ,,'.~,d To Cutbank (if present) N~1- IN D. LIFT STATION ,A,///~ 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 Oit" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments *° Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked,.verified, or conformed to all MOA and ~AA guidelines in effect on the date of this inspection· Company ~)V~~4~ -~.*,5, ~. (.,, MOA NO. "F Receipt No. Date of Payment ~, t'gX' ~ '~.'~"i~ ~" Engineer's Seal Amount: $ Page 2of 2 DATE: TO: FROM: SUBJECT: · ic pal ty of Anch% ge ' MEMORANDUM August 10, 1984 Whom It May Concern Health and Environmental Protection Lot 23A Carhart SubdiviSion'~ The septic system serving LOt 23A Carhart Subdivision is only adequate for a two(2) bedroom jingle family residence, based on an adequacy test conducted in September 1982. The system size and design details are not available. Keith E. Bandt Environmental Engineering Manager KEB/ljw 9t-010 R E T U R REPLY ....... . DATE ~. 4S 472 S~ND PARTS I AND $ Ira&CT. ~ ~ P~ ~ ~ U ~N~ ~ ~y. Ce~nl~ POLY PAK (S0 S~) 4P4~ APPLIC""NT FILLS OUT UPPER HAI"~ONLY" Phone Realty CO. & Agent Zip Code Code Zip Code Phone Address Legal Description, S,r., Lo.,,~. /PO Type of Residence ~ Single Family 1-1 Multiple Family NO. of Bedrooms 0 Other Wale, Supply .~, [ ~ Ind[vldual ~ J~ · ATTACH WELL LOG. A w~l log Is required for ell wells drilled since June 1975. [] COmmunity For wells ~'llled prior to that date. give well depth (attach log if available). [] Public UUtity Sewer Disposal [] Public ~tility When COmected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE(3.JEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector ( ~"~PROVED BEDROOMS ~ 'CONDITIONS OF APPROVAL ( ) DISAP~OVED ( ) CONDIT~NAL APPROVAL' , 11-~ -~ Soils Rallng Date ~wer Install~ Well To ~sorptlon Ama Well L~ R~elv~ ~ '~ ~; WelltoTa.k ALASKA nuiR0nm rlTAL COFITROL SE RUICI $, linC. J~nqinm'inq $ ~nuironm~nlal 9/3o/82 I,~UNICIPALITY OF ANCHORAGE P?~"T C~ l'T't.~t £NVI;~ ,, ~,']' ,.A. ~ .O.E ...... [,-,, ~. 19S2 RECEIVED KEN TORI~O PO BOX 6538 ANCHORAGE AK 99502 SELLER - KEN TOP. MO BUYER- SUBDIVISION-CARHART BLOCK- LOT-23A ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN DNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 300 GALLONS OF WATEK PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 120 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 2 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 9/30/82 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 2 BEDROOM HOUSE. OF 1000 IS ADEQUATE FOR 1220 ~e$1 25ljl J~uenue · AncJ~orol:le, Al~sl~c2 ~S03 · [907) 276-13~1 8omeo. e_ MUNICIPALITY OF ANCHORAGE MIA,41CIPJMJIy OF DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC_TI~oI~PT. (~F HEALTH & 625 L ln~n. Ancho~g~ Alalkl ~SS01 ENVIllONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION OCT 2 0 1978 Telephone 264-,47~0 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEt~J~CIL~I~ DIRECTION~: C~llte all ~rts O~ p~ge 1. Ineomolet~ rlqUlltS wttl nm be prO~ll~. P~e~,~ allow tert (10) days for pro~ssing. IMAI UNG ADDRESS · I l_i_l~__rllNO INSTITUTION MAILING ADDRESS PHONE PHONE IPHONE REALTOR/AGENT MAIUNG ADDR~.~ IPHONE 'TR'T'O:A?FZ ,,,/o 6. TYPE OF li;;Ih_ENCE ~ S(NGLE FAM(LY I-'l MULTIPLE FAMILY 7. W~¥;'~ IUPPLY NUMBER OF BEDROOMS I~J One I~] Four [] Two r--I Five ~i~ Three [--I Six [] Other /~ INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY 8. 1EWAGE ~i~,~AL ~f INDIVIDUAL/ON-SITE** [--I PUBLIC UTILITY · ATTACH WELL LOG. A w?ll log is required for a wells drilled since June 1~97§. For wells drii~-ed prior to that date, give wall (f system is over ,we (2) years old an adequacy test :s~i/z~r~"~7~/~' NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72,010i3/78) '~ THIS SIDE FOR OFFICIAL USE ONLY _ DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPectOR I iNSPECTOR DIRECTIONS: I 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS 1--1 SINGLE FAMILY r-'l ONE r-1 THREE [] FIVE [] OTHER [-'1 MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY I-'] INDIVIDUAL DEPTH OF WELL [:::] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMEER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER [:]Septi~T~ or []HoldingTank Size:/~/C,K/ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 5. COMMENTS ~"~APPROVED FOR 3 BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany c~rtificate) [] DISAPPROVED DATE BY (TItleI ~ 72-010 (Re,,,. 3/781 Steven A. Johnson & Assu~.ates Test Performed for Legal Description Number of Begrooms Day I (1) Test Volume (TV) STi! = ~.oin. (2) STf! = Day II P.O. Box 76, Chugl/~., AK 99567 688-3085 DATA S.L{EET - ORAINFIELO Tank pumped ~ yes__no = ~ bdrms x 150 gal/day = ~;Sogal/bdrm/day gal (Cai) + ~al (TV) = _~gal (caf) %q,o in. Tfl = }qoco STi2 = ~q,o.tn. (3) Surge volume (SV) (~) ~o gal (C~t) + (5) O~o gal (CRi) + (6) (a) Iqo'7 Tp2 - (b) I oq Tp2 - (7) (8) Day III STi3= in STf = in Ti2 = ! = 0.~ TV = 0.4 zqgO gal = ;80 gal. ~O gal (SV) = ~qo gal (CRsv) · -/&~o gal (TV) = ! %;o gal (CRtv) ~q ~q Tcrsv = _O_~hr (Tsv) I q %8 Tcrtv = .fO_j~__hr (Ttv) Surge capacity (XC) = SV = ~8o gal = ~gal/mln. Tsv ~ min Percolation rate (PR) = TV = ~O gal = ~1,~ gal/min. Ttv ~ mtn gal/min x 1440 min/day = ~O gal/day = ~9.~-- gal/day/bdrm ~k no. bdrm (if required) ~o~ ~c¢~"~ Ti3 - Tf = ~t3 + 4 hr = Summary Surge capacity (XC) = 9.~.-~ gal/mtn Percolation rate (PR) = 29~,5'" gal/day/bdrm S tgne ds te~ n/n A~--~.~, jcdn%~o ~As~