HomeMy WebLinkAboutTURNAGAIN PARK BLK 1 TR 7 Onsite File
Turnagain Park
Block 1
Tract 7
#018 - 242 - 07
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Municipality of Anchorage .4 rem
Community Development Department Page 1 of 2
On -Site Water and Wastewater Program
4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181303 PID Number: 018-242-07 ❑ New Q Upgrade
Name:
RICHARD THORNTON
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
14600 TURNAGAIN BLUFF WAY
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from���
4
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
>0,6,epth beneath pipe
Subdivision Block Lot
TURNAGAIN PARK 1 TR7
t.
Ft.
Fill added above original grad
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Tota sorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft'
Ft.
Well
139.6
N/A
N/A
N/A
N/A
TANK El Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1250Gal.
Surface Water
100+
N/A
N/A
N/A
Material
Number of compartments
Lot Line
38.0
N/A
N/A
I N/A
PLASTIC
2
NA
Foundation
96.6
N/A
N/A I
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
50+ i
N/A
N/A
N/A
Gal.
Remarks TANAK REPLACE ONLY
Pump on level at
i
Pump off level at
in.
High water alarm at
in.
Pump make an odel
Electrical Inspections performed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
ISAAC'S PUMPING
Drainfield CO/MT 3p3l(
Inspector PANNONE ENGINEERING SERVICES
BENCH MARK (Assumed elevation) 96.Oft
Inspection�s g/14/2018
dates: 2�a 10/16/18
Location and description
31" 4th
BOTTOM TRIM AT SHED POINT B
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
Conditional Approval:
.�'OF A;r;
Date
.,
r°sco -
tteven . loannorae �
1
Approved ' \t%1°.���Q Kn�O Dateb I)v1�
,C 8149;
MH?�.�
iap.cc�iv� i i cPo �_ - i- i c.Uu�
,
/ \
� \
/SEPTIC AREA $>
`
WELL
R HOUSE
�
PER MOA CODE
( ~~~
D 1250a SEPTIC TANK
0 D1.1
OG 0- (P) PROPOSED
FG. ou
94.0 (E) EXISTING
co CLEAN OUT NO.
40 DCO DOUBLE CLEAN OUT
MT MONITOR TUBE NO.
TYP TYPICAL
1250 g SEPTIC W- WATER LINE/
TANK WELL RADIUS
PROFILE -SS - NEW SEPTIC
NOTES: PANNONE ENG SVC, LLC Date
RECORD DRAWING 01� 10/19/2018
P.O. BOX 100217 ANCHORAGE, AK 99510
Scale
PHONE (907) 272-8218 FAX (907) 272-8211 co
DRAWN BY:
TURNAGAIN PARK, BLOCK 1, TRACT 7 8-i42-07
RICHARD THORNTON even
;01 PERMIT NO.
CE 8149
14600 TURNAIGAN BLUFF WAY OSP181303
PLAN ANCHORAGE, AK 995115 OFESS - CAW 2 OF 2
T1
62.1
56.4
DC2 ]::�
�.767H,5
0 D1.1
OG 0- (P) PROPOSED
FG. ou
94.0 (E) EXISTING
co CLEAN OUT NO.
40 DCO DOUBLE CLEAN OUT
MT MONITOR TUBE NO.
TYP TYPICAL
1250 g SEPTIC W- WATER LINE/
TANK WELL RADIUS
PROFILE -SS - NEW SEPTIC
NOTES: PANNONE ENG SVC, LLC Date
RECORD DRAWING 01� 10/19/2018
P.O. BOX 100217 ANCHORAGE, AK 99510
Scale
PHONE (907) 272-8218 FAX (907) 272-8211 co
DRAWN BY:
TURNAGAIN PARK, BLOCK 1, TRACT 7 8-i42-07
RICHARD THORNTON even
;01 PERMIT NO.
CE 8149
14600 TURNAIGAN BLUFF WAY OSP181303
PLAN ANCHORAGE, AK 995115 OFESS - CAW 2 OF 2
MUNICIPALITY OF ANCHORAGE
/41 • On-Site Water&Wastewater Program
® rPO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
'° httpa/www.muni.org/onsite
1)e par tmcnI
4'YCM U P pG�
On-Site Wastewater Disposal System Permit Cj li f r'` g
Permit Number: OSP181303 Effective Date: 9/4/2018
Work Type: SepticTank Upgrade Expiration Date: 9/4/2019
Tax Code Number: 01824207000
Site Legal Address: TURNAGAIN PARK BLK 1 TR 7 G:3033
Site Mailing Address: 14600 TURNAGAIN BLUFF WAY, Anchorage
Owner: THORNTON RICHARD E Lot Size in Sq Ft: 51129
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: !, `� i / Date: 4
30
Issued By: I`'L�iC1k // Date: if��8
E4ecEftJq
MUNICIPALITY OF ANCHORAGE eptilva
Community Development Department Phone: 907-343-7904
Development Services Division - Fax: 907-343-7997
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 018-242-07
Property owner(s) Richard Thornton Day phone
Mailing address 14600 Turnagain Bluff Way, Anchorage, AK 99515
Site address 14600 Turnagain Bluff Way
Legal description (Sub'd., Block & Lot) Turnagain Park, Block 1, Tract 7
Legal description (Township, Range & Section)
Lot Size 51,129 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field n Initial — Single Family (SF) JXI
Septic Tank [] Upgrade ❑x (w/wo ADU)
Holding Tank H Renewal Duplex (D)
Multiple Dwellings U
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: o215-
Waiver Fees:
Date of Payment: glLl`h7 Date of Payment:
Receipt Number: 0Rot 3P-62 Receipt Number:
Permit No. 05 P 171,503 Waiver No.
Permit App_:-•• ::..,t
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181303, Rebecca Carroll, 09/04/18
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181303, Rebecca Carroll, 09/04/18
,,~, MUNICIPALITY OF ANCHORAGE
DE ~TMENT OF HEALTH AND HUMAN SER' ~.S
Environmental Health Division
- ' 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
~t DISTANCES
~C'I'~_ ~"~,C'~C~-I r At~ ~ SEPTJC ABSORPTION
~'~"'°~ TANK FIELD WELL
~ ~ .o [.o o~ ~,~s WELL
m~J71 /~'~ FOUNDATION
~/~ ~C'F ~C . ~ driveway..eI.AS'~UILT OlA~RAMo,es..,c ,'Sh°w ,~al,on o, wen. ~p=,c system, p,o.dy ,,ne,. ,ounoah~
TANKS(
A,,~[~r~ ~0 ~ ~ ~,~
~p~ TYPE OF SYSTEM
~RENCH ~ UED ~ W. DRA~N ~ OTHER >''
Gyavel ~ng:tl I ~ravel w,Olh ~
~ so FTI ~ FT
~ /~ so FT P~
~ PRIVATE ~ Vi EN d=OqU:TALPRO FE~
REMARKS:
~ ~ I~ChO~S Pedorm~d by.
I ~ c~ily ~at gis Impe~ion w~ ped~med a~rding ~ all
~uni~pal ind Stale guidelin~ Iff ~1~ on mia dale: I,~ - ~ ~ ~ ~
Health Depa.men, ApprovalS. ~,~. Date.' ,
72-013 (3~85) ~.~
MUNICI! ~LI]-Y OI~- ANCH, ~kAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
264-4720
PERMIT ND:
DATE ISSUED:
EIN--S T TE
850757.
12/~9/85
APPLICANT:
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
MAX BEDROOMS:
GMC EXCAVATING
P.O. BOX 110291
ANCHORAGE, AK 99511
268-1169.
SECTI0N: ~2 TOWNSHIP: 12N RANGE: 5W
1.55A (SQ.FT. OR ACRES)
4
Listed below are the options available to you in designing your septic
system. Choose the option that best ~its your site.
TRENCH BED
DEPTH TO.PIPE BOTTOM (FT.) 4.0 4.0
GRAVEL DEPTH (FT.) 5.0 0.5
TOTAL DEPTH (FT.) · 9.0/ 4.5
GRAVEL WIDTH (FT.) 2.5. '20.0
GRAVEL LENGTH (FT.) 50.0 58.0
GRAVEL VOLUME (CU.YDS.) ~5.5 28.?'
TANK SIZE (GALS) 1,250.0 ** 1,-~50.0 **
SOIL RATING (SQ. FT./BR) 125 125
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
W. DRAIN
4.0
5.5.
7.5
5.0
54.0
40.0"
~,-~50.0 **,
I certify that:
1. I am ~amiliar with the requirements ~or 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 oF Alaska requirements Cot the set back
distances ~rom 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 and
any enlargement will require an addi£ional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND ¢5> THE
ELECTRICAL WORST, BE DONE~~,.BY A LICENSED ELECTRICIAn. ~__~_~/~_DATE..
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
(ENGff~R'S SEAL)
LEGAL DESCRIPTION:'7'"~'~' J~V.~/ "~,~J/~'/~,~/~ownship, Range, Section:
SLOPE
OL-~ I Ill I
2 IIIII
3- ~p IIIIII
4- ~¢ ~/~- I I I1.~
IIIIII
~' ~q II IIII
I0 - ~AS GROUND ~ATER
ENCOUNTERED? ·
11 S
H~
IF YES, AT WHAT O
DEPTH? p
E
13 ~n[~rino?
14-
15-
16.
17
18
19
20
SITE PLAN
Date Gross Net DePth to Net
Time Time Water Drop
PERCOLATION RATE __ (mmutesJmch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
!
~E~FORMEDB,: ~ ~ ~=~/ , ~/v/z-- CER,,F,T.A,t¢~_ESTWASPERFORMEO,N
ACCORDANCE WlIH ALL STA~E AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
DAILY DRILLING LOG
PENN JERSEY DRILLING CO.
Spruce Road
P. O. Box 4-638 Spenard, Alaska PIlONE DI 4-1751
OW~ OF L~Sn ............ ]'~,._R~bin~.~n ...................... n~, oF ~L ....... ~_.~C~ .......................................
~nr~ss.~..~_~n~.~.,_~., ......................... STaT~C ~V~ O~ water ~ ....... g~- ...............................
W~L~S~.._.~le~C...~Z...~_..~!~..~.~.._~_.[~...~.~Z/~ h~. nraw ~ow~ ~ ......... ~ ......................................
~AZ~SZ~ ..... .~...~...~...~.~..._..~.~....~.~.~.~ 6~S. ~ n~ .................. ~ ................................................
KIND OF FORMATION:
rR o.~t...~_0. ............... FT. TO_....}.~. ............ rT......~..a. ~._?.,,...0.r..a..v..CL
FROM......~ ................ FT. TO..--..~.~ .......... :.FT.....~ ~ .~...~..e..~ .................
FROM....~ ............... ~. TO..._....~..~.. ............ ~.......~. _ .~...d. .......................
FR O.~t....~..6. ............. FT. TO..~.....8.~. ........... ~r......~..~. ......................
FROM.....~O ............... ~r. TO.......~..8.. .......... rr......U~..c.r....~0....~..gvav~
Fno.~t...~.~ ............. ~r. TO ..................... ~r......l:.:'~r. ....................
FROM ......................... FT. TO ....................... FT ...................................
FROM ....................... PT, TO......:. ............... FT ..............................
'~ FROM ....................... FT. TO ......................... FT ....................................
FROM ....................... FT. TO ....................... ~ ....................................
FROM ...................... FT. TO ....................... TT .......................................
FROM ...................... FT. TO ........................ FT .....................................
· P, IISCL. INFORMATION:
FRO.'**! ................. :.......FT. TO ...................... FT ...................................
FROM ......................... FT. TO ....................... FT ......................................
FR O.~! .......................... FT. TO ......................... FT .......................................
FROM .......................... FT. TO .................... FT ......................................
TO ......................... .........................................
FP, OM ......................... FT. TO ....................... FT ........................................
£n O.~..~.II~:2R..~..~. TO .......................... F~ ........................................
FROM ......................... FT. TO ......................... FT ......................................
FROM .......................... ~. TO ......................... ~ .........................................
FROM .......................... ~. TO ......................... ~ ........................................
FROM ......................... FT. TO ........................ FT .........................................
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
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent ~.4.
Address
Day phone
Day phone
Day phone
e
e
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~ '~
TYPE OF WATER SUPPLY:
Individual well ~
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:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
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.
NameofFirm ~'(~/'/~-,? 7-¢~.A,~'~,~/' ~'~'~',,./ Phone
Address I
Engineer's signature
.SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
By: ,
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
professional engineer registe red 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.
Municipality of Anchorage ' ~'~,
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type P rt,,~/'c ~A, ~f r
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
C, attach ADEC letter. ADEC water/s~stem number N*~r.
Datecompleted ~/'<~/E'~' -- Driller
Cased to ;~ 5- Casing height
Wires properly protected (Y/N)
Date of test
WELL G/.
/
Static water level 3-5'
Well flow
· Pump level
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot '~, t~-c)
Public sewer main
Sewer service lir~e
WATER SAMPLE RESULTS:
Coliform O c.~! /¢oO ~/ '~ Nitrate
Date of sample: ~ / t~-/~ '{ ~
B. SEPTIC/HOLDING TANK DATA
Datelnstalled ~ / ~.3 /~"' z'~ Tanksize
/
g.p.m.
AT INSPECTION
.91 tS"
; On adjacent lots ;> Ca,o '
.~ ; On adjacent lots ';> too'
Public sewer manhole/cleanout '~, too,
Petroleum tank
O' ~ or~//''~ Other bacteria
Collected by: .. I~t~--k.,,f, '~',~c.~, ~'uc
I 2 ~-O d-~ t Compartments
Foundation cleanout (~)N) ~,~,,,,~ t,,,. Depression (Y/N) . ~
I,/. ,4 Alarm tested (Y/N) N. ~. ~
Foundation ~. t ,~o'* ~---
Watermain/serviceline ~' ~.~'°
Cleanouts (Y/N)
High water alarm (Y/N)
Dateofpumpin{]'- "-~/1[ /'g~ ' ,,~--'- Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ~ I¥~~ f"' On adjacent lots
To property line -~' ~ AbSorption field
Surface water/drainage ~, ! ~'~' '--'
72-026 (Rev. 7/9~) Fmnl CONTINUED ON eACK PAGE
C. LIFT STATION N. ~*.
Date installed
· Manufacturer
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manhole/Access (Y/N)
"Pump off;' level at.
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot On adjacent Iot~
Do ABSORPTION FIELD DATA
Surface water;
Date installed 12 / ?-.~ /
Length 5-~' Width' ~,~"
Total absorption area
.' Depressio~ over field (Y/N)
Soil rating I'Z5' .(3' IC~r,~ System type
Gravelthickness 5".o Totaldepth
Cleanouts present (Y/N) t'
Date of adequacy test ~/' ts-/~.~
bedrooms
Resu. lts (pa?/fail) ~0'L4' for ~ 1-
· Peroxide treatment (past 12 months) (Y/N) rJo,~ e ;<'t, ~,~,/, ~.,c If yesl give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Wellonlot ~:~ 1~'0 Onadjacentlots ~ (tO' Propertyline
To building foundation ~' Ioo' To existing or abando.n, ed.system on lot
Onadjacentlots ~, 3'o' Cutbank ~J.,4. Watermain/ser~iceline
Surface water ~. ¢o¢, ' Driveway, parking/vehicle storage area
(~rt~indraih' fqo~* See/~
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidefines~,~t on the date of this inspection.
· ,. ·-", ' ~. OF
· . - ~.~..~Y.."'"...4 ~ ~;
S gnature ~¢4~ ~ ~ ~*: 49< ~. ~
Date ~fi ~ {~ ~ ~','~,~ Ce-353~ .- &~
.AA Fee $
Date of Payment
Receipt Number
Waiver Fee: $
Date of Payment
Receipt Number
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
Application Date
1. GENERAL INFORMATION
Address' ""
(e) Real Estate Company and Agent _'~.~ Ir~'%~ .,-~
Address
(a) Legal Description (include lot. block, subdivision, section, township, range)
Lo~tion (address or directions) / x '
(c) ~'~l~nt is ~heck one): Le~mg Institution ~; Owner~uilder~ Buyer ~; Other ~ (explain);
(f)
Telephone _"'~.--' '~'~, l~n-- "~'l (,~ 1
Mail ~he HAA lo the following address:
I
TYPE OF RESIDENCE
Single-Family/~ 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.
4:
SEWAGE DISPOSAL
Onsite~/ Public r-I' Community ri "Holding Tank ri
Note: if community ~vell system, mu~t have written confi~;mation from the State Department of Environmental Conservation
attesting to the legality and status. ' · '
Page 1 of 2
,/
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, PILE SEARCH, DATA AND
As ce~ified 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 fu~her verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply ancot
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 ~d ~ .~I ~ Telephone ~--G~-
Date l - ~ - ~
.'6..DHEp APPROVAL L4-~/)
Approved for .~','"~ bedrooms by
Approved ~ Disapproved
Terms of Conditional Approval
Conditional
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority '
Approval certificates based aolely upon the representations given In paragraph S above by an independent professional
engineer registered in the State of Alaska. The DHEP does this es 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.
Page 2 of 2
WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST o FEBRUARY 1984 ·
264-4720
Legal Description: ""r'P~ c"~'-
MUN~JPAU'r~ OF ANQ.~
DE~. OF HEALTH &
:J86
Well Classificatio ~'r.,._.,/v' If A, B, C, D.E.C. Approved (Y/N)
Well Log Preser;tl{Y./N) Date Compl..ete~ ,~.~-~/"-~"~ Yield
Total Depth ~' Cased to ~'?,-.~ Depth of Grouting
Static Water Level ~'~, / Pump Set At
Casing Height Above Ground ;;7... '
Electrical Wiring in Conduit (Y/N) ~,~
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
CleanouVManhole /(./~i
Sanitary Seal on Casing~N)
Depression Around Wellhead (Y,~
Water Sample Collected by -~'- ~* ~- ~, ., ; Date
Water Sample Test Results, ~,~, ~ rE>, ~:7~'~ ~,y ,
; On Adjoining Lots
~/;;20 r+ ; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
B. SEPTIC/HOLDING TANK DATA
Standpipesj~N) Air-tight Caps ~_~N)
Depression over Tank (Y.(~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well [3~"~
To Property Line
TO Water Main/Service Line ~"'"'~ ~'
No. of Compartments
Foundation Cleanout (Y{~.)~) ('~
Date Last Pumped /L./.~ "'"
;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation ' "7
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
72-026( t t/84)
r''--~
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
"Date Installed i.~.
Width of Field
Square Feet of Absorption Area
Depression over Field (Y~
Results of Last Adequacy Test
Type of System Design
Length of Field ~--~
Depth of Field ~" ,~'
Gravel Bed Thickness ~"-~ ~
Standpipes Present (~N)
Date of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot '~ (~ '~
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway. Parking Area. or Vehicle Storage Area
Comments
dr~' .;,4;z
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots -'-~'~2 f lz
TO Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons'
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
Dimensions ~
· Man h ole/Access {y/~F~"-~
_ __ "Pump ~J~'Level at __
, Vent (Y/N)
~ Pumping Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request
I certify that,,have chec k/e~l, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
SignedI~jj- ~ /'""~'~'~ -- Date
Company 4 ~"~ ~ - L"'"~ ~". MOA No. ~ _~-~)-)-~"
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
ALASKA
I I UIROI]I erlTAL CORTROL $6RUICi $, Il'lC.
~ncjin¢¢rin(I [, ~nuironmcntal Stuc~i~s
REMAX
2702 GAMEELL ST/SUITE 200
ANCHORAGE ALASKA
99503
SELLER-MARK KORTING
JAN 6 1986
WILL PICK UP FROM OUR OFFICE
60845
LEGAL:TURNAGAIN PARK SUBD/BI~OK I/TRACT 7
FLOW TEST ON ~LL
14ELL FLOW DATE-JAN 3 1986
A FLOW TEST WAS PERFORMED ON THE WELL. 743
PUMPED AT A RATE OF 8.5 CPM OVER A DURATION OF
THE DRAWDO~,~N WAS .5 ' WITH A RECOVERY TIME OF 7
AND THE STATIC WATER LEVEL WAS 63 FEET.
THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME.
GALLONS OF WATER WAS
1.5 HOURS.
MINUTES
~ur~CTIOIv
'4'~¢ 0 9 198~
1200 UJtsl 33rg Aucnu¢. Suite Be/~nc~oracle./~las[a 99503e[007) 561-5040
,,~k~NCE A. SCHACHLE t~ ~ TELEPHONE 892-7206
Penn Jersey Drilling Co.
"'Good Water Our Specialty'*
SR BOX 2201
WASILLA. ALASKA 99687
January 7, 1986
Hark ltortir~
c/o aemax
2702 Ca~ble
Anchorage, Alaska
Dear Hr. lior~ing~
99503
I a~ vrittin~ in regards to the information you had
requested concernir~ the ~ell log of Hr. Robinson of Svallin~
Construction.
The veil vas drilled in 1966. The kind of casir~ used
~as .250 vail - 6" steel velded casin~. The depth of the
casir~ vas
If you have any further questions, please feel free
to call,
Sincerely yours,
! a DATE RECEIVED
~" ' ~ ' * INSPECTION APPOINTMENTS
ME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR I NSPECTOF~% _
MUNICIPALITY OF ANCHORAGE DEPT. OF H:,\LTii &
/~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~~[NTAL; ;'
(ENVIRONMENTAL SANITATION DIVISION '
. Teleph~e ~A7~ RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all pa~s on page 1. Inco~lete r~ua~ will not ~ pr~. Please allow ten (10) days for pr~sing.
PHONE ~
1. PROPERTY OWNER ~UOY~ A- ~[~
MAILING ADDRESS
PROPERTY RESIDENT III different from abo,) PRONE
PHONE
MAILING ADDRESS
· LENOINGINSTITUTION~,, I~A~[ ~ I PHONE
MAILtNG ADDRESS
MAILING ADDRESS
; 5. LEGAL DESCRIPTION~._.i~__~_.~.
STREET LOCATION
'6. TYPE OF RESIDENCE
'~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
NUMBER OF~BEDROOMS
~--I One [] Four
~.__Two [] Five
[] Three [] Six
[] Other
'~ INDIVIDUAL·
[] COMMUNITY
r--I PUBLIC UTI LITY
SEWAGE DISPOSAL SYSTEM
· 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.)
~ INDIVIDUAL/ON-SITE'·
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
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
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATIND
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
Absorption Area to nearesl Lot Line
5. COMMENTS
[~APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
~ DISAPPROVED~
72-010 (Rev. 6/79)
ALASKA
DEC 2 9 1980
RECEIVED
DEC 23 1980
MARK KORT-rNG
2702 OAMBEL ST SU-rTE 201
ANCHORAGE AK 99503
SELLER -
SUBDIVTSION-TURNIGAN BLOCK-1 LOT-TRACK 7
THE TYPE OF ABSORPTION SYSTEM -rS A pTT HTTH AN UNKNOHN AREA,,
THE SYSTEM 'rs CAPABLE OF ACCEPT-rNG 450 GALLONS OF HATER PER DAY,,
BASED UPON THE TEST DATA THE SYSTEM :~S ACCEPTABLE FOR A
2 BEDROCH HOME,
1226 ~Jest 251h Aucnue ·/~nc~o~ac~e. Alasl~a ~03 · (~07)276-138
/ unicipalitYo
Anchorage
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE k'l. SULLIVAN,
MAYOR
DEPAI't I'E'~ENT OF HEALTH AND ENVlRONMEN?AL PROTECTION
December 22, 1980
Lloyd Robinson
Post Office Box 8180
Anchorage, Alaska 99508
Subject: Tract 7(Block 1) Turnagain Park Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
The water analysis report be delivered to this office
from Chem Lab, 5633 B Street, for our review.
(2)
A four(4) inch cast iron cleanout needs to be installed
to the septic tank.
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listing
of private firms performing 'the test is enclosed. This
report needs to be submitted to this office for our
review.
(4) If there is not a septic tank on the property, a 1,000
gallon septic tank will need to be installed.
Prior to installation, a permit will need to be obtain
from this office.
Please notify this office for a reinspection when the noted
descrepancies have been corrected. If there are any further
questions, please call this office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
1241 26th
Anchorage.
Lloyd Robison
Date August
; ~dress BOX 1039
~" 12J66
210 yds gravel @ 1.20
200
S, 252.~0
!t
!l 2 o!oo
-",, ~edi?rm
Crading 5hfs
Ii
i
I
STATEMENT
lJ 7%1oo
!'
$ 642.00
Address
City
6-20J66
Redi~orm
8S 882
1241 26th
Anchorage
Dote June 22
L19yd Rgbison
' ]966
Box
Anchorage
Excavatet furnish~ install
backfill sewer line {I
80' ~ ).00 !J " :
!: 240.'00
Excavate, furnish, install
backfill septic tanit " 400.00
bend
stall
225 .00
515o._
STATEMENT