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Home My WebLink AboutEAGLE CREST #1 TR A LT 3 PERMIT NO. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION o 825 'L' STREET, At~CHORAGE, AK. 99501 264-4?20 ON--SITE SENER PERMIT ( 780965 ) APPLICANT LOCATION LEGAL VIC KING 3529 MT VIEW DR 99504 4TH STREET 13 TRACT R EAGLE CREST S/D LOT SIZE 277 4477 18110 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR)= 130 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= ~-I LEt~GTH= ~ GRRVEL DEPTH= 8 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 EXCRVRTIOH (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). REQU I RED SEPT I C TANK S I :>'E= "! ~50 GALLONS PERMIT RPPLICRtIT HAS THE RESPONSIBILITY TO I~FORM THIS DEPARTMENT DURIMG THE INSTRLLATIOt4 INSPECTIO~S Of ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ------ TWO (2) I I',ISPEC:T IONS ARE REQU I RED BACKFILLING Of Rt4Y SYSTEM WITHOUT FINAL INSPECTIOH AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 PEET FOR A PRIVATE WELb OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTIOM DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES DECEMBER _~:L~ 1~q78 I CERTIFY THAT t: I A~I1 FAMILIAR WITH THE REQUIREMENTS FOr ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MU~;ICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3; I UNDERSTAND THat T~E ON-SITE SEWER SYSTEM MRY REQUIRE ENLARGEMENT IF THE RESI.DENCE IS REMOD~I.E~/TO INCLUDE MORE THR~4 4 BEDROOMS. APPLIC - - f~usseff OV~;'er 694,2774 Soils Ef Foundations O ~ E GE '~'/'"ECHNICAL ~- DEVEL.,PMENT CO. Perfomed for: Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 6~-22~0 Legal Description: sozL Natllng Address: 5otl Chara~!:ertsttcs Depth (feet) Tel. No. Ead Ellis Land Development o 1 2 4 5 6 7 8 9 -13 15 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Co~ents: Ho ~-/ If yes, whit depth Dratn Fteld Performed by: Date: ~ /~'N, /¢,UNICIPALIT( OF ANCHORAGE I~ONMENTAL PROTE~ION ~)' JAN ~ 1979 A & L D ILLINC COMPANY RECEIVED BOX97, EAGLE RIVER, ALASKAg9577 * TELEPHONE694-25~ ADDRESS -~...~ ~ '~' LEGALDESCRIPTIO,",,L-Z .~' 7"'K'L/~'~.7" /gl" ~',,,9¢,~:5' ~/::~'7~DRA%¥DOWNFT' DATE-SI~r, ed /O/.S--?e E,ded Io/~-/?~ GALS. PERIIR PERMIT NUMBER '7~J~ t9 ~'~- 7 KIND OF CASING DEPTII OF WELL ~._~q~ j 4 I! STAtiC LEVELOF WATER FT. .~O ;' KIND OF FORMATION: From 0 FI. lo C~ Ft. _~r.~'~_-,~ /~O~'~° From From~Ft. to /g Ft. ~eO~ From FromJ~ FI. to 3~Ft.~ ~U~~0 From From._~_~'Ft. Io ~.~__Fl. Fr om ....~'.?_~_ FI. lo -?'~ q FI. From From__.Ft. lo Ft. From Ft. lo Ft. From Ft. to__Ft. From Ft. to Ft. From Ft. to FI. From__.Ft. to Ft. From__.FL lo Ft. From__.Ft. to FI. From From From From From From From FI. to FI Ft. to Ft. __Ft. to__Ft. Fl. to__.Ft, FI. lo FI Fl. to__,FI. FI. to__.FI. Ft. to__.Fl. __Fl. to__,Ft. FI. to Ft. FI. to Ft FI. to__.Ft FLto Ft.. Ft. to Ft Ft. to__.Ft. Ft. to__.Ft. FI. to Ft MISCL INFORMATION: DRILLER'S NAME i,,~ PERM r'lUN I C I F IL- I TV OF I::INCH( ~,I:IOE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 264-4720 HELL PERM I T 780947 ) APPLICANT LOCATION LEGAL VICTOR KING 3529 MT VIEW DR HILLCREST OFF EAGLE RVR RD L3 TRACT A EAGLE CREST S/D LOT SIZE 277 4477 18084 SQUARE FEET MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR R PRIVATE WELL; OR i50 TO 200 FEET PROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS PRE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COHPLETION. OTHER REQUIREMENTS MAY APPL~ SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTRLLATION. PERM I T EXP IRES DECEMBER :~::!...- :1.~)7S I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR OH-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. ~2: I WILL I~S~iRLL THE SYSTEM I~ ACCORDANCE WITH THE CODES. ~ SIGNED:-~-~C~T -~IC~-~ .... Y ........... 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. HAA # GENERAL INFORMATION Complete legal description Location (site address or directions) ./~.,5",/D'/ ~,,.~-~D3.) ~'~', ,~', e Property owner Mailing address Lending agency Day phone Day phone Mailing address Agent Day phone Address 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. 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. DavSd R. Day,on P.E. Phone ~'~/~:~'~/~' Name of Firm '-h~glak,,A~la~ka 995&Z . Engineer's signature SIGNATURE Approved for r-r-~z/~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality nf 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,egistered in the State of Alaska. The DHHS does this as a courtesy to pumhasers 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 ur omissions in the professional engineer's work.. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: .If A, B, or C, attach ADEC letter. ADEC water system number. Date completed Driller __ .Cased to Casing height Wires properly protected (Y/N) .g.p.m. g.p.m. Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: .Nitrate Other bacteria Collected by: Bo SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size I Z, ~ Compartments ~-' Foundation cleanout (Y/N) /~/ Depression (Y/N) ,/'-/ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /,//,,5' To property line Sudace water/drainage On adjacent lots ~L/~,//'~- Foundation Absorption field ~' ~ Water main/service line 72.02~ (3/93)o Frail CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level 'Pump on' level at Meets MOA electrical cedes (Y/N) Manufacturer Manhole/Access (y/N) 'Pump off' Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots .Surface water D. ABSORPTION FIELD DATA Date installed. Length r-', -; ~5" Total al~sorptjo_.n_ area Date O[ ade~u'.a, cy test Water level in absorption field before test Peroxide treatment (past 12 months) (y/N) Well on lot To building foundation On adjacent lots Surface water Curtain drain SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ,C///~ On adjacent lots I oC~-t-- Property line /' ~ / ~"7 To existing or abandoned system on lot Cutbank ~4,/.~- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, ve#tied, ~r conf~rned to all MOA and HAA guidelines in effect_oD ]he date of this inspection . ... . : o to · Engineer's Name , .AA Fees /?0 Date of Payment Receipt Number '72-026 (3,'93)' Back Waiver Fee $ Date of Payment Receipt Number. ,/?~//~'~" Soil rating (GPD/Ft~) /.~ System type ~dth ~ ~ ~ Grovel ~ic~ess ~ Total dep~ ~ Cleanom pre~nt ~) ~ ~ Depre~ion over field ~) ~/~ ~ Resul~ (p~ail) ~ for__ ~ ~d~ ~ ~ ~ A~er test ~ If yes, g~e date D. R. DAYTON, P.E., R.L.S. h~x78~B~]~3~6 Chugiako Alaska 99567 20210 Donalar (907) 696-2417 June 14, 1993 Municipality of Anchorage Dept of Health and Human Services P.O. box196650 Anchorage, Alaska 99519-6650 Re: Lot 3, Tract A, Eagle Crest Subdivision The house on the subject lot has been connected to the AW~J water system. The well was abandoned by filling the casing with clean gravel to 10 ft. below ground level. From 10 ft. to 5 ft. the casing was filled with bentonite grout. The casing was cut off 5 ft. below ground level. D. R. DAYTON, P.E., R.L.S. ~I~L~6 Chugiak, Alaska 99567 20210 Donalar (907) 696-2417 July 14, 1993 ADEQUACY TEST Legal Description: Lot 3, Tract A, Eagle Crest Subd. Date of Test: June 30, 1993 aeptic Tank: 1250 gallon, Sunset Plastic'Tank Absorption System: 35'1ong x 2%' wide x 8' effective depth trench Soils Rating: 130 sq. ft. per bedroom Requirements: 4 BR - 600 gallons per day Test: 605 gallons of water were pumped into the absorption trench. There was no rise in the liquid level in the trench. There was no water standing in the trench before the test, There was no water in the trench after the test. The absorption system is currently functioning adequately for a 4 bedroom home. D~PT. O~ H:ALTH & MUNICIPAUTY OF ANCHORAGE ENVIRO~ENI'AL P~O?ECTtON DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION Telaphoe~e 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES 1. PROPERTY (j~N.ER ~ MAILING ADDRES~ PROPERTY RESIDENT (If defferent from abo~,e) ,-, · ~:~fe~,- ~((~ f ~rl L~. ~ 2, BUYER ~ __ ~ ~ . MAILING A~I .DR E~ ~ ~ENDING I~TITUTION / / PHONE MAI LING ADORE~ ~ ~LTO~AGENT ~ ~__ ~' ~/ ~ ~ PHONE ~i ADD ~ LEGAL pESCRIIq'ION ~REET L~ATION TY~E OF R~IDENCE NUMBER OF BEDROOMS ~ One ~ Four ~~ SINGLE FAMIkY ~ Two ~ Five ~ MULTIPLE FAMILY ~ ~r~ ~ Six I-"1 Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY SEWAGE DISPOSAL SYgI'EM ~ INDIVIDUAL/ON-SITE** f-1 PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for ail wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) ~ ~ *'If individual/on-site, give installation dat~'-- /"-~ '~<~'/ . If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) i THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOI~ [] SINGLE FAMILY I'-1 ONE [-I THREE i-'l FIVE r-] 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 [] INDIVIOUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER i'--I Sept i.c.~Ta.,.~ or i-'l Hotding Tank Size: ('~=/'~ u If Tank is homemade SOILS RATING give dimemion$: ~ ~ (~ TYPE OF TANK MANUFACTURER TOTAL A~SORPTION AREA MATERIAL Ab~mptlo~ Aree to neme~ Lot Line 5, COMMENTS ' ~"~PPROVEO FOR ~ BEDROOMS r-I CONDITIONAL APPROVAL (letter must accompan~f ~/~tificate) DATE 8¥ ('rltle,j/~ / / LEGAL DESCRIPTION 72-010 (Rev. 3/78) 82'5 "L" STREET ANCHORAGE, ALASKA 99501 (907) 2,54-4111 July 18, 1979 Victor D./Linda L. King 3529 Mountain View Drive Anchorage, Alaska 99504 Subject: Lot 3 Tract A Eagle Crest Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: ' (1) A well log submitted to this office. ~ (2) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Security National Bank 2525 C Street - Suite 502 99503 Helga Larson % Team Real Estate Post Office Box 594 99577 47~ D St,'met stm~l~CT: Lot 3, Tm X, ~ Crust subject lot As not nvaLtaMo to ~ubLt¢ sm~r, and At J~ not ecm~m- loast 100 hot rrm 1~o seumr sysmn, should provido · potablo ~ o~ uator ~ XnstaXlod ~o stato and ~al ~..~£~.