Loading...
HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 6Engle Crest #1 Tract A Lot 6 #050-303-05 V GREh 'ER ANCHORAGE AREA BOLAGH • G� Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ADDRESS LOCATION ✓(• C' K - LEGAL DESCRIPTION SEPTIC TANK: PHONE -.7 4 DISTANCE/ 1}// 7/ NUMBER OF FROM WELL Q� o � MANUFACTURER � �^-� MATERIAL /�/ COMPARTMM ENTS //�� INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH L LIQUID CAPACITY/ -O -O—( "ALLONS. I / TOTAL LENGTH DISTANCE FROM WELL L�FOUNDATION O 2 NEA�RES,T LOT LINE 70 OF LINES �k NUMBER OF LINES/DISTANCE BETWEEN LINES _L'ES,/�TRENCH WIDT/14-w IN. TOTAL EFFECTIVE ABSORPTION AREA "' SQ. FT. LENGTH OF EACH LINE IDEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE Ir MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: "a TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION_, LOT LINE CESSPOOL , OTHER SOURCES `K �� DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE , TANK . SYSTEM_ APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM OM g4l V Me) - INSTALLED BY:iew SEWER LINE DEPTH: n D2�V-P v PIPE MATERIAL: C '� ,d� s oQ l SKM p / LOT SLOPE: Cr REMARKS: So/ z -SS / o DATE � APPROVED_ `— L5'L�C�r(`1!7.'T G.A.A.B. Form EQ -032 rilffE�dtfiIIt�Slff fl1i5l1CF;i hHn EIJ'FTROW+rI:ITa"w.R'FT {3T3EN �. 825 STREET, ANCHORAGE, AK. 9' 91 279-2511 – / >-r ( / Ortel—S I'TE SEWEFZ F>ETKUl I T �rK - A_A_C Y3IC PERMIT NO. < 77168 APPLICANT HAMANN CONST BOX 617 E.R. 694-2T�d'�r/ LOCATION 4TH ST LEGAL L6 TPQCT A EAGLE CREST SUBD LOT SIZE 18495 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER, OF BEDROOMS = 3 SOIL RATING <SO FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E>EF�'-r 19 L.E"9"3-r 22 GFZFFk+EL. F?EFS* -r �- THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH ORKIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF JHE EXCAVATION <IN FEET). THERE IS NO SET WIDTH FORLTRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET). FZEGEU I FZEF7 SEF}T I G TF:lr4K 53177"F -E= 190 + iGHLLOt�� TWO < 2 ] I "'-SF�ECT I Oras FFFZE FZEQU I FZEE> 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 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS 0ND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F" I T IFIL. I t> F= OFZ O44K YEFIFZ F= FZOtl I S}SUE I CERTIFY THAT 1: I AM FAMILIAR, WITH THE REQUIREMENTS FOR Ott -SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNEC ISSUEC A/e- 7 cRCnTER ANcnulcnr,L AILA VOROUcu Department of L'nvironmental Quality 3330 "C" Street Anchorage, Alaska .;.M03 sOu,s.►.Oa - I T•.ROLA•TION Ti:5'C PcrfornKd for Date Perfonixrd Q L9 pn6 _� ;- Legal Ueseriptiuni�,P_ TRpe L T SvBD This form reports: Soils og Percolation, test Depth Feet -- 2 l o pso�� • 3 " C��UEIS _ CG PJ 1 . 6- 7- —10 12 13- .. �6 �s 711im •_ 14 Was ground water encountered? /fid If yes, at what depth? T Percolation rate- im nu>e. --- Uraiii'ield -proposed installation: Seepage Pit �_^:_,_ Depth of Inlet.-- Depth to Lottom o pit or trench - COMNENTS •Z e Cortif�ed 7 By: Jatei ��' Date Gross Time Net Time Depth to Wntcr Net Drop Reading Percolation rate- im nu>e. --- Uraiii'ield -proposed installation: Seepage Pit �_^:_,_ Depth of Inlet.-- Depth to Lottom o pit or trench - COMNENTS •Z e Cortif�ed 7 By: Jatei ��' �l IV 5 r-1Ur-1 I C I,"f=lI I TY OF nr+JCFol FR F=l 1:3 I=— DEPARTMENT for HEALTH AND ENVIRONMENTAL NOTECTION 825 STREET, ANCHORAGE, AK. 99501 279-2511 L4 PERMIT L_ F�ERr'1 I Toj PERMIT NO. C 7715c, ) 1�/ APPLICANT TACK B MEADOWCROFT 6800 ELMRICH CT 337-6519 LOCATION LEGAL L6 TRA EAGLE CREST SUBD LOT SIZE 18495 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC'WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T' ItFAL_ I © FOR Or -JE YEFiR FROM I 1-3 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 THE CODES. SIGNED: 'Gula_ __ s find --------------- RPP� JACK B MEAD JCROFT ISSUED BY__'_�-------- DATE -I[ k S 1_L Z__- M -W DRILLING, INC. DRILLING LOG Well Owner Jack !Ieadovrcroft Use of Well '• Location (address of: Township, Range, Section, if known; or distance main road Lot (i Tr: Ct A E,%.)Ic Crest subdivision I Size of casing 6 nepth of Hole 329 feet Cased to ? 26.15 feet Static water level 2 ft. (above) (beiow) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ). Describe screen or perforation N A Well pumping test at 6 gallons per (hour) (minute) for 1 hours with 100 , ft. of drawdown from static level. Date of completion 4/27/77 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness --2--To 2 TO =; TO 25 25 TO 60 60 TO Ta'') ^?0 TO 270 ?70 TO 301 201 mn .11S 318 TO '321 321 TO 129 TO TO TO Casing st ckup Organics . Silty gravel ani cobbles Hard pan and cobbles Gravelly hard pan and cobbles Silty sand Hard nan emd cobbles GrrAy(,lly hs,r,i nan and cobhle.. Vater iiravel.: ^ nnm Rater gravel:6 qpm }lard pan ca Contractor s i'l G 973 3—CONTRACTOR r"'rai Development services Deportment Building Safety Division on-site Water d Wastewater Program 4700 Brogow:tree P.O. Box 196650 Anchorage, AK 99519-6650 Csmltc c9M sea -"N Pump Installation Log Well Drilling Permit Number: Date of Issue: — — — Parcel Identification Number-0-�0�-Or I LD en i_ , i 2 ge [ siadc I.at 6 T � ,'14�Bowman Ray /73BO Cj Afion k'd Pump Installation Date. 3 O Pump Intake Depth Below Top of well C2e18V. 31 R reet Pump Manufacturer's Name. Y. -MSL Pomp Modd• V-3100 Pump size ��hp Pitless Adapter Barial Depth: feet Pi" Adapter Manufaclarer's Name: Pitless Adapter Installer. Wen Disinfected Upon Co k nT ?Q Yps O/No Method of Disinfection: Comments: Pump butaner e: �• �jO PAs Bn n _ _ /Nam-- Company:IjkeOe�. L�I7 ti1'�1-ist'_s Mailing Address: P0, BoX 771236 Attention: The pmt indalkr shall provide a pump installation log to DSD within 30 days ofpamp installation. 1860 MUNICIPALITY OF ANCHORAGE ldl /Yt � MUNICIPALITY OF ANCHORAGE EPNIRONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Subdivision 625 Stress - Andwrape, Ainks BB501 • V ��� C �J^1978L ENVIRONMENTAL ENGINEERING 064.4 12 NNO DIVISION RECEIVED )t SINGLE FAMILY ❑ One ❑ Four ❑ Other REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complote NI parts on pope 1. Incomplete requasb will not be Processed. Please allow ten (101 days for processing. 1. PROPERTYOWNER X®C Three ❑ Six PHONE Jack B. Meadowcroft )GX INDIVIDUAL' 694-2159 MAILING ADDRESS since June 1975. For wells drilled prior to that date, give well Box 179 Citation 99577 depth (attach log if available.) PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Richard Stanton by this Department. 694-2982 MAILING ADDRESS Post Office Box 147 99577 S. ENDING INSTITUTION PHONE National Bank of Alaska 276-1132 MAILING ADDRESS Pouch 7-025 99510 4. REALTOR/AGENT Myrna Johnston 8 Area Realtors, Inc. 694-9555 MAILING ADDRESS Post Office Box 249 99577 S. LEGAL DESCRIPTION Lot 6 Tract A Eagle Crest Subdivision STREET LOCATION 6 TYPE OF RESIDENCE NUMBER OF BEDROOMS )t SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY X®C Three ❑ Six 7. WATER SUPPLY )GX INDIVIDUAL' *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 7fiC C INDIVIDUAL/ON-SITE" "If individual/on-site, give installation date 1977 If system is over two (2) years old an adequacy test is required E3 PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 7241043/78) H0-0 THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE r DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE C3 PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 1000 If Tank is homemade give dimensions: IS" SOILS RATING TYPE OF TANK MANUFACT RER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Nearest Lot Lim Absorption Ares to nearest Lot Line S. COMMENTS qy APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 IRev. 3/78) n MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION REQUEST INDIVIDUAL SEWER R&AWATER AFACILITIES RECEIVED 1. Type of Inspection: CMRO VA FHA CONV X_ 2. Property Owner: Jack B. Meadowcroft • Box 179 Citation Mailing Address: Eagle River, AK 99577 Day Phone 694-2159 3. Name of Buyer: Richard Stanton FagppQBox 147 Mailing Address: e River, AK 99577 Day Phone 694-2982 4. Name of Lending Institution: National Bank of Alaska P. 0. Box 60,0 Mailing Address: Anchorage, AK 99510 Phone 276-1132 03•�' REALIOR' 5. 6. 7. A 9. Name of Realtor or Agent: Myrna Johnston/AREA Inc. Realtors Mailing Address: P. O. Box 249, Eagle River Phone 694-9555 AK 99577 Legal Description: Eagle Crest Tract A, Lot 6 Location: Go up Citation from E.R. Loop Rd., Cross Crestview (now you're on 4th St) House has Cedar Trim, is.3Rd one on right. Type of Facility to be inspected: Single Family No. Bdrms. 3 Water Supply Type of Supply: Public Utility Individual x If Individual, number of dwellings presently served (1) If Individual, depth of well 328' Sewage Disposal System Type of System: Public Utility If Individual, date of installation AREA, INC. REALTORS Anchorage C' St. Office 3300 C Street (907) 278.2525 Individual (on-site) x November 1977 East Anchorage Eagle River Eastgate Office Parkgate Office' 5437 E. Northern Lights P.O. Boz 249 (907) 278.2525 (907) 6949555 la:a.lo:u CI ',0X -L0 CITOLOCI41 LIZ' ORI OR'M OV i `• TELEPHONE ("Ce (S97) 278-4014 --s P.O. BOX 4.1276 ANCHORAGE. ALASKA 93509 4649 BUSINESS PARK BLVD. Drinking Water Analysis Report for Total Col;form Cacteria TO BE COMPLETED BY WATER SUPPLIER PUBLIC WATER SYSTEM: I.D. NO. "t c.K-1� �QAw C QOPT— Publia Water System Name K. SAMPLE DATE: .3 o d 3 Mo. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. 1 ❑ Treated Water ❑ Special Purpose ❑ Untreated Water TO DE COMPLETED BY LADORATORY LABORATORY: CHEM & GEO LABS CF AK., INC. NAME . 4649 BUSINESS PARK BLVD. ADDRESS .-NCHORAGE . Al ASKA CITY Date Received Time Received 9awL Analytical Method: ❑ Fermentation Tube KMembrane Filter SAMPLE loml Ioml Time Collected Lab Ref. No. Result' Analyst LOCATION Collected By _ I t,G T125' A I l 14 I L --L4 3 I I I m a l I I I m 5 • allo. el celenNc I too ml. or Na. at Poalll.e ponlone. 06.1220 (e) BACTERIOLOGICAL WATER ANALYSIS RECORD Pa.. 1970 I0-3-78 Data Collected Source READ INSTRUCTIONS ,n 9-45(:S;) 8837-14 Dela RecNwE -a -7R Tlme Racalvao__om. UD. No. Presumptive loml loml 24 Hours BEFORE 'e No"rr — ConllrmHory 24 Hours _ ee NO.'S loml Ioml 20_ml 1.0ml 0.1m1 _ COLLECTING SAMPLE Form No. 111310 (3.78) Multlple Tube Report: Membrane Filter: Direct Count Verlll-- Final Repo, Broth 24 pour{r Broth Ae hpYre: 10MI Tuber Posltlw/Tolal 10ml Portions Coliform/100ml MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES�Qk GEIv {e�y Division of Environmental Services On -Site Services Section �J P.O. Box 196650 Anchorage, Alaska 99519-6650 /v 343-4744 .. CERTIFICATE OF, HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.# OS0-303—os' 1. ..GENERAL INFORMATION •Complete'legal description ` L4T ' % �2 tFGT A: SLE �!ZE-ST Y S�p 1 `Location (site address ordirections) -%9330 Lrlr;t 7 VA/ Sr Property owner -t�C%G s'77f /V77>n/. Day phone GQ¢' X155 1 Mailing address'J9334. C1rs7-nvA1 Sr.. Lending agency" Day phone Mailing address'-' Agent ieATHy ;,`G<FL/ i�PO/f� / Dayphone--l�%4—'%/ZS Address 1/`��� ��-� ^I f-t7�.I YY . �l✓C-�K �%%$ Unless otherwise requested, HAA will be held for pickup. 2 ...NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well X X Community well - - Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4.:• TYPE OF WASTEWATER DISPOSAL: Individual on-site k x 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. 72-MCRWAM) Fr MOAC21 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 incompliance with all. Municipal and State codes, ordinances, and regulations In effect on the date of this inspection. ,S & S ENGINEERINGG 4 _,)_5 -7 y Name of Firm Phone Address Eagle River, Alaska 99577 Engineers signature /i/7,. Date OF q� / 9h40 r r r 0 6. DHHS SIGNATURE By: Approved for T H R E bedrooms. Disapproved. ' V} ` ROBERT C. COWAN '0 CE -8801 It 4iro, Conditional approval for'"` bedrooms, with tlie.following stipulations: Additional Comments MITI C Date 10'1_17 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 registered in the State of Alaska.The DHHS does this as a courtesyto purchasersof homes and their lending institutions in orderto 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 engineers work. r2 -M VU.. u,t Back MOA M 1 RECEIVED Municipality of Anchorage SEP 3 0 1999 DEPARTMENT OF HEALTH & HUMAN SERVICES" Environmental Services Division ML*"AUTY OF ANUI, RA 825 L Street, Room 502 • Anchorage, Alaska 99501 • I vwu ulywo Health Authority Approval Checklist Legal Description: Lo ro Fi4 S parcel I.D.: O S O - 30 3- © -5- A. A. WELL DATA T4*C7-A) Well type / VA '�TJ/X It A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) 7E� Date completed Z -7 7 Total depth 328/ Cased to 32G • Casing height (above ground) % /4 - Sanitary seal®/N) Yes Wires property protected(!9N) YE -s Date of test Static water level Well production FROM WELL LOG 293 WATER SAMPLE RESULTS: 4 AT INSPECTION 9b:? -/99 2 X79- g.p.m. 5. % 9— p.m- Coliform .-ti?- Nitrate 15? o 6 Other bacteria v Date of sample: %7 Collected by: B. SEPTIC/HOLDING TANK DATA Date installed - ` Tank size/ CWyr Number of Compartments Z Cleanoutq46)N) `�E� x Foundation cleanout (Y& ND Depression r© /U High water alarm (YM) �1 Data of Primping '79 Pumper i�"A CC4 rl T 4w1.a 6-rC 1 L /'R•v, •40 ice. ti OE Novt t. C. AQSORPTION FIELD DATA Date installed Z/ Soil rating (g.p.d./ft2 or ft°/)drm) System type Length 28L Width 3� , Gravel thickness below pipe S /�o Total depth —LQ Effective absorption area 33 G � Monitoring Tube present&) Depression over field (Y&) -&O_ / Date of adequacy test 7gf Resul P ` ail) 55 For 7 H7 -&- bedrooms Fluid depth in absorption field before test (in.); Z—Immediately afte1,%?ta'0gal. water added (in.): 3 Fluid depth 3 3 (ins) Minutes later. Absorption rate `T`JU g.p.d. Peroxide treatment (past 12 months) (Y/N) NONE AIZ441 t! If yes, gave date 72-026 (Rev. 3/98)' D. LIFT STATION Date installed Siz Manhole/Access (Y/N) on" level at• High water alarm level at' Cycles E. SEPARATION DISTANCES *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump oft" level at" Septic/holding tank on lot /00 / -f- On adjacent lots /00 /7' - Absorption field on lot /00 r On adjacent lots AV / f- Public sewer main /V /,4 Public sewer manhole/cleanout /V� Sewer /septic service line 106 7L Lift station ,V / A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation S / Property line S /-f— Absorption field f' Water main/service line /b f Surface water/drainage 1CQ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 162'74- Building foundation /0 4- Water main/service line %O / 2 / Surface water /062 -It- Driveway, parking/vehicle storage area Curtain drain -%biVc - 0C,//Oz✓N Wells on adjacent lots /00/-/- F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records in conformance will) gusQellnas in effect on this date. Signature Engineer's Name /C d 9�-Lt C - lQw�fi✓ Date HAA Fee S ' Waiver Fee S Date of Payment Date of Payment , Receipt Number ` *0Receipt Number 72-026 (Rev. 3(96)' 'A\ 108M C COWAN � CE -8801 \ �............, i