The URL can be used to link to this page

Home My WebLink AboutEAGLE CREST #1 TR A LT 24 GRE/ , R ANCHORAGE AREA BORudGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~~"~,~,~-,t,,~ LOCATION MAILING ADDRESS ~.--OO'..~.~,~L~l PHONE LEGAL DE 5C R ,PT I O N ~z~~'~~. SEPTIC TANK: DISTANCE FROM W E LI./~,'-- INSIDE LENGTH MANUFACTURER MATE RIAL COMPARTMENTS '~' ~ ~ GALLONS. ~ INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/'~'~ TILE DRAIN FIELD; DISTANCE FROM WELU/~7'"//)' FOUNDATION ~'~)f NEAREST LOT LINE /~) ! TOTALoF LINEsLENGTH~/' I NUMBER OF LINES J/ DISTANCE BETWEEN LINES ..~//,/~- TRENCH WIDTH,~ IN. TOTAL EFFECTIVE ABSORPTION AREA ~-~/~ 0 SO, FT. LENGTH OF EACH LINE ~ ~ I DEPTH: TOP OF TILE TO FINISH GRADE ~ I DEPTH OF FILTER MATERIAL BENEATH TILE /O ! ~. ABOVE TILE ~-~ IN. WELL: /P Z- TYPE BUILDING FOUNDATION CESSPOOL APPROVED /4' CONSTRUCTION NEAREST NEAREST LOT LINE , SEWER LINE , OTHER SOURCES DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE , TANK ~ SYSTEM DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL;J~J,L~/~-~. LOT SLOPE= REMARKS: Form EQ-032 DIAGRAM OF SYSTEM PERMIT NO. DEPARTMENT ~ HEALTH AND ENVIRONMENTAL .OTECTION I/'/~'7~ 2516 E. TUDOR RD., ANCHORAGE, AK. 9~507 ~. 276-2221 WELL A~ 0~----~ I TE SEWER PER{'11 t APPLICANT LOCATION LEGAL ROGER SEVERSON BOX 88 ~RD & CRESTVIEW L24 TRACT A EAGLE CREST SUBD LOT SIZE 694-2288 22888 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUr.1 NUMBER OF BEDROOMS = 4 SOIL RATING (SO FT?BR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= :L4 lE[46Th= 24 GRA~'EL DEPth= ~LO 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 EXCAVATION <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 ! RED SEPT I C tA%~F( S I -~e---- ~_25C~ GALLONS TWO < :2 > I ~SPeCT I O~S FIRE REQU I RED BACKFILLING Of ANY SYSTEM WITHOUT fINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BET~4EEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 108 FEET FOR A PRIVATE WELL OR 288 FEET FOR A PUBLIC WELL WELL LOGS AIRE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~8 DRYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER I NSTALLAT I ON. PERMIT '-/ALID FOR Of 4E YEAR FROF~ ISSUE I CERTIFY THAT l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RNI> WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED:--- APPLICANT ROGER SEVERSON ISSUED BY-. DATE ............... GreaTeR ANCHORAGE ARea BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NOT~ THIS PERMIT IS NOT VALID WITHOUT ~Ol/ TEST FINAL INSPECTION; ;[4 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE: SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REOUIREMENT~ DRAIN FIELD /oo ' SEEPAGE AREA SIZE TYPE WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT GREATER AN H RAG ~ I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF C O EAREA BOROUGH ORr~INANCE NO. 28-68 AND THAT THE ABOVE }~JNICIPALITY OF ANCIIORAGE Department of Health and Environmental Protection SOILS LOG Performed for Roger Severson Date Performed 10/16/76 2 6 red, brown, sandv si%t w/or~anics (ML) oerc rate=2?Sft~ gray brown silty sandy gr~vel (GM) p~rc rate= · '' bd~ -- red brown sandy silt with organics (ML) pe~c rat§ · 2?5 ft~/bd~ gray brown sandy gaf_avel with trace silt (OW) perc rate = 115 ft2/bdrm " Total Depth = 18 ~. ' · · ' no water table encountered AVERAGE'PERC ·RATE FROM SOILS LOG = 147 ft2/bdrm Date Net Time Depth Net Drop Percolation Rate minute Performed By ~ I oo Parcel I.D. fi MUNICIPALrl~"0F 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 AUTHORI'I:Y APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone Day phone Day phone 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 verity 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 verity 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. DHHS SIGNATURE /~ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 prof*.ssional engineer registered in the State of Alaska. The DHHS does [his 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 L ?-4 I'"'~=,~.-~ A E-'~l~_~.v-~s,~ Parcel I.D. (::~o '5~ Z~- Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth ~.9 $ ' Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. Date completed Cased to Date of test Static water level 'Z45o (o Well flow Pump level Z.~o' FROM WELL LOG ADEC water system number I ~"+ '~ Driller Casing height v' Wires properly protected (Y/N) QNMUNIC!PAUTY OF AN~wORAGE AT~ .N ~,.~ ~TI rr'NVII~V~ENrAL $ ER"'ICE$ DIVi.~,ON g.p.m. ~'~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent Jots J 05' / ; On adjacent lots -t-~oo' · ~ 7..c~' Public sewer manhole/cleanout + 'Z~" .Petroleum tank WATER SAMPLE RESULTS: Coliform {~ Nitrate Date of sample: Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed I ~.~,, Cleanouts (Y/N) 'V High water alarm (Y/N) Date of pumping Tank size I--z.<; ~ Compartments 7_. Foundation cleanout (Y/N) ¥ Depression (Y/N) rv ,~ Alarm tested (Y/N) -- 4'30-93 / Pumper 3~ P~'~J) ~h ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 9~' ~ '''// To pi uperty I.ine Surface water/drainage On adjacent lots .i-too' Foundation Absorption field I O' Water main/service line ~- 50 ' · t-I ~0~ 72-02S (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at ~ .,----"P'~ump off'i i~li~eht :l~it(~ r/le~t ~i~Va~ lc o d e s (y/N ),,~.~. jL,,"~. ' Cycles tested/X _ SEPARATIO~OM LIFT STATION TO: W.~ot On adjacent lots level at Surface water D. ABSORPTION FIELD DATA ....... Date installed :" ' ~-(o m Soil rating *' I ~ ~'; v.. System ~pe ~ ~4~ ~ ' ~, ~' ~ Length · ' Width Gravel thickness Io' Total depth Total absorption area ~ ~' Cleanouts present (Y/N) ~ Depression over field (Y/N) ~ Date of adequacy test ~-~ 3~ Results (pass/fail) ~5 S for ~ ~ Peroxide treatment (past 12 months) (Y/N) ~J If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ' ' Wellonlot IO$' Onadjacentlots ~ /co' Propertyline IO ' To building foundation 7_o' To existing or abandoned system on lot I, JR On adjacent Jots '* ZO' Cutbank + ~o' Water main/service line -* I oD ' Surface water +1 co' , Driveway, parking/vehicle storage area 4-~<; ' Curtain drain .+ ~o' -f~'c.~.ck 1,4-' bedrooms E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ~ Engineer's Name ~...~o~ Date HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payn~ent Receipt Number ~UNJClFAU,TY OF ANCHORAG~ ,, 13EPT, OF H~LTH & ENVi~ONNENTAL PROTECTION MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES · ,lAN 2 8 1987 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL R E C E IV E D oF ON- ,TE AND WA TER AC,',TY Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Tract At Tot 2~, Eagle Crest Subdivision, Ea~le River Alaska Location (address or directions) 19~*~2 ~rd Street, Ea.gle River, Alaska 99577 (b) PropeR Owner Wallace Graham Telephone: Home 69/~-2023 Mailing Address 19~2 ~rd St'reet,' Eagle River Alaska. (c) Business 561-1188 99577 Lending Institution Seattle Morl:gage Telephone ('907) 562-5626 UailingAddress 4457 Business Park Blvd. Bldg. N Anchorage, AK. 99503 (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the followino address: on Check here D, if hold for pick up. List contact pemon and day phone number below. Wallace Graham 561-1188 19h~2 ~rd Street Eagle River, Alaska 99577 TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms WATER SUPPLY Individual Well]~] Communityrl 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 Onsitel~l Publicl"] Community[] Holding Tank [] 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 12.o2sm~ 8,861 Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION · As ce~ified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Flealth 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 Alaska Geotechnical Consul't;an-~,e~ephone 337-3890 Address g09 ench CQurt, Anchorage, Alaska 9950 Date Jan 19, 1987 6. DHHSAPPROVAL Approved for "-~r,/bedrooms by Approved Disapproved Conditional Date Terms of Conditional Approval 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 S 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. MUNICIPALITY OF ANCHORAGE (MOA) A~.ALTH AUTHORITY APPROVAL (HAA) f'ROTEc"Ti~j~,~ -- 1 (~ ~'~egalDescription: ~ e Cres~ Subdivision Well Classification '~ J~ ~u~ ] If A, B, C, D.~C. Approved (Y/N) Well Log Present (Y/N). '~eG Date Completed '[~7~ Yield ~ ~ -- ~ Total Depth 2¢~ ~ Cased to 2~2 ~ Depth of Grouting ~o~e [~d[c~ted on [o~ Static Water Level 280 ~ Pump Set At 2~0 ~ Casing Height Above Ground 2~" Senita~ ~al on Casing (Y/N) ~e~ ~o Depression Around Wellhead (Y/N) ~o Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot 99 To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line CleanouVManhole Water Sample Collected by ]~[owa. rd K. Water Sample Test Results ~'~' ~ ; On Adjoining Lots 120' 105' ' : On Adjoining Lots 1~0' To Nearest Public Sewer To Nearest Sewer Service Line on Lot Weston ;Date Dec, 2~, 1986 No Coliform Detectedt Test results al;tached Comments B. SEPTIC/HOLDING TANK DATA Date Installed 1976 Size 12.50 Nc. of Compartments 2 Standpipes (Y/N) Yes Air-tight Caps (Y/N) Yes Foundation Cleanout (Y/N) Depression over Tank (WN) No Date Last Pumped Jan. 1 ? t Pumping/Maintenance Contract on File (WN) ~1'O ; for ]'I/A Holding Tank High-Water Alarm (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water-Supply Well 99 ' To Property Line /4, 0' To Water Main/service Line N/A Course About '~00' Temporar~ Holding Tank Permit (Y/N) Yes 1987 N/A To Building Foundation 16' · To Disposal Field 10 ' To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed lq?6 Width of Field Square Feet of Absorption Area /,~60 Depression over Field (Y/N) ~l'O 115 Sq. ft/Bdr. Type of Sysiem Design Length of Field Depth of Field ' /4, ' Gravel Bed Thicl~ness ~. 0 ' ,- Stand.pi~s Pre~ent (Y/h) Date of Last Adequacy Test DEC J~ 2~ f Deep Trench 1986 Re~ults6fLas'tAdequacyTest Drainfield functionin~ adequately. Absorption rate is greater than ~50 gallons per, day. Separation Distance from Absorption Field: To Water-Supply Well 10 ~ ' To Building Foundation 20' Lot N/A To Water Main/Service Line N/A To Stream/Pond/Lak~/or Major Drainage Course To Driveway, Parking Ar~a, or Vehicle Storage Area Comments To Property Line 10 ' To Existing or Abandoned System on ; On Adjoining Lots · N/A To Cutbank (if present) N/A About ~00' ' D. LIFT STATION ' N ONE 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 Off" 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, o r..c~:ff.o~ e d to all MOA and HAA g uidelines in effect on the date of this inspect on. Company Alaska Ge'otechnica~oANo. Consultants Receipt No. ~.oo/ Oo /'9 Date of Payment / - c2 ~o . ~ ~' Amount:$ ~ /oO. ~ Page 2 of 2 nchor ¢ P.O. ~ 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONYKNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Febr%/ary 4, 1987 Howard K. Weston, P.E. 909 Bench Court Anchorage, Alaska 99504 Subject: Tract A Lot 24 Eagle Crest Subdivision Waiver Request WR87-013 Dear Mr. Weston: Your request for a waiver of the 100 foot separation required between the septic tank and well on the subject property has been granted. This distance has been waived to 95 feet. This waiver is based on your assessment that the proximity of the septic tank to the well will not affect on-site water quality in the future. This waiver is valid for the existing septic tank only. Future upgrades of the well or septic system must meet applicable separation requirements. Sincerely, Stephen S. Morris Civil Engineer On-site Services Alaska Geotechnical Consultants February~a~DTo~ANaWO~A~S DEPT. OF HEAL~& £NVIRONMENTALPROTE~IO~ ~iunicipality of Anchorage Department of Health and Human Services Division of Environmental Services FEB 31987 825 "L" Street Anchorage, Alaska 99519 RECEIVED Subject, Request for Separation Distance Waiver Lot 24, Tract A, Eagle Crest Subdivision Gentlemen, I request a waiver of the lO0 foot minimum separation distance between an individual water supply well and an on-site septic tank for Lot 2~, Tract A, Eagle Crest Subdivision in Eagle River, Alaska. This property is owned by ~lr. Wallace Graham, 19432 3rd Street, Eagle River, Ak. A separation distance of 95 feet is requested. The purpose of the waiver request is to validate the conditions which have existed on this lot for about 10 years. The 5Junici- ~ality files indicate the on-site septic system was constructed n 1976 and the well was drilled in 1977 to supply the four bedroom house on this site. The violation of the minimum sep- aration between the well and septic tank was discovered during adequacy testion of the system in December 1986. At that time, it was verified that all other separation distances for the ind- ividual well and on-site septic system were in compliance with those mandated by the ~unicipality of Anchorage. The septic tank is currently more than 100 feet from the water supply wells on the adjacent lots, so this waiver request does not affect the adjacent property. In my opinion, granting the waiver will not adversely affect the water quality in the on-site water supply well. This opinion is supported by water testing in 1981 and December 1986 which indicated there were no coliform bacteria in the well water. The adequate performance is probably the result of several fac- tors, some of which are documented in the ~nicipality files. The well was drilled to a depth of 295 feet and cased to 292 feet below grade, which provides nearly 300 vertical feet between the septic tank/drainfield and the aquafer suppling the well. The site topography slopes from the well toward the septic tank area with an estimated 5 'feet of relief. If the septic tank overflows, the effluent would flow away from the well. Further~ more, the site soil, a gravel with a rated absorption rate of 115 square feet per b~droom, is suitable for adequate treatment 909 Bench Court · Anchorage, Alaska 99504 · (907) 337-3890 Waiver Request P~ge 2 of the septic tank discharge. The favorable site conditions and the goo~ performance of the existing system indicate there is no reason to'expect the proximity of the septic tank to the well to adversely affect the.on-site water quality in the future. If you have any questions regarding the waiver request, please call. Sincerely, Alaska Geotechnical Consultants Howard K. Weston, P,E. Geotechnical Engineer Alaska Geotechnical Consultants D~PT. OF H~ALTH & ~:r. Wallace Graham 19~32 3rd Street Eagle River, Alaska 99577 January 19, 1987 !~I~N ~, 8 1987 RECEIVED Subject, Adequacy Testing of Well and On-Site Septic Lot 24, Tract A, Eagle Crest Subdivision Eagle River, Alaska Dear ~r. Graham, At your request, we performed an adequacy test of the individual well and on-site septic system at your residence. The test was performed on December 23, 1986. We understand the test was re- quired for refinancing your home. The existing well and on-site septic system was researched at the ~iuntctpality of Anchorage, Department of Health and Human Services to determine the design and performance history of the system. The will log on file indicates the well was drilled to a depth of 295 feet and cased to a depth of 292 feet. At the time of drilling, there was 12 feet of water in the well and the well yielded abbut 6 gallons per minute. The wastewater system consists of a 1250 gallon septic tank and.a.deep trench drain- field. The drainfield is 24 feet long, 36 znches wide and has 10 feet of drain material below the drain tile. There is no recorded history of inadequate performance and a 1981 adequacy test showed acceptable results. You stated that you have exper- ienced no problems with either the well or the septic system, except for a minor septic backup in 1982. To test the adequacy of the drainfield, water from the well was introcuced to the standpipe at the end of the drain trench. Water was introduced to the system at an aYerage rate of 4.0 gallons per minute (gpm) for a period of ~ hours. The water level in the standpipe was measured periodically, and over the ~ hours the waterlevel in the standpipe fluctuated less than 2 inches. These findings indicate the septic system has an adsorption rate in excess of 950 gallons per day. This rate is above the minimum acceptable rate for a ~ bedroom house. The on-site well was continuously pumped at an average rate of ~.6 gpm for 4.3 hours, indicating the well has an adequate yield. A water sample was taken from the kitchen tap on 12/23/86 after completion of the adequacy test for measurement of total coliform bacteria. This sample was found to be satisfactory with no coliform detected. The water analysis was performed by Chemical and Geological Laboratories of Alaska, Inc. The coliform test report is attached. 909 Bench Court · Anchorage, Alaska 99504 · (907) 337-3890 Graham Residence Pa~e 2 The final approval of the system is the responsibility of the Municipality of Anchorage, Department of Health and Human Services. The necessary forms for your submittal to the Department are attached. If you have any questions regarding the test proced- ure or the results, please call. Sincerely, Alaska Geotechnical Consultants Howard K. Weston, P.E. Geotechnical Engineer Attachments -- ~ -~ DATE RECEIVED -" ~ INSPECTION APPOINTMENTS ~IME TIME T~ME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR ~UNICIPALI~ OF AN~O~GE MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH & .~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~I~O~:NTAL 825 L Strat - A~hor~, AI~a ~1 {~ ENVIRONMENTALSANITATION DlVlSlONTelephone ~7~ AU~ 1 9 1981 D E~E/tlE~ DIRECTIONS: Complete all ~rts olt page 1, Incomplete r~u~ will not ~ pr~. ~ease allow ten (10) days for pr~slng. PROPERTY ~ESIDENT iii dJffere~l trom ibo~) PHONE ~ BUYER PHONE MAILING ADDRESS 3. [ENDING INSTITUTION ~ PHONE I MAILING ADDRESS 4. REALTOR/AGENT __ '~ / MAILI~ ADDR~SS~ ~ ~ --' .~ ' ' g. LEGAL DESCRIPTION STREE~ LOCATION 6. TYPE OF RESIDENCE [[~"/SI NG LE FAMILY I--I MULTIPLE FAMILY NUMBER OF~BEDROOMS r-'l One [~"~"' Four [] Other [] Two I--I Five [] Three I--I Six WATERRSU~SU [~/' 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 UTI LITY depth (attach log if available.) 8. SEWAGE~LDIS L SYSTEM []~iNDIViDuAL/.ON.SiTEo. lq r~/~? YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMeER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER F-I MULTIPLE FAMILY [] TWO I-'1 FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER I--I INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER DINDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY - Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size:'., t-,~,~-'~ If Tank is homemade SOILS RATING · give dimensions: TYPE OF TANK MANUFACTURER ~ ~ " TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS ][~"" APPROVED FOR ¢~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE I BY 72.010 (Rev. 6/79) Shiela Speztaly Box 153 Crest View Eagle River, Alaska Dear Mrs. Spezialy, EXCAVATION WORK 995'7'7 September 8, 1981 ROBERT A. SHAFER CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTtl & ENVIRONMENTAl. H',OT ECTION SEP 1 0 1981 RECEIVED Reference:~ Lot 24; Tract A; Eagle Crest S~bdivision A' sewer system adequncy test Mas performed on the system located on the referenced property, as you requested. The septic tank Mas pumped and verified to have a capacity of 1250 gallons. The absorption trench ms tested by a continuous flow of Mater over a period of 48 hours ~ithout any measurable adverse effect on the Mater level in the sump at the end of the trench. Percolation from the absorption trench averaged appro~m-tely 629 gallons over a 24'hour period. It can be concluded from this test that the ~mste water disposal system serving the four bedroom residence located on this property is currently functioning adequ9tely. However the system cannot be guaranteed against subsequent failure. If we may be of further assistance, please do not hesitate to call. Sincerely, cc. Century .21, Metropolitan )~nicipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER. ALASKA Anchorage 825 'L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEOHGE M, SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION August 21, 1981 Stephen/Sheila Spezialy Box 153 Crestview Eagle River, Alaska 99577 Subject: Lot 24 Tract A Eagle Crest Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items.have been completed: (3) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this office. An adequacy test needs to be pebformed 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. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTL~NMENTAL ' NOV 1 5 19 RECEIVE REQUEST FOR APPROVAl. OF INDIVIDUAl_ WATER AND 8EWER FAClLITI~ MUNICIPALITY OF ANCflORAGE DEPT. OF HEALTH & DIRECTIONS: Complete ell parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. STREET LOCATION 6. TYPE OF RESIDENCE [~[Y.~-SINGLE FAMILY ~--I ' MULTIPLE FAMILY NUMBER OF BEDROOMS r-I One ~ Four r-'l Two f-I Five f-I Three f-I Six I"-1 Other 7. WATER SUPPLY ~ INDIVIDUAL* ° ATTACH WELL LOG, A well Io9 is required for all wells drilled f--I COMMUNITY since June 1975. For wells drilled prior to that date, glve well r-1 PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE" *'1 f indlvidual/on-site, give installation date ~, If system is over two (2) years old an adequa~cy test is required I--I PUBLIC UTILITY by this Department· NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3178) ' THIS SIDE FOR OFFICIAL USE ONLY DATE RECEI~ ED INSPE~TION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR ;, ., ,,,~~; ~ ; -; ~ INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ONE E] THREE ' I--I FIVE · [] OTHER SINGLE FAMILY [] MULTIPLE FAMILY [] TWO [] FOUR I--1 SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED r-I PUBLIC UTILITY -, Connection Verified LOG RECEIVED ' 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED I--IPUBLIC UTILITY J I -'~ O -~ C. Connection Verified INSTALLER I--ISepticTank or [--IHoldingTank Size: c.[.~_ ~ If Tank is homemade SOILS RATING live dimensions: TYPE OF TANK MANUFACTUREF~ . . . . ~. TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES " Septic/Holdmg Tank IADsofption Area Sewer Line I Nearest Lot Line WELLTO: I I Absorption Area to nearest Lot Line '"' ' "PROVEDFOR .EDROOMS [] CONDITIONAL APPROVAL (letter must,~c~npany certificate) ~DISAPPROVED ~'~ ~/' DATE // ~... ~__//~-..- --"~/~3'~ , B Y 'Tit ~'~"~"- /~/,~ LEGAL DESCRIPTION 72-010 (Rev. 3/78) ,'"~f~Ui'l I C I PAL I TY OF AI'ICHORA., :: ,~"~ . DF..PARTNEN' ,:)F HEALTH AND EI'IVIRO.~I."~ENT, .!PRO~ECTiO~'I.,,~ ('~ 825 L Street, Anchorage. Alaska 99~01 264-4720 Date Received: November 23, 1977 ~1: Time 1:30 p.m. ~2: Time ~3: Time 'Date 11-28-77 Monday Date Date Insp Pratt Insp Insp REQUEST FOR APPROVAL OF I~;DIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Bank of Commerce Mailing Address: 712 West 4th Avenue 99501' ,.. Phone: Property Owner: Roger/Sandy Severson Phone: Mailing Address: Box 149 Crest View Lane 99577 Legal Description: Lot 24 Tract A Eagle Crest Subdivision Single Family Residence: (x) Multiple Family Residence: ( ) 279-5641 694-2308 276-5333 Number of Bedrooms: Three 5. Well System: Individual Well (x) Permit # Depth of Well 297' Construction Number of Bedrooms: Com~aunity/Public System (~) Well Log on FileO Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility Installed 1976 Installer Manufacturer Soils Rate Material ( ) Distances: Well to Septic Tank to Absorption Area to Sewer Line ~earest Lot line Absorption Area to Nearest Lot Line · ~quest for Approval of Individual Sewer and Water Facilities Property Owner: Mailing Address: Name of Buyer: Mailing Address: Lending Institution: Mailing Address: Realtor/Agent: Mailing Address: Phone: Legal Description: Street Location: Single Family Residence: ~0 Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: *Individual Well If Individual Well, well depth. .If Community System, name of system Public/Community System ! ( ) Sewage Disposal System: *~n-site System If On-site System, date of installation: Public System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. - 3/77 Pa~c -Two Department of Request for Approval IIealth an(] Environmental Protection of Individual Sewer and Water Facilitics Legal Description: Lot 24 Tract A Eagle Crest Subdivision Con%ments: Affadavit Attached: ( ) Letter Attached: ( ) Approvcd: ~ /~ Date: Disapprove~: ? ~. ~~ Date: ~ /~ ~ Department Worksheet: