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Home My WebLink AboutEAGLE CREST #1 TR A LT 30 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS PHONE I [~NEW DESCRIPTION LOCATION DISTANCE TO: Manufacturer ~----~1 Liq. capacity in gallons DISTANCE TO: IF HOMEMADE: Weld DISTANCE TO: Well /~///~ No. of lines Length o each Top of tile to finish grade ~ / Length Width Type of crib Well DISTANCE TO: Inside length Dwelling Foundation /~) /~1. Total length of lines Material beneath tile Depth Crib diameter /V//~ I Crib depth Building foundation Driller Material Nearest lot hne/D Trench width · '~0 inches inches NO. OF BEDROOMS ', PERMUte No. of compartm~s Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance ~t~en I~s~ Total efl~ti~q~l~ area Nearest lot line Depth D~stance rD lot hne I PERMIT NO. DISTANCE TO: Building foundation I Sewer line Septlc tank ~ I Absorption erea(s) OTHER PIPE MATERIALS INSTALLER REMARKS r'IUN I C I/'~'RI-- I T"r' OF R~.ICI/'1)F:ROE ~ - DEPARTMENT' : HEALTH R~'lD ENVIRO~'IMENTR~ ~ROTECTION " 825 'L' STREET, R~'ICHORRGE, R~. ~95~1 264-472~ 0f-4--5 [ TE 5il4iR PEF;fd · T PERM[T NO. ( 82~455 ) RPPLICR~-~T ADEPT CONST INC LOCATION CRESTVIEW LEGAL L30 TR A EAGLE CREST SA-i?7 PREUSS LN LOT SIZE 634-26~? 20000 SQURRE FEET TYPE Of SOIL ABSORPTION SYSTEM IS: TREf. ICH P1RXIMUr'! ~UblBER OF BEDROOMS = ~ SOIL RRTIf.iG <SO FT/BR)= i~8 THE REQUIRED SIZE OF THE SOIL RBSORF'TIOf. I SYSTEM IS: DEPTH= '10 LEI'.I6TH= 26 6RI=I'¥'EL DEPTH= 8 THE LBIGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAIHFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETI,EEN THE SURFACE OF THE GROUND Af'~D THE BOTTOM OF THE E×CRVRTIOf'I (IN FEET). THERE IS NO SET HIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MININUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTO~r OF THE E×CRVATION (IN FEET). RE~.I_I I RED SEPT I C TR~.II< _'5. I 7__E= -1000 GRLLO~4S F'ERMIT APPLICANT HAS THE RESPONSIBILITY TO IHFORbl THIS DEPARTMENT DURI[-~G THE INSTALLATION INSPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE ~.~UblBER OF RESIDENCES THAT THE I.IELL HILL ~ERVE. TI40 ( 2 ) I I'-,tSPEC~T I Of-iS ARE REi:;:! L~ I F:ED BAO,'FILLII"IG OF ANY SYSTEM HITHOUT FINAL INSPECTION At'ID APPROVAL BY THIS DEPARTMENT I, IILL BE SUBJECT TO PROSECUTIOf'L MINIMUM DISTR,.ICE BETWEEN R HELL Rf.~D ANY ON-SITE SEWAGE DISPOSAL SYSTEI'I IS I£LA FEET FOR R PRIVATE fELL OR 150 TO 2~30 FEET FROM A PUBLIC I,IELL DEPENDING UPOrl THE TYPE OF PUBLIC ~ELL. MINIMUM DISTR~'ICE FROM R PRIVATE HELL TO A PRIVATE SEWER LIHE IS 25 FEET TO R COMMU~ITY SEt. ER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS R~'ID CONSTRUCTIO~I DIAGRAMS ARE AVAILABLE TO I~ISURE PROPER INSTALLATION. PEF.'I"I I T E×P I RES DECEt'IE:ER _-'3~1~ ~LgE:2 I CERTIFY THAT i: I AM FAMILIAR HITH THE REOUIREMEf'~TS FOR Of'I-SITE SEWERS AND [,ELLS RS SET FORTH BY THE MUNICIPALITY OF B~CHORRGE. 2: I HILL INSTALL THE SYSTEM If'~ RCCORDAf'~CE HITH THE CODE~. ~: I UNDERSTR~8 THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE BtLRRGEMENT IF THE RESIDENCE I~ REMODELED TO I~CLUDE MORE THRf'~ ~ BEDROOMS. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Aleska 99501 264-4720 SOILS LOG -- PERCOLATION TEST ~ SOILS LOG [] PERCOLATION TEST I 5- 6 7- 8 9 -""~'~o: 11 12 13 14-- '15 16 17- '18- '19. SLOPE COMMENTS 72-008 (6/79) DATE PERFORMED: 0'~'~ ~, Ic;~-z- SITE PLAN WASGROUNDWATER ~ ENCOUNTERED? ~/~ O P E IF YES. AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /~f//~ (minutes/inch) TEST RUN BETWEEN , FT AND FT APPLICANT FILLS OUT UPPER HAI'*'~ONLY Address Zip ~e B Other Water Supply ~mm~lty For wetls ~ill~ prior to Ih~ date. give wetl depth (attach I~ If available). ~ Holding Tank NOTE: THE INSPE~ION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Cate Dale Date Cate ~ Inspecto~ Insp~to~ Insp~tor Insp~tor Field Notes: ~UN1CIPALI~ OF AN~O~GE ~F:T C~ p~'t.T'4 ~. ~1~ ~, ~*.'..I..A. f .O E ;l~ .~ ~EP 9 19~2 RECEIMED ( ~PPROVE~ ~DROOMS 'CON~ITION$OF APPROVAL ( ) DISAP~OVED ( ) CONDI~NAL ~PROVAL' ~ils Rating Date ~wer Install~ Well To ~sorpflon Area Wetl L~ R~elv~ )6 ' ~ WelltoTank SepttcT. kSize i O~ GREATER ANCHORAGE AREA BOROUGH TO: DEPARI'MENT: . DAI~ ANSWER REQUESTED:. RECEIVER: REQUESTED ACTION SCHEDULE :'F~ ~1 PR~ARE BACK-UP INFORMA'~ION INFORMATION ONLY FOR ~ AC~ON ~ CALL ME B~ORE YOU ANSWER FOR ~UR CONS~I~N ~ NEED YOUR REC~NDATION · ~ MUNICIPALITY OF ANCHORAGE - DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ..ECEiVED' JUL 0 7 1998 ~UNIQPALII~ OF ANOHOEAGE Parcel I.D. # 1. GENERAL INFORMATION Complete legal description ENVIRONMENTAL SERVICF$ DIVISION Lot 30, Bl~k A, 1st Addition to ~lecrest S/D · Location (site address or directions) 19126 3rd Street, Eagle River, AK 99577 ~ , .Property owner 'Kathy Hall "-.,.': Mailing address ;. · ~,' Mailing address '.' Agent KathY. Olmsted? Remax of Eaqle River Unless otherwise requested, HAA will be held for pickup. Day phone 269-6618 694-4200 2. NUMBER OF BEDROOMS: Day phone · DaY phone 3. TYPE OF WATER SUPPLY: Individual well Community well Public water XXX NOTE: If community well system, provide written confirmation from State ADEC attest-' lng to the legality and status of system. TYPE oF WASTEWATER DISPOSAL: Individual on-site Holding tank Community o~-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 hereio and a~ of the validation dato 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 ~iles 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. $ & $ ENGINEERING Phone ~' ~ ~ - ~-'3 ~ Cl Name of Firm iZ634 Eagle River Loop h:oa,~ ilo. Address Eagle River, Al~ka e~577 Engineer's signature Y~-~''~ ~ Date '''/ Se DHHS SIGNATURE t,//' Approved for '-r'/-~/'~E'~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and :?-~an Services (DHHS) issues Health Authority Approval Certificates based only upon the representation.~ .~,~¥en In paragraph 5 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 satisf,/certain federal and state requirements. Employees of DH HS 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 Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907) 343-4744 Health Authority Approval Checklist Legal Description: A. WEII DATA Well type ~.-tm Log present (Y/N) Total depth Sanitary seeJ (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform If A, B, or C, attach ADEC letter. ADEC wate[ system number Date completed ~'~ Cased to Casing height (above ground) ~ Wires propedy protected (Y/N) FROM WELL L~~.~ _AT I~SPECTION g.p.m. ~ Nitrate ~ Date of sample: B. SEFTIC/NOLDIJ~G TANK DATA Date installed ~ '~- Tank size Collected by: 10C)r.) Number of Compartments ~. Foundation cie ,anout ~N) .- cI ~,c, Depression Date of Put,ping~ Pumper C. AB$ORP110N FIELD DATA g.p.m. __ Cleanouts (~)N) High water alarm (Y/~) tJ 0 Date I~stalled ~,J~¥ '~ ~., Soil rating (g.p.d./ft~ o ) I ~') System type 'TF--F-.rdC-H Length :',.. · ~c WIdl~ ' ~/' Gravel thickness below pipe ~, t, Total depth'~'lz Effective abeorpflon ama .~"~' ~/=: Monitoring Tube present ~IN) L~ ~ Depression over field (~ R.u. al,, For Fluid depth in absorption field before test (in.); -~" Immediately efter'~'~ ~ gal. water added (in.): Fluid depth ~'~ ~' (ins) Minutes later:, c~o ~,~ N~som,on rate = ~'~ + e.p.d. Pemxideb'eatment(past12months)(Y/N) ~o~'~- ~,'/~v,J " "lf ye,,. give date -- 72-026 (Rev. 3~g6)" D. UFT STATI~ Date installed Size in gallons Manhole/Access (Y/N) ~ High water alarm level at* *Datum ~ E. SEPARATION DISTANCES "Pump off' level at* SEPARATION~M WELLON LOT TO: Septic/holding~tank on lot ~'~/~..~ On adjacent lots Absorption field on lot ~ On adjacent lots Public sewer main Publ~cleanout Sewer/septic service line Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~, Property line ~ t-~ Absorption field. Water main/sen, ice line f0 ' ~ Sudace water/drainage f~0 ~ 'f Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line IQ' t Building foundation I~)''~' Water maJn/ssrvice line Sudace water (4~O~ 'y Driveway, parking/vehicle storage area Curtain drain Wells on adjacent lots .~oo' ENGINEER'S CERTIFICATION I certify that I have determined thru ~e/d inspec#ons and review of Municipal ~~ems are Enginee · Name /'~ · ' ....... 72-026 (Rev. 3~6)* Waiver Fee $ Date of Payment Receipt Number Eagl Crest T act A Lot 30 #050-303-21 A. WELL DATA II/A Well type Date completed · Total depth lt. ,Municipality of Anchorage Development Services Department Bu0dlng Safet~ Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 995196650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST LegelDescrlption:Lo% 50, Tract, A, Eagle Creat. let, Add.ParcellD: _ .. ifA, B, or C provide PWSID # . San~ary se~ (Y/N) Cased to FROM WELL LOG Date of test ' ' Stetic water level Well preduction WATER SAMPLE RESULTS: Date of sample: SEPTIC/HOLDING TANK DATA g,p.m. lq/A Collected by: o3o-~o~-21 WellLog ~/N) Wlrespmpedypmtected(WN) Casinghelght(abevegmund) ATINSPEC~ON g.p.m. Date installed 11/82 Cleanouts (Y/N) High water alarm (Y/N) iff. colonies/100 mi. __ Depression over field lq For ~1 bedrooms New depth..,3_~in. 450+ g.p.d. If yes. give date Total depth 11.9 It. Eft. absorption area 5/t~ ~ Monitoring tube Y Date of adequacy test ~ Results (Pess/Fail) ~aee Fluid depth in absorption field before test 0 in. Water added630 gal. Elapsed Time: 105 min. Final fluid depth2 · ZI. in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) ~ Tank Type/Material Septic/Steel Tank size 1000 gal. Number of Compartments ;~ Foundation cteanout (Y/N) Z Depression over tank (Y/N) lq/A Date of pumping 12/10/01 Pumper JR* e Pumping C. ABSORPTION FIELD DATA Dateinstefled 11182 Soilrating (g.p.dJit*or~fedrm)150 ef/'o~ystemtype Deep Trench Length ~4 It. W'~th 2. ~ ft. Gravel below pipe 8 fl. D. UFT STATION N/A Date installed. 'Pump on" level at in. , in. Datum E. SEPARATION OISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons 'Pump off' level at Cydes tested Manhole/A_ _c~_ __~ (Y/N) High water elam level at Meets alarm & .~'.~it requirements? in* Septic tank/tilt station on lot. Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhote/ctsonout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation .5 * + Property line ~ ~ + Water main 10 ~ + Water sen, ice line 10 ~ + Wells on adjacent lots200 ~ + SEPARATION DISTANCE FROM ABSORPTION FIFI r) ON LOT TO: Building foundation 10 * + Surface water 1 O0 * + Wells on adjacent lots ;200 * + Property line 10 * + Water Sen~ice line 10 * + Curtain drain H/A F. COMMENTS Absorption field ~ * + Surface water 1 O0 * + G ENGINEER'S CERTIFICATION · review of Municipal records that the a~xwe conmrmance ....... wire Mu~q HAA guidellnes ln effec~ on this date. Engineer's Printed Name P&u]. E. ~nard Date <'/ Fca $ Date of Payment Receipt Number (~. 1 ~) Waiver Fee $ Date of Payment Receipt Number Water main 10 ' + Driveway, paddngA~hicie storage 10 * + PINARD ENGINEERING P.O. Box 871347 WasiIla, AK 99687 (907) :357-ENGR (3647) ADEC~UACY TEST LOCATION: Lot 30, Tract A, Eagle Crest Subdivision, 1't Addition APPUCANT: Richard Barrow 9024 W. Parkvlew Terrace Eagle River, Alaska 995'77 SEPTIC TANK TYPE/SIZE: Steel/1000 gallons, per MOA Records ABSORPTION SYSTEM; Deep Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GAL/~R · 450 gallons TEST DATA JOB NUMBER: 02-126 DATE OF TEST: 6128/02 FIELD STAFF: P.d. Pinard NUMBER OF BEDROOMS: $ SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes No XX Time Flow Volume Cumulative Septic Tank Sel~ic Soil Absorption System Comments Rate Volume Tank PM (GPM) (GALs) (GALs) Liquid Level ' A Level Monito~ ,~ SAS Monitor A SAS Tube 1' Level Tube 2* Level 5:30 6.0 $.8' o.o' Start Test- Meter 333040 5:45 6.0 90 90 3.9' 0.1' 0.1' 0.1' 333130 6:00 6.0 90 180 3.9' 0.0' 0.2' 0.1' 333220 6:15 6.0 90 270 3.9' 0.0' 0.3' 0.1' 333310 6:30 6.0 90 350 3.9' 0.0' 0.3' 0.0' 333400 6:45 6.0 90 450 3.9' 0.0' 0.3' 0.0' 333490 7:00 6.0 90 540 3.9' 0.0' 0.3' 0.0' 333550 7:15 90 630 3.9' 0.0' 0.3' 0.0' Stop Test 333670 RECOVERY 'ALLMEASUREMENTSINFT. Date Time ST MT SAS MT 628 ?;30 3.87-0.1' 0.27-0.1' PM TEST: PASSED XXX FAJLED CO~ENTS: There was no measurable liquid in the SAS I~IT prior to beginning the test. With the addition of 630 gallons (more than the design daily flow) the level only rose 0.3'. Within 16 minutes of stopping flow to t~e system, the level In the SAS dropped to 02'. Reviewed by:. Paul Pinard Date: 6/30/02 .IR~ Pumping PO Box 77351 i Eagle River, AK 99577 (907) 694-6454, I -Invoice BILL TO Remax of Eagle River 16600 Centerfield Dr Eagle River, AK 99577 JOB SrrE Rene Timms 19216 Third Street Eagle River, AK 99577 Invoice Number:. 5225 Invoice Date 11-Dec-200 Order Num: 5225 Serviced. 10-~)ec-2001 ' P.O. Number:. Job Description: 900 gallons ~[ ServiceType ]! Extension iI Tax I~Wo~e~sI 1 Septic Service $95.00 No No Subtotal NonTaxed: $95.00 Subtotal Taxed: $0.00 Talc $0.00 Subtotal: $95.00 Less Payme.nt $0.00 Please Pay: $95.00 @ % Manifest Payment Terms: Net 30 EAGLE RIVER pROPERTY MANAGEMENT' RANEY HARDMAN ' ' ' ' OPERA3~NG AccoUNT ' PH. 440-7257 ' ~6600 CENT£RFIELD DR. STE. 201 EAGLE RIVER. 99577 · OnalBank~