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Home My WebLink AboutEAGLE CREST #1 TR A LT 66GRE/ ~ ANCHORAGE AREA BOF'"~H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME~HiJ Le~PI~O MAILING ADDRESSSi~'A. '~ Iq~ ~ ~(~ ~'~;~-~ PHONE SEPTIC TANK: DISTANCE ~ ~a NUMBER OF FROM WELL__MANUFACTURER S",~'f Pi,J, ~ MATER,A, EI'~ ~ COMPARTMENTS I INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH IIQUID CAPACITY /~gO GALLONS. SEEPAGE NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION__ ! DIAMETER '''/~' OR WIDTH LENGTH~(~~, DEPTH CRIB SIZE: DIAMETER__DEPTH --~* DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION WELL: TyPE ,,ile4 BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION ~ I"Q~ ~ ~'*,-¢I NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED REMARKS __DEPTH SEPTIC TANK DISTANCE FROM: SEEPAGE gO' SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL:. LOT SLOPE: REMARKS: Form NO. EQ4)31 DATE APPROVED GREATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAl. SYSTEM -- APPLICATION AND PERMIT pERMIT NO.. FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF' ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF rNVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. DIAGRAM OF ~Y~M MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE P~?. 20 ~ TO NEAREST LOT LINE. WELL TO SEPTIC TANK "~1 DRAIN FIELD. S.PAGE R'T 1£6' ALSO CONSIDER AREA WELLS. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, : I CERTIFY THAT I AM FAMILIAR WITH THE R£QUIREMENT$ OF GEEATE~ ANCHORAGE ARE~ ~O~OUGH ORDINANCE N~. 28-~8 AND ~HA HE ABOVE .~...o..~-.. . (~ ' ~ .i. '~' "" T~p"o[ FounJ,:tlqn' ih"r~latlunshit~ to'.Fint~ ': '*' ~r~'~l~ Top of'Fo~d~i~n "' :' co,Se ~ bl~.k' ~bove FinCh ~d~. I hereby certify that I have surveTed tl~e following described property' · ', · ; IEagtneers end Surveyors Anchorage Recording Precinct, Alaska, and that the improvements situated thereon ere within the property lines and do not overlap or encroach on the property 1 in adjacent thereto, that no improvements on prop- le~glying adjacent thereto encroach on the premi~e~ .qu~stl'on ~nd-that there ere no road.w.ays, tr .a~nussion. lines or other visible easements on ~asa prope~y excep~ as indicated hereon. Dated at Anchorage, Alaska ~,.--Z-~Y-- ~,, ,,, --Sk~-~°Z'. ' . O ~ E GEOTECHNICAL ~ DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russe# Oyster 694-2774 Soils 6' Foundatlo~s Earl Ellis 688-2280 Land Development ,SO[L LOG Performed for: Name: Matltng Address: · Legal Oescrlptlon:' Zx~2- Depth (feet) Tel. No. So11Character1~ttc~ .0 1 2 3 4 5 8 9 10 11 12 Ground Water Encountered: Yes No ~ [f yes, what depth Proposed Znstallatton: Seepage Ptt Co~nents: .~i~ ~°r/~ 7"/~ / Performed by: Dratn Fteld ~ Oate: .2~ /? MUNICIPALITY Of ANCHORAGE Department of Health & Human Sen~tces DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Tract A; Lo~ 66; Eagle Crest Subdivision Location (address or directions) 19332 First 'Street, Eagle River, Alaska (b) Property owner Mailing Address (c) Lending institution Mailing Address Telephone:(home) ~953f F~t St~zet ~a R~'~, 4~- 99577 Telephone Business JACK WHITE CO{.~PA;~'/Earbara Crittenden (d) Real Estate Company and Agent 10928 Eagle River Road, Eagle River, Alaska 99577 Address 694-5500 Telephone (e) Mail the HAA to the following address: (or check here:~, if hold for pick up,) List contact person and day phone number below: S & S EMGINEERING/694-2979 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-Family [~ Number of bedrooms 3 4. SEWAGE DISPOSAL On-site ~ Public ["1 Community I-I Holding Tank Note: If community well system, must have written confirmation from the ,S. tate Department of Environmental Conservation attesting to the legality and status. Page I of 2 3. WATER SUPPLY Individual Well Y~ Community i-I Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and statu~. 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA~.~ND INFORMATION As certified by my seal affixed hereto and as of ~e validation date shown below, I verify that my investigation of this Health Authority Approval shows that the op-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated here~n. 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 Address Date ....... =~,~- Telephone 17034 Eagle Rt'~e~' Loep R~ No. 2~ 6. DHHS APPROVAL .~~ 9o Approved for ~ bedrooms by ~ Date Appro~,ed -'~_' ' Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorages, Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alasls~. 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 i~ssued. The Municipality of Anchorage is n et responsible for errors or omissions in the professional engineer's work.~. ' 72-025 (R~. 7/B8) a~ca Page 2 of 2 "W;ll Ciassific'ation ' Well Log Present (Y/N) I~/ Date Completed ' ~ K' Total Depth U(( Cased to ~O~'t' Depth of Grouting MUNICIPALITY OF ANCHORAGE (MOA) Heallh Authority APproval (HAA) CHECKLIST- FEBR[JARY 1984 343-4744 Legal Description: t£~7-'~F Static Water Level ~ ~ Casing Height Above Ground 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 ~/~ If A, B, C, D.E.c. Approved {Y/N) JJ/t~ Yield Z.J. Pump Set At U I~ Sanitary Seal on Casing (Y/N) Y/ Depression Around Wellhead (Y/N) '~ ; On Adjoining Lots I~)O "~ c~ ,~ ~ ; On Adjoining Lots I 00' ~ To Nearest Public Sewer Cleanout/Manhole J"J/,'q To Nearest Sewer Service Line on Lot ~ Water Sample Collected by Water Samp,~st Results Comments B. SEPTIC/HOLDING TANK DATA , Date Installed ~Size ~' OD No. of Compartments Standpipes (Y/N)~ '''~ Air-tight Caps (Y/N) ~' Depression over Tank (Y/N) I~ Foundation Cleanout (Y/N) Date L~st pumped Pumping/Maintenance Contact on File (Y/N) ~/~. ; for Holding Tank High-Water Alarm (Y/N) I~/~ Temporary Holding Tank Permit (Y/N) J~/~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: . . · . : ~ -: ~ . ...To Water-Supply Well ~ ,~ I To Building Foundaiion '11 To Property L.i*~e I ,,.,'~"-k To Disposal Field I To Water Main/Service Line To Stream. Pond. Lake Or Major Drainage Course /"//~ Cor~ments ,Tr~'!~' ~.~.$5p oo / .-o'~ (n~,.7~ ~,o.t Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ! ? ~ ~/~ .~ Type of System Design '-~/J~-.~ Date Installed [~/I ~,/V-5'"' Length of Field ~ c/ ' Width of Field .. _.~ C) Depth of Field ! G Gravel Bed Thickness ~ t Square Feet of Absortion Area ~-~ {~ Statndpipes Present (Y/N) Depression over Field (Y/N) ~ Date of Last Adequacy Test Results of Last Adequacy Test ~ I~-~, ~, .'.'.~ C.."~ r' ~ -- ..~ SEPARAT,ON D StANCE FROM ABSO.PT ON F,E'D: TO Water-Supply Well ~[ -%/ To Property 'Line l ~ ~ To Building Foundation ~ ~'' To Existing or Abandoned System on / Lot ; I~ ~ ; On Adjoining Lots ._%0 To Water Main/Service Line [O/~ To Cutback (if present) TO Stream, Pond, Lake, or Major Drainage Course fJ~ ~. To Driveway, Parking Area, or Vehicle Storage Area ' ~o~'"/~,~ r~'?~'~;c.._~ Comn!ents - ' /~ ~F~c'_.~'_C~ ~/~'~'/7, A D. LIFT STATION Date Installed Size in Gallons "Pump On" Lever at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions · ' Manhole/Access (Y/N) ~ ~ ;"Pump Off" Level at - ~ Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted B..ed.r0~m Rating Against HAA neque, st*; I certify that I have checked, verified, or conformed to'all MOA and HAA guidelines in effect on the date of this inspection. Signed S & S ENGINEERING 17034 ~-agm r. c.=l~ River, Alaska Date of Payment Page 2 of 2 Company Date MOA No, Receipt No. Date of Payment Amount: $ .-_~-:., ~ ~."~?:~.~ -. · ,. ~e, .... ~> . Waiver Fee: $ .~ ~ ~ Nlunicipality of Ancho. ra e ~ Department of Hae~l.!Lh' sat?edetHuman Services Tom Fink, Mayor P.O. Box 196650 Anchorage. Alaska 99519-6650 343-4744 July 18, 1989 Robert A Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 66 Tract A Eagle Crest Subdivision Waiver Request %WR890034, HA890254, PID #050-304-25 Dear Mr. Shafer: Your request for waiver of the require~ 100 foot separation of a septic system to a private well has been approved. The approved separation distance is private well to septic tank - 77 feet; private well to absorption field - 93 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services DJR/ljw#6 ROBERTSHAFER, P.E. ROGERSHAFER JuZ~ 7, 19&9 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTHAUTHORIT~ APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION S FLOW TEST ROAD DESIGN SOILTEST STRUCTURAL& MECHANICAL INSPECTIONS PEPARTI4ENT OF HEALTH A~ HUM~ 8~5 L P.O. Bo~ 196650 A~o~g~, ~ 99519-6650 REFERENCE: Tract A; Lot 66; Eagle Cr~t S. bdivi~ion Requ~6t ~o~ i66ue the attached HeaLth ~ho~y Approv~ (H~) and p~u~ ~ a~ the 6epic 6epa~on ~nce b~e~ ~e w~ a~ ab6o~p~on ~i~d on the o~ th~ 6epic 6~6t~ th~ t~6~ 6epa~on ~nc~ ~e app~oued by Mr. John T. Lee of ~c Depa~ of Envlro~e~ Q~t~ o{ the Gr~ Anchorage A¢~ Borough. A ri6k ana~g616 ha6 been performed and it app~r6 that no bact~oglca~ po~tZon ~ po66lble from th~ 6o-rce. Attached for ~ou~ reu/ew are the fo~o~u'ng do~ment~: A. A plot p~n ~howing the re~t~ue and the 6ep~c 6yst~. the re~ced ~. P. A ~tow t~t repo~ ~or the ref~ced ~. E. The l~pe~on repo~ fo~ the on-6~e It Z6 our opi~on the ho~izont~ 6ep~ra~ion di6tance pre6c~bed by 18 AAC72.0~I Z6 not required in thi6 ca~e. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA g9577 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. FEDERAL TAX ID # 92-0040440 Date Report Printed: JU~ 29 89 ! 20:25 Collected Req I Ordered Arelysie Completed :dUI{ 28 89 Send Reporte to: 1)S & S 2) Special Instruct: Cha~eb ~eI !: $987 Lab Smpl ID: I )4atrix: WATER Allowable Parameter Tested Result/unite Method [l~tte NIIRAIE-N 0.31 ~/1 EPA 353.2 10 Tests Pe[[ozmed * See Special Instructions Above gA-Unavailsble None Detected "See Sample Remarks Above Not Analyzed LT-Less Than, CT-Greater Than ,CHEMICAL & GEOLOGICAL LABORATORIES OF".ALASKA, 1NC. TELEPHONE (907} 562-2343 5633 B Stree~ Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Colifor/n Bacteria TO BE COMPLETED BY WATER SUPPLIER [] PUBLIC WATER SYSTEM I.D.# ~' PRIVATE WATER SYSTEM Name Phone NO, Mailing Ad~res$ Mo. Day Year SAMPLE TYPE: [] Routine ct Check Sample (for routine sample with lab ref. no. CZ Special Purpose [] Treated Water [] Untreated Water SAMPLE .~ Time Collected NO. LOCATION Collected I 41 I 51 I TO BE 'COMPLETED BY LABORATORY SatlS shows this Water SAMPLE to be: isfactory [] Unsatisfactory r-I sample too long In transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mall. Date Received Time Received Analytical Method: Membrane Filter No. of colonies/100 mi. Lab Ref. No. Result* I I Analyst READ INSTRUCTIONS .BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filten Direct Count _ ~) Collform/100m! Verification: LTB BGB Final Membrane Filter Results O I ~ Time: /'~,00 TNTC = Too Numberous To Count OB = Other Bacteria PART ! OF* Z RI~I¥1A~NDIZR TO FOLLOW 17034 Eagle River Loop Road ROBERTA. SHAFER CIVIL ENGINEER 694.2979 DATE OF TEST: ~~ WELLDEPT,: Ol~' ~T. CASING:__ . ~/o'-/- ~T. DATE DRILLING COMPLETED: [,) I~' DRILLER: STATICWATERLEVEL('ropoICasing): ~ ~ ~ FT. DATE: CLOCK ELAPSED TIME SINCE DEPTH TO DRAWDOWNI PUMPING PUMPING STARTED/ WATER, Iq'. RECOVERY RATE, GPM REMARKS TIME STOPPED, MIN. o~ o ? ~, '/-' (sw,) o o S,.r, ~'1.~ ..~ VTtl ~ ~ ~s ~ ~' I' ~ o 3o ~ ~' ~' ~,~ ( ~ ~ ~o hou,) 2 ~ fl' I ' fi, '~ F~'~':"~:~'-'~' ,20 (2 180 (3 210 ~/ ~/ ..... ~ ....... · 240(4hours) ~ / ' ~, ~ '~ .... ~ECOVERY ~0 ~5 ~0