HomeMy WebLinkAboutEAGLE CREST #1 TR B LT 18050 Og
NAM~'.~
~ ~ 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
LOCATION
!
DISTANCE TO:
Manufacturer ~d~,~ ~'
J Ab'° °2fr '
y in gaJlons IF HOMEMADE: J Inside length
DISTANCE TO: Well J Dwelling
DISTANCE TO: JWTiI /~'
115/h ,
Length ¥1dth Depth
Crib dlametet
WeU
Type of crib
Crib depth
Building Iou ndation
JW~dth
NO. O~.~E DR OOM S
PERMIT NO.
Material Liquid capacity in gallons
lines
inches
Total effective absorption area
inches
PERMIT NO.
Total effective absorption area
Nearest lot line
DISTANCE TO:
Building foundation
ewer line
DISTANCE TO:
Septic tank
OTHER
PIPE MATERIALS
SOl L TEST RATING
DATE LEGAL
724313 (Rev. 3178)
F'ERHIT NO.
APPL ! CANT
LOCAT ! 0N
LEGAL
I-,'ILII'-.I T ~_.~ TFiRL T T'-r' OF AI'-,ICI-],"c, IRAGE / /
B25 'L' STREET, AHCHO~AGE, AK. 99501
I---~ f4--S I TE --~..EI..-IEFz F ERId I T
( 82o59:1 >
GEOLAR CONST INC BO× 1 02 E.R.. _ 577
LiS TRB EAGLE CREST LOT SIZE ~ SOUARE FEET
TYPE OF SOIL ABSORPTION SYSTEr'I IS: DRAINFIELD
MAXIMUM NUHBER OF BEDROOMS
SOIL RATING (SO FT?BR)= l_qO
THE REOUIRED SIZE OF THE SOIL AB$ORPTIOH SYSTEM IS:
/,
DEPTH= :~ LEI'-.I GTH = 224 G R A'.,-'E L DEPTH= ., 5
THE LEHGTH DIMEHSION IS THE LENGTH (It-/ FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETHEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCRVATIOH (IN FEET).
THE TRENCH i.] I DTH I S 5.. ElO0 FEET.
THE GRAVEL DEPTH IS THE HINIHUH DEPTH OF GRAVEL BETHEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
F:E _¢-:LI I F:ED SEF'T I C TR[-~F'. S I ZE= -1 C-~ £~ ~----~ 6RLLO f-~$.
PERHIT APPLICAHT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION IHSPECTIONS OF ANY HELLS ADJACEHT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THRT THE HELL HILL SERVE.
TI4C, ( 2 > I f4SPEt?.T I 0~-45 ARE REC-.~ LI I RED
BACKFILLING OF ANY SYSTEM HITHOUT FINAL INSPECTION AHD APPROVAL BY THIS
DEPARTMENT HILL BE SUBJECT TO PROSECUTION.
HINIMUH DISTANCE BETHEEN A HELL AND ANY ON-SITE SEIqRGE DISPOSAL SYSTEM IS
&00 FEET FOR A PRIVATE HELL OR 150 TO 200 FEET FROH A PUBLIC HELL DEPENDING
UPON THE TYF'E OF PUBLIC HELL
HINIMUH [:,ISTAHCE FROH R PRIVATE HELL TO A PRIVATE SEHER LINE IS 25 FEET AND
TO A COMMUNITY SEHER LINE IS 75 FEET.
OTHER REOUIREMENTS MAY APPLY. SPECIFICATIOHS AND CONSTRUCTION DIAGRAMS ARE
AVRILRBLE TO INSURE PROPER INSTALLATION.
PEF-:ll ! T E×P T RES DECEI'~BER --'?-'-l.
I CERTIFY THAT
.l: I AM FAMILIAR HITH THE REQUIREHENTS FOR ON-SIT~ SEHERS AND HELLS AS SET
FORTH E:Y THE HUNICIF'ALITY OF ANCHORAGE.
2: I HILL INSTALL THE SYSTEM IN ACCORDANCE HITH THE CODES.
2: I UNDERSTAND THAT THE ON-~ITE SEHER SY9TEH HAY REQUIRE ENLARGEHENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS.
APPLICANT GEOLRR COHST INC ~ ~ ~ ~ ~ ~ ,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION
825 L. Street, Anchorage° Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
ALAMONT BUILDERS
DATE PERFORMED:
LEGAL DESCRIPTION:
Perc Te~
2-
3-
4-
5
6-
7
8
9
10
13
14
15
16.
Tract B Ea~le Crest Subdivision. Ea~le River
SLOPE
Peat
Silty Gravels, Sand; Poorly
Graded Boulders to 2 ft. dia.
Ground Water
) WATER
ENCOUNTERED? Yes
IF YES° AT WHAT
DEPTH;' 51 0"
SITE PLAN
I~,LII I I i L-.I
I "T-I ITl
1411 I I II I
Gross Net Depth to Net
Reading Date Time Time Water Drop
1 7/4/82 1:00 0 ll 1/4"
2 " 1:12 12 12 3/4" 1 1/2"
3 " 1:37 15 14 0/0" 1 1/4"
4 " 1:44 7 14 1/2" 1/2"
5 " 1:54 10 15 1/4" 3/4"
18-
19-
20-
PERCOI~ATION RATE 15 (minutes/inch)
TEST RUN BETWEEN I FT AND 2 , FT
COMMENTS Due to high ground water table and limited available absor.~tion area with res.Deer
tO wells, it is recollrm_~, nded that a seeDa~e bed be desii~ned w~t.h 190 ft2/bedroom as bottom area.
72-008 (6/79) "
I C I^AL I T~' OF 8r,tCI-/'~'RFIGE
DEPRRTHENT ~ ~I HEALTH A~IID ENYIRONHENTAL . ROTECTION
825 ~L~ STREET, ANCHORAGE, AK. 9950i
2~4-4720
WELL PERI~! I T
PERHIT NO. ( 8002,~3 >
APPLICANT
LOCATION
LEGAL
RICHARD LARSON
CRESTV I EW
BOX 1072 EAGLE RIVER
LOT SIZE
~94-2466
22000 SQUARE FEET
HINIHUM DISTANCE BETHEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
i0~1 FEET FOR R PRIVRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL,
HINIMUH DISTRNCE FRON R PRIVATE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO A COHMUNITY SEHER LINE IS 75 FEET,
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS
OF THE WELL COHPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERI'I!T E×PIRE5 DECEI'IBER ~-I ~ -'i ~$0
I CERTIFY THRT
i: I AH FRHILIRR WITH THE REOUIREHENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH ~y THE MUNICIPALITY OF RNCHORRGE,
2:~I W~I~T~LL THE SY~/~/ ~ ~TEH IN RCCORDRNCE WITH THE CODE~.
....... '
V4. 0
CHUGIAK, ALASKA
688-3199
MI.,sN~CIPALITY OF ANCHORAGE
DE~T. CF V.].'LTH &
ENVI~ONM~NIAL ~;OTECTION
I' ;RILLING CO.
KODIAK, A L~I~J~
486-4826
AUI~ 1 1 1980
WE SERVE ALL ALASKA
RECEIVED I~O~T OFFICE BOX 42 - CHUGIAK' ALASKA 995~7
· ~
ow,~ER or LAND -:.~~.~.~.,~..-;..~ .................. DE,,, OE ,~E,~ .....~.~..../~... ............................ : .............................
..~.z~../..~...,~.~..~.,..~ .......... -_,_ ~A~'C'EVE'-O''A,E/,...,Z.~.~...~:....A.~ ........
ADDRESS
,YE, ~' "'""""'~-(-'/~1" ~'
L-s,,E ' ........... .........................................................
DATE_STARTED.~.......2- -- &O ~ ----"~., ~ S'~'
........ 2.. ......... 2 .......................................................... CALS. rER,,R ........ ~.....Zi ...........................................................
DATE - ENDED ........... ."~....-~.......-~....._~..~***~.. .............................................. KIND OF CASING .......................................................... : .........................
KIND OF FORMATION:
FROM
~RO,~ ...................... FT. TO ...................... FT ....................................
£ROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... ImF ....................................
FROM ....................... FT. TO ....................... FT ..................................
FROM ....................... FT. TO ........................ FT .................................
FROM ....................... FT. TO ........................
FROM ....................... FT. TO .......................
FROM ....................... FT. TO ........................
FROM ....................... FT. TO .......................
FROM ...................... FT. TO ........................
FROM ....................... FT. TO ........................
FROM ....................... FT. TO ........................
FROM ....................... FT. TO ........................ FT .................................
FROM ....................... FT. TO ....................... FT .................................
FROM ....................... FT. TO ........................ FT .................................
MISCL INFORMATION:
DRILLER'S NAME ............................................. ; ..................... .~ ..............................................
' MUNICIPALITY OF ANCHORAGE
DMSION OF ENVI ~Rf)N~rrAL HEALTH
DEPARTMENT OF HEALTH AND £~B;IPDNMENTAL PROTEL-riON
APPLICATION ~OR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Inf~i,ation
(a) ~ga~icn (include lot, b_l._o~_k,' subdivision, section, t~mhip, range)
(b)
(e) P~al Estate Co. & AGent
Address
Telephone
Type of l~siden~
N~er of ~
Multi-Family
Other(~s~i~)
3. Water Supply
Note: If ~omunity ~11 system, must have written confirmation fr~ the State
Depa~%~nt of ~virc~m~ntal Conservation attestirg to th~ legality ar.~tatus.
Is the ~11 adequat~ fc~ the mm~er of bedrooms specified in this.
4. Sewage Di .~pcsal
.Onsite.~ Public ~ Cc~r~nity ~-~ Holding Tark ~--~ '
Is the wastswater disposal system adequate for t~he rnmber of b~drccn~(Y/N)
[PaGe 1 of 2]
2-15-84
En~ineerin~ Firm Providing Inspections r Tests r Data and Infc~l~aticn
I ~ertify thaJ~'r-~ave checked, verified, ~ ccnfcrmed to all MDA HAA Guidelines in
(ENGINEER SEAL)
Date
Disap~oved ~-~
6. ,rx-E:P Approval
Approved fo~
Approved ~
ConditioP~l ~-~
Te~ of Conditional Approval
Th~ Municipality of Anchorage Dapartm~nt cf Health and Envirc~mental Protection dces
not guarantee the conti~ned satisfactory pe~fc~nce of the wate~ supply ar.d/c~ the
wastewate~ disposal system. This approval iP. dicates that, as cf the validation date
shown, above, based cn the data and information furnished by an engineer xegiste~ed in
the State cf Alaska, the water supply and wastewater disposal system is safe and func-
tional fo~ the mnmbar of bedrcc~s and type of structure indicated.
( mm SEAL)
7. Mail th~ HAA to the followir~3 address..
ra ldSIs
[Page 2 of 2]
2-15-84
MUNIClPALI1Y OF ANCBORAGE (MOA)
HEALT~ AU~OP/TY AP~OVAL (HAA)
CHECKLIST - FEBRUARY 1984
(]3^13D3
Well Classificatior~~ If A, B, (x C, D.E.C. ~~,
Total ~~ ~d
Casing ~ight
~ati~ D~s~s ~ ~1I:
TO ~pti~ Ta~
To ~a~st
TO ~st ~blic
C~an~le ~ / ~ ~ ~est ~r ~rvi~ Li~ ~ ~t ~ /
Water S~le Test m~sul~ ,.5",,'-; 7/,~',e¢~'o,~"~,'. "" .~.
B. SEPTIC/~ TANK [i~TA
Septic, ...... .~ Tank'. /
Separation Dista~ss frcm "~'"
To Watem-Supply Well ~3-
To l~c~erty Lira ~0
To Water Main/Se:vioe Line
Com~nts
To Buildi~4] Foundatio~ ~-/
To Dispcsal Field 2o /
To Stream, Pond, Lake, cr Majo~ D~ainage
[Pags 1 of 2] 2-15-84
Co AB~RP~ON FIELD I~TA
D. LIFT STItTI(]N
Date Installed /~
Sizs in Gallons , / /
"Pum~ 0~" Le.'l at ~/ //h
Tested for
~.lect_~tcal Codes(Y/N)
Cc~renta
~mnhole/a~eess (Y/N)
"Pum~ Off" Lsvel at
Pumpin~ Cycles ck~ing Adequacy Test.
2-15-84
APPLI~'-'NT FILLS OUT UPPER HAI'"'~,ONLY
Address Zip
~ OIh~r
0 Public Utility
0 Holdin~ Tank
Time Time ~1 r, , ~ Timet~% Time
~ ~ICIPAL~ OF AN~O~OE
~__ ~~ SEP22~982
- RECEIVED
~ APPROVED ~[O~S 'CONDITIONS OF APPROVAL
( ) DISAP~OVED
( ) CONDIT~NAL APPROVAL'
~lls Rating Date ~we; Install~ Well To ~sorpflon Area /~ ~ Well L~ R~elv~