HomeMy WebLinkAboutEAGLE PARK BLK 1 LT 9 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
PHONE
~UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
Well Absorp~ 8~ O~llm~ PERUlT NO.
DISTANCE
TO:
~ ~ nufacturer ' No. of compartments
ity i~ gallons IF HOME'DE: Inside length Width Liquid depth __
O Z ( Manufacturer Material Liquid capacity in
'~ T°P°ftilet°fin~hgrade ~' M'teri'l beneath tHe ~,/ i.ch~
,~ Ty~ O' crib Crib d,ameter ,], ~b depth Total e f f~,i, .bsorpt,on area
Well Building foundation Nearest lot line
~ DISTANCE TO:
:la s / ~ Depth Driller D,stance to lot line PERMIT NO.
PiPE MATERIALS· .
REMARKS
PP~OVEO ~ ~ ~RG
~(Rev. 3/78)
MU~qICI~-'~4L ITY OF ·
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
~4-47~0
PERMIT NO:
DATE ISSUED:
APPLICANT:
ADDRESS:
F tON~.
CONTACT " ~" °
LEGAL DESCRIP:
LOT SIZE:
MAX BEDROOMS:
Listed below are the options available to you in designing your
system. Choose the option that be~t Kits your site.
OIq--S I TE SE~ER PERM I T
80
0~/~9/8~
SR BOX 6003 WREN LANE
EAGLE RIVER, AK 99577
694-2833
SUBDIVISION: EAGLE PARK LOT: 9 'BLOCK: 1
SECTION: 17 TOWNSHIP: 14M RANGE: 1W
45000 (SO.FT. OR-ACRES)
4
(FT.)
septic
DEPTH TO PIPE BOTTOM
GRAVEL DEPTH (FT.)
TOTAL DEPTH (FT.)
GRAVEL WIDTH (FT.)
GRAVEL LENGTH (FT.)
TRENC|~ BED L~. DRAI ~
5.0 ** 4)0
8.0 0.5 5.5
11.0 4.5 7.5
2.~ 26.0 5.0
57.0 50.0 97.0 **
71.9
GRAVEL VOLUME (CU. YDS. ) 44.9 ~8.
TANK SIZE '(GALS) 1 250.0 ** 1~25¢).0 ** 1~250.0
SOIL RATING (SQ.FT./BR) . ~.-'o ,z-- _ ·
· * DEPT~ TO PIPE BOT .. .o FT. REQUIRE~ INGULA]~ION
~* 'DEF'TH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION
· * GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT' EXCEEDING 75 FT. EACH)
· * TANK MUST HAVE AT LEAST TWO COMPARTMENTS
I certify that: ,
1. I am £amiliar with the requirements £or on-s~ite sewers and w-~lls as sc~t
~orth by th~ Municipality o£ AnChorage (MOA) and th~ ..... te o~ Alaska.
2. I will install tho system in accordance with all MOA codos and regulations,
and in compliance with the design criteria, o~ this permit.
5. I will adhere· to all MOA and State o~ Alaska .requirements for 'the set back
distances ~rom any existing woll, ~astew~ter disposal systom or public
seworage system on this or any adjacent or 'nearby lot. ~
4. I understand that this permit is valid [or a maxim~lm o£ 4 bc.~drooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA C~VERED BY MOA £.UILDING.CODES~
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) .AS-BUILTS
WILL. NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (5) THE
ELECTRICAL WORK MUST .BE DO,~= BY A LICENSED ELECTRICIAN.
SIGNED
APPLI CA,~4T:
ISSUED BY
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 Lo Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
3
4
5
6
7
8
9
^/
SLOPE
DATE PERFORMED: ,.~'~8-8'''~"""
SITE PLANT L-
10-
11
14-
15-- i~ b-x'-~o,+- o~
~.~ o~7..
16
17
18
19 ~ ~ Sh~r
No. 1~7~
20.
COMMENTS
WAS GROUND WATER ~
ENCOUNTERED? ~/~) O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
.
PERCOLATION RATE ~ ~ (minutes/inch)
TEST RUN BETWEEN ~ · FT AND '%~ , FT
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE.~
He~"%h and Environmental Prote/ 3~on
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
INSP~-CTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE /,~,F~ /
FROM WELL~' '" ~
INSIDE LENGTH
_ . '7 · "' 'J'MBER OF --~-
INSIDE WIDTH ' __ LIQUID DEPTH -- LIQUID CAPACITY/~,~LLONS.
TOTAl LENGTEL-
· DISTANCE fROM WELL/_d~)~/'~;~-FOUNDATION~L~"! f--NEAREST LOT LINE_~:) / ,OF LINE
DEP~II: ~OP OF ~ILE TO FINISH GRADE ~ MATERIAL B[N[ATIi ABOVE TILE
SEEPAGE PIT:
Log Cr J.b__
BUILDING FOUNDATION
DIAMETER OR WIDTH
Rings/;RIB SIZE: DIAMETER .
NEAREST LOT LINE
LENGTH DEPTH
.DEPTH DISTANCE FROM: WELL ..
1OTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) SQ. FT.
Well
Class: Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe Materials: _~L~~- -
~ of Bedrooms: ~ ~ ~ .J --
Installer.
Remarks.. . . ~ ~ ~ %- J J
F'ERM~T NO
'~ I_1J'-! I
DEPRR. TMEfIT ,~'%HERLTH AN[:, EfIVIRONMENTFIL~ .3TECTION
,'=':'~ ' STREET, R,~ICHORFtGE.' AK. c,,: _d.
~ ',--_~l'-J--'_--% I TE SEL4EF: F'EF-:I-"I · T
77592
FIF'F'L I CFIHT
LOCAT I ON
LEGFIL
[>tJNC:Rfi HCLFOC,
L
Ht,'Eri
L~ E:i EAGLE FFIRK SUE:C,
SR EU,, 'I~,..,E,
LOT SIZE
694-3iE:0
29000 SQUARE FEET
TYFE OF SOIL ABSORBTIOti SYSTEM IS: TREfICH
i',IFI',~.',IHUtt NUMBER OF E',EC, ROOHS = ~ SOIL RRTIIIF,
THE REQUIREr:, SIZE OF THE SCIIL FIE:SORPTION SYSTEM IS:
(SC! FT/BR)=
C, EF'TH= '~ I LEI-._~f%TH= '-~:: '- GF.'A'-..'EL [;,EF'TH= 6
THE LENGTH DIHEHSION IS THE LEHGTH (Ill FEET) OF THE TR. ENOH OR DRFIlHFIEL[:,.
THE DEPTH OF Fi TREHC:H OR PIT IS THE [:,ISTFtNCE E:ETWEEN THE SURFFICE OF THE
GROLIND RNC, THE E:OTTOH OF THE b~,bMtn/iL (I~ FEET).
THERE ~S NO SET W~DTH FOR TRENCHES.
THE 6RRVEL DEF'TH IS THE H~N~HUH DEF'TH OF GRAVEL E:ETWEEH THE OIJTFRLL PIPE
AND THE E:OTTOM OF THE EXC:RVRTZC'N (~N FEET).
F'RISI-~'.RGE F'LFir-,IT CiF'T I C~l'-~
Fi F'FICKFIGE F'LRNT HFtY E:E IHSTRLLED FIT THE PERI'IlTTEE"S OF'TIOH SUBJECT TO THE
FOLLOWING C:OfIDITIONS:
±. EITHER Fi CLFISS I OR II NSF FIF'RRCr,?ED F'LFIHT I'lFt',' BE INSTFtLLEE:'.
2. Fi COfITIfIUOUS HFIIHTEHFIfIC:E RGREEMEHT IS REC!UIRED. IF Ft I'IRIHTENFINCE
AGREEMENT IS NOT KEPT CLIRRENT YOI.J f'lFi'¢ BE REQUIRED TO ENLFIRGE THE SOIL
_,~_.TEM RND,'C~ YOU f'lR"r' E,E '~IJBJECT TO F'ROSECUTION.
FIBSORF'T I OH '= ''= ' ' -
_. --' I I'-,ISF"EIST I I-~1'-.1_':~. FI .F-'E F--:EI_;!U I RED
T I-.J I-'1 "2 ::" --
EFICKFILLING OF Rfl"r' S"r'STEH WITHOLIT FINAL INSF'ECTIAN FtND FIPF'RO","FIL E;Y THIS
DERFIRTMENT HILL E'.E SUBJEC:T TO PRC~SECUTION.
HIHIHIJH DISTFIfIC:E E:ETWEEN R HELL RND Fffr.P ON-SITE SEWFIGE DISF'IDSRL SYSTEM IS
100 FEET FOR R PRIVFITE WELL OR 200 FEET FOR Fi PUE'.LIC WELL.
OTHER REOUIREHENTS MFtY FtF'PLY. SF'ECIFICFITIOHS FIN[:, C:ONSYRUCTIOH DIRGRFIMS FIRE
FFIVFIILFIE:LE TO IHSLIRE PROF'ER INSTRLLFITION.
F'EF:I'-I I T E:--::F' ]; F-:ES [:,ECEI--1E:EF-: 2-:2. :..t'S-~7?
I CERTIFY THFtT
l: I Bf,1 FFIHILIFIR WITH THE REQUIREHENTS FOR ON-SITE SEHERS AND WELLS RS SET
FORTH BY THE HUNICIPFILITY OF ANCHORAGE.
2: I HILL INSTBLL THE SYSTEM IN FICCORDFIHCE HITH THE CODES.
3: I UNDEF'.STFIND THFIT THE ON-SITE SEWER SYSTEM HFIY REQUIR. E ENLRRGEMEHT IF THE
RESI[:,EHCE IS REMODELED TO IIqC:LU[.',E HORE THFIH ~ E:EDROOHS.
......
FIPF'L I CFIHT DUI'-ICFII'.I HCLEOD
V2. 0
PERFORMED FOR:
[] SOILS LOG
MUNICIPALITY OF ANCHORAGE r:rL c.. l: :,u,, :,
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTEDTION~');":'Lr'I:;':~:;~;~OLATICsNTN
Pouch E. ES0. An~or,~. Al~kl 995~ 276-222~
SOILS LOG -- PERCOLATION TEST
RECEIVED
LEGAL DESCRIPTION: ~Z-fTT"' ~ ~"~-~'
1
2
3
4
5
6'
7-
8
9
10
11
12
13-
14-
15-
16
17
18
19.
20-
/
SLOPE
SITE PLAN
/
/
I
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE [minutes/inch)
TEST RUN BETWEEN , FTAND , FT
72,008 (7~76)
PERIl [T~ ~JO.
I ¢ I PAL I Tk' OF ANCHORAGE
DEPRRT~IE[I]-~-% HEALTH AND E[IYI RO~I~IErJTRL~."'WDTECT I ON
825 ~ STREET, 8~'~CHORRGE, 8K ~/1
27~-25il
~ELL PERtq I T
RPPL I CANT
LOCRT 101~1
LEGAL
DUNCAN MCLEOD
[.~RE f'~ ST
L9 Bi EAGLE PARK SUBD
SAR BOX l~5B
LOT SIZE
694-~i80
29952 SQUARE FEET
MINIMU~I DISTANCE BETWEEH A WELL At'ID ANY Ot'4-SITE SEWAGE DISPOSAL SYSTEM IS
i00 FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL
WELL LOGS ARE REQUIRED AND ~IUST BE RETURNED TO THE DEPRRTMgIT WITHIH 10 DAYS
OF THE WELL COrlPLETIO~4.
SPECIFICATIONS AND CONSTRUCTIO~I DIAGRA~IS ARE AVAILABLE TO I~ISURE PROPER
I tiSTRLLRT I
PERIIXT YALID FOR ONE' YEAR FROll ISSUE
I CERTIFY THAT
l: I Rtl FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE ~IUttICIPRLITY OF ANCHORAGE.
2: I WILL IHSTRLL THE SYSTEM I~ ACCORDANCE WITH THE CODES.
SIGhtED: --.~-~-----' -~-~ APPLICANT DUt'~CRN ~CLEOD
M-W DRILLING, INC.
' ' DRILLING LOG
Well Owner ~.:cLeod Construction ' f
/dUNIOPALI~Y OF A~C~.~?;,C=
DEPT. O? I:EALTH ~',
JUN 3 1 77
RECEIVED
UseofWell Don:estic .
Location (address ~f: Township, Range, Section, if known; or distance main road
Lo: 9 Elock 1 Eazle Park Subd.
Size of casing Depth of Hole 22tl feet Casedto 223.4 feet
Static water level 207 ft. (~r~.') (below) land surface. Finish of w'ell (checkone) openend ( XX
Screen ( ); Perforated ( ). ,.
Describe screen or p~e~:foration N/A
Well pumping test at M, gallons per (houO <(miri[~te) for hours with
of drawdown from static level. ·
Date of completion 5/215/77
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
0 Ca ~ ing, s:ickup
2
3
!~5
);
ft.
90
91
100
.165
216
.TO 2
.TO 3
.TO 45
.TO. 85
.TO. 90
.TO. 91
.TO 100
.TO 1~5
.TO lgl
TO 2]6
TO 222
TO
TO
TO
___TO
OrKanics
Silty gravel and cobbles
Gravelly hard pan: cobbly
Uet sand and ~ravel 1/2 gpm,
Graw~lly hard pan'
5'head
Silty sand and Eravel~ water 1/2 ~mn
Gravelly hard pan; cobblv
Loose ~ravel
Con~nted grave].; cobbly
Uater sand and gravel
2 -- STATE
DEPT. OF ENVIRONMENTAL CONSER%'ATION
ANCHORAGE DISTRICT OFFICE
3601 C STREET, SUITE 322
ANCHORAGE, ALASKA 99503
WALT£R J, HICKEL, GOVERNOR
563-6775
November 21, 1991
Mr. Roger J. Shafer, P.E.
S & S Engineering
17034 Eagle River Loop, Suite 204
Eagle River, Alaska 99577
RECEIVED
NOV 2 5 1991
Munlcipahty of Anchorage
Dept. Health & Human Services
Su~ect:
Lot 9, Block 1, Eagle Park Subdivision, Eagle River, Alaska, Class C Public
Water System (PWSlD Number 217110), Wastewater Disposal System and
Waiver Request, ADEC Project Numbers 9121-DW-051 and 9121-WA-016;
Review
Dear Mr. Shafer:
This is in response to your submittal on the above-referenced project received in this
office during the week of November 11, 1991. Thank you for bring the error to my
attention. The waivers and approvals noted in my November 4, 1991 letter are still valid.
I have enclosed a new certificate noting that the facility will be used as a three bedroom
bed and breakfast and a one bedroom single family home. The certificate that I signed
on November 4, 1991 is no longer valid.
Thank you for your cooperation with this Department. If you have any questions, please
do not hesitate to contact me.
Sincerely, ,~ /~
Keven K. Kleweno
Environmental Engineer
KKK/cf
Enclosure:
CC:
As Stated
~John Smithi~DHHs[~vT~ Er~C./ ~'T-O
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE DISTRICT OFFICE
3601 C STREET, SUITE 322
ANCHORAGE, ALASKA 99503
WALTER J. H/GKEI., GOVERNOR
RECEIVED
UAY 1 T 19,~1
Munimpality of
Dept. Health & Human Services
May 15, 1991
Mr. Robert A. Shafer, P.E.
S & S Engineering
17034 Eagle River Loop, Suite 204
Eagle River, Alaska 99577
Subject:
Lot 9, Block 1, Eagle River Subdivision, Eagle River, Alaska, Class C Public
Water System and Waiver Request, ADEC Project Numbers 9121-DW-051,
and 9121.WA-016; Review
Dear Mr. Shafer:
This is in response to your submittal, received in this office on March 28, 1991, in which
you requested the Department issue an operation approval for the existing Class C Public
Water System. In addition you requested that the Department waive the minimum 150
foot separation distance between the existing Class C Public Water System Source Well
and the on-lot wastewater disposal .system to 105 feet and the wastewater disposal
system on Lot 8 at 115 feet. I have reviewed the submitted information and have the
following comments:
Based on the information submitted to this office, it appears that the existing public water
system was installed in compliance with the applicable State and Municipal Regulations
at the time of installation. In addition it appears that current requirements, regulations,
and guidelines could be met with the exception of the separation distances as noted
above. Since there will not be an increase in the peak flow demand placed on the existing
water system as a result in the upgrade in the classification of the system and the
analytical results for Total Coliform Bacteria and Nitrate (as nitrogen) were satisfactory,
the Class C Public Water System is approved for the concerns of this Department. A Final
Operation Certificate, constituting this approval, is enclosed for the existing Class C Public
Water System.
The separation distance between the existing Class C Public Water System Source Well
and the two referenced on-lot wastewater disposal systems can not be granted at this
time. However, once the results of the adequacy test on the wastewater disposal system
located on Lot 9, Block 1, Eagle Park Subdivision is submitted, I will favorablly review
your waiver request.
At this time, the Department is assigning Public Water System Identification (PWSlD)
Numbers to all Public Water Systems in the State. As a result, the PWISD Number
assigned to this system is :~17110. The current State Drinking Water Regulations do not
require any routine water sampling for Class C Public Water Systems at this time.
However, if the regulations change, the Department would like to be able to notify your
clients. In order for the Department to contact your client on the changes to the State
Drinking Water Regulations, please have them complete the highlighted areas on the
enclosed "Inventory Update Form" and have them return it to this office.
Thank you for your cooperation with this Department, If you have any questions, please
do not hesitate to contact me.
Sincerely,
Keven K. Kleweno
Environmental Engineer
Enclosures: As Stated
cc: John Smith, DHHS, w/o Enc.
Municipality of :Anchorage
Development Services, Department
Building Safety Division
On-Site Water=and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak, us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
:";I. GENERAL INE0'RMATION '
HAA# O o
Expiration Date: - - O
Location (~iie address or directions)
Current Property owner(s). ,,,'¢/-,o ~, /
Lending agency
Mailing address
Real Estate Agent
Mailing Address
'Unless otherwise requested, HAA will be held by DSD for pickup.
NUMBER .OF BEDROOMS: ,z./'
Day phone
Day phone
-3.
· TYPE OF WATER SUPPLY: '
Individual Well J~
Individual Water Storage I-"1
CommunitYClass Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding tank [--I
Community On-site r'-i
Public Sewer . [--I
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Cedificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
n~w Water sample results. (Certificates may be reissued for a period of up to,One year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water, system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. -, '
4. 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,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-
site water supply and/or wastewater disposal system is(are) 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(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
NameofFirm g2~'~.//,,~.5'7~. /-~/?/~% '
Address
Engine. er's printed Name ,/~ ?/',4, ~ /~. /~,,?/~-~'
DSD SIGNATURE
L"/"' Approved for 1[~
Disapproved. .
Conditional approval for
'Phone' ~'~?- ?'//~'/~) ?$
bedrooms.'
.Date -
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
-X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
(Rev. 01/02)
~Mumclp. ality of Anchorage
Development Services Department
t Building Safety Division . .
. ' =: .i ': OmSite W~iter & Wastewater Program
" , ,~ : , i : : .4700 South Bragaw St. ·
· '; : I i: ;P.O. Box 19665~0"AnchOrage, AK 99519-6650'
."i. i I ','i:.":' :. i wwv~.'~i.anchOrage.ak, us . : ....
'; ' t i!.:.~ .' . !(907) 343-7904 ~ ' ' . -
1 ~, '~' ".1~ .... C'~'Li
: HEALTH AUTHGRITY APPROVAL CHE
.
Legal Descriptioh: i .
A. WELL DATA
Well ~pe jo ~,//~ ~/~ ,
Date compleied ::-~'/~
Total ,depth:,~,~ q' !'fi,.
Dateoftest~ .: ~'
Static water~level' ? ;~1
Well LoS (Y/N).
- :! 1:
Wires properly` protected (Y/N)
Casing height ialb;ve ground)
AT INSPECTION '
I
B;'or~C provide PW, SID #
Sanitary seal (Y/N) i r
"- *' ', !Z
Cased to .,~,2,~'.: ~ft. :.:
.Well production .... ~' ,Ii ,; ::
· g.p.m.!
SAMPLE RESULTS:~ !;
f0,rm',''
1.
Arsenic: ~' ' m[~./i.' , t'
:B. sEpTIC/HOLDING TANK DATA
Other b~:te?i
Collected" b~:
Tim6:~/.~0 ~ '
Elapsed
Any re]uvenaiion traatment (pas~t 12 m6!)
~i '. ': ' "' I'
g.p.m.
~;! ~ ' colonies/100 mi.
i ,: iPasS/FaJl). ~,,~¢. '
n.,.:.'! : wateraaaea . ga.
, ,/',~. ~' : ,
Ih ~n
, '/Y.q .'~.. ~ .,.: Absorpt~onrate >
;~ ,. . . :.',
,:tyPe)! : .': i i~/ .i ' " i If es,g~ve
over field. ~
For 'q' bedrooms
New depth ~".? in.
~' ~'¢' g.p.d.
date ~
Length
Total depth q//I
Date ~f adeq~acYtest
Fluid depth in~'absorpiion
! Tan~Type/M'ateda! ~I ': ' ~ : ": '
........ -'.. ~ -: ,-i,:.i.- - .Date mstallec
, t,J... /,*~/,. ~ . .. t ' ' " ' "
, : Tan,k, s,~ze ,/,¢~,o' J '{ J; Number of Corfi ~artments A:. i' Cleanout,s (Y~ q)" ,: ¥'
. ! " "" ' , ~:~ : ~ I' ', ~ : -.' , ' ~ /
: ~- Foundation c]eanout (Y/N) ~ ..': Depress ih ~ :' ': ' '/~ "" ' ' '
ertar: tN) :,4 ~'. 'Hghwatera, I; ~r/n (YIN)
· .. ' , t '~ '~' ' ' "'' ' ...... ' · ~ ' ,.., ~, ' ~ ~ ~
', ~...., ,......'..~l,.j~ ,t:. ,1,' "" ~' ' ' ' ....
!, 'uateotpumping J'.',~,'/,~7,,,"'-/~ ~.'; I;Pu~ '~ee ~:~ ' /~. i ,' .,. i ! i
.:. C. ABSORPTION FIELD DATA ..' : . . ~J!!
' Date" ' :' ~ ~ ~ " '· ~' '~' ' ',,
· ~ i . Z., .'= ,.,i, ~ . .:l. r i , , ~! ,:
~'Y'~g,'Z'~,. ;~! 'ff ;:i~ v~1dth !J ii 5't: -i,~ ~tl : Gravel..: 'below"", pi' p:e ~/'7 ft'.
in.
D. LiFT sTATION
Date installed size in gallons .
~ "PumP ~n" level at
; 'i~= 'l =
Datum i!t! ~!' ~--~C'~tested ·
E, SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT To:'
--~ . Septic tank/lift station on lot
.t,
Absorpbon 'field on lot
Manhole/Access (Y/N)
'in. ' ' evelat
Meets alarm & circuit requirements?
on adjacent lots
On adjacent lots
Public'§~w~/' main ~F'//',4' ": Public sewer manhole/cleanout
Sewer,/septic service line ,~,5'- ~ r/'/T · :'Holding tank
.: SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Buildin.cl,foundation . ?' ~r. Property line /z) t- ~f '. Absorption field
Water main'i '~. fi//~q- · Water service line ~¢ Fr Surface water
Wells on adjacent lots /OO ~'/~t
SEPARATION DISTANCE FROM ABSORPTION FIELD. ON LOT TO:
water s,?Vice line oTS,' fr surface water /~ '~ ?C ·. Drive.w, p~kin,~ehio~e ~tor,~e
Curtain'drain. r'~ e n/~r ~' . Wells on adjacent !ots /'d~ ~ r,
F. COMMENTS ,,
Date of P~yment
~eceipt Number,
,::~1t .:
[ I!. I; '~;:":
Waiver Fee $
Date of Payment
Receipt Number`
G. ENGINEER'S CERTIFICATION
! certif?ithat I have determined through field inspections and
review ~f~ 'M~nicipal records that the above systems are in
confo~'~nc'~ With MOA HAA guidelines in effect on this date.
Engin'e6Ks ~rinted Name
Date·~! I,',
·
I hereby, certify that I have surveyed the following described 5'
. prO~e.y;"/--'~T fi' ;, F [,-'~ k .1:, i:.' ' .... ' '. ·
,.~.'.;~7~_;',r~.~ ~{,' d,.~ . .'"-:" '. '..:'":;'.':
Anchorage Recording Precinct; AlaSka, and that the tmprove-;i
ments situated thereon are within the property lines 'arid ilo not
'overlap Or encroach on the property lying adjacent thei"eto, that
· no improvements or{ property I in ad'acent thereto encroach
o,' the' premises in. que~tlo, 'an{l. t{~at ?l~ere are .o roadways, :'
tranSmission'lines or other visible eagements On said property.
.except as indicated hereon?
Dated at Eagle River, Alaska .
.'mi,.=-7 :t~" ~,ay.af /.~ o-v. ' . -:' "2oo~t: ' -. -
'' '' ,ROBERT.C~On~SO~ ~.~.O"
sc×rE:'.,:':.. ' · ' "-~-' - ·
iReg~sterei:! Land Surveyor No. 880-L$ - -
1" ~- ~ ~ ,Box 77-045~, Eagle Riv~r,'Alaska 99577
' Phone (90'0 b94-2~..~. 7' ~:'' ,: 'i':
· ' ..... ,' ';'-i -.. ...; ..... -,..-:' ..... -'. !'i
SGS Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
1042415001
Douglas Kenley P.E.
Lot 9, B I, Ea~le Park S/D
Lot 9, B 1, Eagle Park S/D
Drinking Water
All Dates/Times are Alaska Standard Time
Printed Date/Time 05/18/2004 11:48
Collected Date/Time 05/09/2004 14:30
Received Date/Time 05/10/2004 16:43
Technical Director . Step]~e05~. Ede
P,VSID 0 Released~~t~~~
Sample Remarks:
Corrected Report: Sample location corrected per client request.
Allowable Prep Analysis
Parameter Results PQL Units Method Container ID Limits Date Date
Waters Department
Nitrate-N
0.521 0.100 mg/L EPA 300.0 B (<=10) 05/10/04 JMP
Microbiology Laboratory
Total Coliform
0 col/100mL SMI8 9222B A (<=1) 05/10/04' DKC
Douglas T. Kenle¥ Civil Engineer State of Alaska C.E. 8176
Legal Description
Address
Applicant
SEPTIC SYSTEM ADEQUACY TEST
Lot 9, Block 1, Eagle Park Subdivision
9907 Wren Lane, Eagle River, Alaska
Arnold Van Horn
Date of Test 20-May-04
Inspector Fred W. Kenley
Work Order #04109
System Data
Tank Volume 1000+500 gal. Absorption System Trench
Number of Bedrooms 4 Absorption required (150 gal./bedroom) 600 Gallons
TEST DATA
65'Long 38' Long
TIME Meter Diff. Cum. Flow Septic 7' ED 6' ED Comments
reading Volume Rate Tank Trench Trench
Level (In.) Level (In.) Level (In.)
10:30 am 3000 0 0 0.00 40 8.5 14.5
10:40 2500 500 500 50.00 " 10 24
11:16 1200 1300 1800 36.11 " 30 41
11:25 900 300 2100 33.33 " 41 53
11:55~ 500 400 2500 13.33 " 63 51 Stopped water flow
12:23PM 57.5 49.63
1:10 55.5 49.5
1:50 52.38 48.38
7:05 44.87 45.5
System Passed Yes System Failed
Comments The system had two tanks: 1000 & 500 gallons, and two trenches: 65' L & 38' L. Approximately
300 gallons absorbed in 7 hours & 10 minutes. Prorated on a 24-hour period, this gives greater
than 600 GPD. An adequacy test was performed on 5/7/04, at which time the absorption rate
was less than 600 GPD. J.R. Pumping was contracted to put in a potential of 3000 gallons to
bring the level up closer to the invert of the distribution pipes. A conservative total of 2500 gallons
was introduced. The pumper said 2500 to 2700 gallons. A conservative drop is 300 gallons in
7 hours and 10 minutes.
61: Time
Date
Insp
,.~:~INICIPALITY OF ANCHORAGE ~
DEPARTMENT _..,: HEALTH AND ENVIRONMENTA£ ,ROTECTION
825 L Street, Anchorao~. Alaska '99501
264-4720
3:30 p.m.
10-17-77 Monday
Willis
Date Received: October 14, 1977
Time ~ #3: Time
Date ~__~__~.~C Date
Insp ~_~,~[,$ Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: ~ ~e~u~-~ ~%~ ~4 L ~_~_~¢L
Mailing Address: Phone:
2. Property Owner: Duncan A. Mc Leod
Mailing Address: Star Route Box 165B 99577
Phone: 694-3180
3. Legal Description: Lot ~ Block 1 Ea~le Park
4:
Se
e
Single Family Residence: (x)
Multiple Family Residence: ( )
Well System: Individual well (x)
Permit 6 ~Uf ~'~ Depth of Well
Cons'truction
Number of Bedrooms: Thr~a
Number of Bedrooms:
/
Community/Public System ( ) //
2~~, Well Log on File
Bacterial Analysis
Sewage Disposal System:
Permit %
Septic Tank Size
Absorption Area
On-site System (x) Public Utility ( )
Installed 1977 Installer
0 ~ 0 Manufacturer
~0 Soils Rate ! q 0 Material
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
P2fe Tw~
---~-~ Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 9 Block 1 Eagle Park Subdivision
Comments:
Affadavit Attached: ( ) Letter Attached: (
Approved: ~ ~ ~ Date:
Disapproved: Date:
Department Worksheet:
e
Property. Owner:
Mailing Address:
Name of Buyer:
Mailing Address:
Lending Institution:
Mailing Address:
**
Phone:
Phone:
e
Se
Realtor/Agent:
Mailing Address:
Legal Description:
Street Location:
~hone =
6. Single Family Residence: (~7 Number of Bedrooms:
'Multiple Family Residence: ( ) Number of Bedrooms:
7. Water Supply: * Individual Well (~' Public/Community System ( )
If Individual Well, well depth ~--
If Community System, name of system
Sewage Disposal System: On-site System (~ Public System ( )
If On-site System, date of installation: ~
*NOTE: A well log is required on ALL wells drilled since 6/75.
3/77