HomeMy WebLinkAboutTROLL KNOLL BLK 2 LT 4
Municipality of Anchorage
Development Services Department -~: _=-=~',
~'::~:
Building Safety Division
On-Site Water & Wastewater Program, 4700 South Bragaw St.
P.O. Box 19665.0 Anchorage, AK 99519-6650 ~ ~
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:. SW050554 PID Number:. 051--521--21
Name:
TOM MOSES Wastewater System: [] New [] Upgrade
Address:
20506 LEPRECHAUN DRIVE * CHUGIAK, AK * 99567 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 688-5725 *5 [] Deep Trench · Shallow Trench D Bed nMound I-IOther
LEGAL DESCRIPTION ,al, ,o,ng: 0.8 G,D/sq... zo~, D.pth ,~m o~,.~,7.5,~,.:(MAX)
Block: Lot: Subdivision: D~pth to plpe I~[tom from erlglmsI grade: Grave[ depth benecth pipe:
2 4 TROLL KNOLL 5.5 .. 4.0
Townsh¥: Range: Section: R~ added above original grade: Grovel length:
- - - SEE DWG. r~ 60
WELL: [] New [] Upgrade//~-~ c~re, .Idth: Number e, lin#: JDi~tonce bet.aah lin.=
5.0 ~ 1 -
_C)~~__ ~. .. 600 so.~ D 5034/ F-810
, 10~22-24/2003
op, I ~ I ~ TAN K
SEPARATION DISTANCES [] SepUc [] Holding · S.T.E.P. [] Other
T~.~_~"'--...~TM Septic Absorption Uft Holding Publlc/Prtw3te M~nufactumr: C~pacity In gallon°:
Tank field Station Tank Se.,r Un,, ANCHORAGE TANK/ORENCO 1500
M~eHoI: Number of comp~rtmen~:
Wetl 100'+ 100'+ 100'+ - 25'+ STEEL 2
Surface Wat.r 100'+ 100'+ 00'+ - - LIFT STATION
$iz~ In gallonl: J Manufacturer:.
Lot Une 5'+ 10% 5'+ - - 1500IANCHORAGE TANK/ORENCO SYSTEMS
FoundaUon 5'+ 10'+ 5'+ - - 42" 42" 46"
Curtaln Drain NC~NE KNOW~I Pump ~k. · ~o~.~: la.~.~°~ ...,..-~o.. ,,o~med ~.
" ~20 OSI 05 HHFI RISING SON ELECTRIC
Remorks:*LIFT STATION INSTALLED WITH DUAL OUTLE'rS BENCH MARK
.~=Uon and D#cdptJom
OUTFALL FOR CRIB IS CURRENTLY OFF. ONCE TOP OF GARAGE SLAB (LEFT SIDE OF DOOR)
CRIB IS REJUVINATED, THE NEW DRAINFIELD AND
I Allum~d
CRIB IS ADEQUATLY SIZED FOR A 4 BEDROOM 100.00
ENGINEER'S $~IAL
RESIDENCE.
I'0
Inspections performed by: AKWWC: INC. _. ,_ Dates: 1st 10/22/2003 .... ~.... ........... ': ....
· " ""2'nd 10/23/2003
3rd 10/24/2003 .
~/~ J'.._ Ci;-7953 .." .~..~
Development Services Department Approval ,~j .. ~, ...
R&viewed and approved by: Date: ///5'/.~ q e'.~,~,,'''lo, ~ ss ;._<~'~'~'~
PERMIT NUMBER:
~wo....,o:,~,,. AS- BUILT DRAWING '"'"°~ ":' "'"'~"~:
051-521-21
EXISTING CRIB TO BE USEDAS
J \ / .__~. / X /-~ APPROXIMATE
/ \ / ~-~ / ~ /LOCATION OF
/ \ / ~,~,~ / . ~ / w^T~u.E
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U~E: UU.E:R .~'WA¥ ~ /
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. _ ~,w, .~: .~_~'~¢.. ......
ALASKA WATgR & V~A$'I'~-~FA~'i'-~-~-' ca.o. ~-"-"" ' "' ' "'"~..;,.~r/;~':-:..%~O,~
,;'o~.;;;';ooZ;,7,';;'::,,,~.°o~S?,,?~o~.~.,,'.o"~',;~,:~. ~~ '~. = ,.o. i"~ ~.'.'':-t~'~r P-/.'.~"- :?-
TOM MOSES (907) 688-.'3723 2 OF 3
TROLL KNOLL SUBDIVSION; LOT 4, BLOCK 2 'U~,'J/"l.4 ..'"~L~
A B C
DBL1 74.24 16.50 43.71
DBL2 74.76 17.95 45.29
ST1 75.77 19.54 46.81
ST2 79.21 27.15 54.72
MH 80.05 28.91 56.53
MT1 94.38 41.31 66.86
MT2 137.39 91.30 116..34
DBL.3 - 36.08 9.52
DBL4 - .37.96 10.9.3
CRIB - 40.`36 12.91
MUNICIPALITY OF ANCHORA GE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Sep 03, 2003
Expiration Date: Sep 02, 2004
Permit Number: SW030354
Legal Description:llYROLL KNOLL BLK, 2 LT 4~
Design Engineer: 0041 AK Water & Wastewater Consultan~
Owner Name: Tom Moses
'Owner Address: 20506 LEPRECHAUN DRIVE Total Bedrooms: 3
CHUGIAK, AK 99567-6275
Parcel ID: 051-521-21
Site Address: 020506 LEPRECHAN DR
Lot Size: 31775 SQ. FT.
Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field r~ septic Tank [] Holding Tank [--~ Privy
Private Well
Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
/0-,2. o
Date:
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
I -" ~ ~..I- 7---I Permit Number
Property owner(s)
Mailing address (1)
TOM MOSES
20506 LEPRECHAN
Mailing address (2)
DRIVE * ~¥-AK
Legal description (Lot, Block & Sub'd.) LOT 4.
Legal description (Section, Township & Range)
Lot Size ~ I ) ''~ ~ ~'-3j Acres~
BLOCK 2 TROLL
N/^
Number of Bedrooms
Day phone 688-3725
Zip Code 99567
KNOLL SUBJ;)IVI~;10N
THIS APPLICATION IS FOR:
Sewer Only · Well Only
Sewer and Well [--I Water Storage
Sewer Upgrade D
THIS PROPERTY CONTAINS:
Hot Tub D Jacuzzi
Swimming Pool D Water Softening Unit
Therapy Pool r-J
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
ALASKA WATER &: WASTEWATER CONSULTANTS, INC.
Permit Fees:
Date of Payment:
Receipt Number:
~ HO0.°°
Waiver Fees;
Date of Payment:
Receipt Number:
ALASKA WATER & WASTEWATER
August 13, 2003
Municipality of Anchorage
Development Service Department
Building Safety Division
On-Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Septic Upgrade for Lot 4, Block 2; Troll Knoll Subdivision
To whom it may concern:
The existing 3 bedroom house is served by a community water system and a private septic
system. The septic system consists of a 1000 gallon septic tank and a crib type drainfield. The
drainfield is surcharged and needs to be upgraded. A test hole was excavated southeast of the
existing drainfield. The drainfield will be designed around the 30 foot radius of our test hole.
We are proposing that the existing 1000 gallon septic tank be replaced with a new 1250 gallon
lift station and that a pressurized 5-wide type drainfield be installed. Comments regarding the
design are summarized as follows:
1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that an application rate of 0.8 gallons/day/ft2
should be used.
2. TRENCH DESIGN:
a. Percolation Rate: 8.6 minutes/inch
b. Proposed Application Rate: 0.8 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 562.5 ft2
f. Total Depth: 7.5 feet (max.)
g. Effective Depth: 4 feet
h. Width: 5 feet
i. Reduction Factor: 0.5
j. Minimum Length: 60 feet long
k Effective absorption area = 600 ft2
Note: the distribution lines are to 1.25 inch sch. 40 pvc with 1/4 inch diameter holes spaced 24
inches on center (30 holes total in entire system).
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
4. TOPOGRAPHY: The area for the proposed drainfield is a 5± percent slope running
approximately northwest/west to southeast/east. In short, there are no slope concerns.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance. [iQ
*.., M.S.
Presid~ [3
NOTE: A site plan drawing, a design drawing, a soil log, and a 7page construction specification
letter which are all part of the design package for this septic system.
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
?
CONNECT INSIDE
GARACE SLAB. WILL / ~. .~.
REQUIRE A CONCRETE: / ~
CUT AND HAND DIGGING..--~ / ~ ~_~
EXlS'nNO \ / _ ~
X /
~PROXI~
~LO~ON OF
//
/ /
~I~ WATER & ~aSTE~aTER ~ ~}14' ,; 6j~
..... GONSULTANTS, ING.. ........ ~,, _ ~, ~ .... :..~.. J 5~L..?~ ..... :...yA
5701 E. TUDOR ROAD. SUITE 101 · ANCHO~GE. AK 99507 * PHONE (g07)537-6179 · F~ (907~38-32~6 / -- ~ ~ I ] / J J
TOM MOSES 688-5723 2 OF 2 ~'~;;,/~'/':'t~'~ ...... :'"'~
,~ w '.~tn e ~ A. ~al ness..
~ DmCR~ON' ~ ~ ~ C d 79~ "~
TROLL KN~LL SUBDIVISION; LOT 4, BLOCK 2 ~0~$~.".J !- '"'~,~
~ res
DESIGN OF SEPTIC SYSTEU UPGRADE
ALASKA WATER & WASTE WATER
:: -- - - CONSULTANTS, INC. ~ ......
~,o, ~ ~ ~.,~ ,o,.~ .,,~,._.,.,~,_.,..~.,.,,~_... ~ __ ~,~.,-,, .~, ~.~..~,,~-~- ~.~- .......~..~..~
ISOIL LOG - PERCO~TION TESTI ~"--'T-'"" ""-~--'--"/'"'-
~GAL DESCRI~ON: TRO~ KNO~ SUBDMSlON; LOT 4, BLOCK
~[RFORME~ FOR: TO~ ~OS~
ofesslO
~ ORgANIOS ITEST HOLE ~1I
SOIL C~SSlFICATIONS
~ OW ~
GP ~: ML
GH ' CL
GC OL
~ .~ SW MH
~ SP CH
SM OH
~ SC
~JJ]lllll SM TO
7~itTIIIII SM-ML DEPTH TO
ETtIIIIII w/ SOME GROUNDWATER j DATE
10
11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINUTES) READING (INCHES)
12 8/4/2003 1 4:40 - 6- _
2 5:10 30 2 1/2" 3 1/2"
13 3 5:10 - 6- _
4 5:40 30 2 1/2" 3 1/2"
14 5 5:40 - 6- _
6 6:10 30 2 1/2" 3 1/2"
15
16
17
18
19 PERCOLATION RATE 8.6 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 7.0 FT. AND 8.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ~ YES ~ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS
COMMENTS:
PERFORMED BY AK~C, INC. I. JE~ A. GARNESS, CERTI~ T~T THIS W~/PE~ORMED IN ACCORDANCE
WITH ALL ~ATE AND MUNICIPAL GUIDELINES IN E~CT ON ~IS DATE: ~/I ~/0]
DEPTH TO
GROUNDWATER DATE
DRY 7/31/2003
14.0' 8/4/2003
GRE! cR ANCHORAGE AREA BOP"'"'$H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
NAME
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCAT,ON L'f.'..~ -b~',~- LEGAL DESCR,PT,ON f-''~ ~ ~.~ ~
SEPTIC TANK:
DISTANCE
FROM WELL MANUFACTURER
INSIDE LENGTH ~H LIQUID DEPTH
NUMBER OF P,TS ' ~
LINING MATERIAL L~.~
BUILDING FOUNDATION ~'~ I,
ADDITIONAL ABSORPTION
MATERIAL
NUMBER OF
COMPARTMENTS
IIQUID CAPACITY 10("~ GALLONS.
WIDTH I~'. LENGTH ~1~°, DEPTH I'~#
CRIB SIZE= DIAMETER ~ ~ DEPTH ~* DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE ~-Oe . ABSORPTION AREA (WALL AREA) ~
WELL: ~--__..~ ~4u ~,r'ff
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION -- LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK .-- SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY: ~
APPR.OV
Form No. EQ-031
GreAtEr ANCHORAGE AREA BorouGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
'NSTAL~T,ON LOC^T'O" ~eFree~aV~
INSTALLATION OF: 6EPTIC TANK / SEEPAGE PIT
~ AND S~Z~ o~ ~xc~ ~o e~ s~.v~ ~
FINANCED THROUGH
PERMIT NO.
HOTEs THIS PERMIT IS NOT VALID WITHOUT SOIL
COMPLETION DAT£ ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF' ANY SYSTEM WITHOUT FINAL INSPECTION By THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
I~;EPTIC TANK TO SEEPAGE FIT WALL /~'l
SEPTIC TANK SEEPAGE PIT
WELL TO SEPTIC TANK
AREA S'Z, /;''X' /~' r~'' T',PE.~r/~' /2'-
DIAGRAM OF SYSTEM
DRAIN FIELD
SEEPAOE PIT /00
DATE"O"''" ¢*Z"/ APPL,CA.T'S.,ONA'r,,,,E
Parcel I.D. #
1.
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
GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
HAA#
Lo~ 4; Stoe~ ~; T~ot£ K,ott
Location (site address or directions)
Property owner Tom
Mailing address -~050-6_ ~¢p~.~.c/z~t
Lending agency
Mailing address
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
50506
Chuq.L~, ~ 99567
Day phone
Day phone
Day phone
NOTE:
[m) ~69-6~00
[h)
Individual well
Community well XY, X
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OFWASTEWATER DISPOSAL:
NOTE:
Individual on-site XXX
Holding tank
Community on-site
Public sewer
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 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 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 5 ,~ ENGINEERING
Address ~/334 Eagle River Loop Road No. 204
· ;~le I~iver, Alaska Y95/i
Engineer's signature
Approved for ~
Disapproved.
Conditional approval for'
bedrooms.
DHHS SIGNATURE
Phone
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
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
· -' Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:~''~"c' ~' ~,~..V-- "Z-- '"'~'~.ou,., ~?--~,~., Parcel I.D.
A. WELL DATA
Well type
If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date completed Driller
Date of test
Static waier level/........----'/./
Pump level ~
Septic/holding tank on lot ~ ~ ~ ; On adjacent lots
Absorption field on lot ~ t~ ; On adjacent lots
Public sewer main Public sewer
Sewer s~wice line ~tan~
~AMPLE~~ Other bacteria
Date o~ Collected by:
Cased to Casing height
Wires ~
FROM WELL LOG ~ AT INSPECTION
B. SEPTIC/HOLDING TANK DATA
Date installed t c~'1 '~
C eanouts N)
High water alarm (Y~)
Date of pumping
Tank size ~ C:) C3 c:) Compartments
Foundation cleanout (Y,~ ~ Depression ~(Y~
Alarm tested (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TAN, I~ TO:
Well (s) on ~,~t "~- (> c) On adjacent lots ~ 1~
To property lir~ I0~'{' Absorption field ~c, t~
,,j ~Surface water/drainage
.I
Foundation ~. ~
Water main/service line ~ o ~'
CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
Manufacturer · -
Manhole/Access (Y/N)
"Pump on" lave! at .... '_~~
High water alarm level / Cycles
Meets MOA electrical ~ ~
SEP~NCE FROM LIFT STATION TO:
,.W~ll on lot Surface water
On adjacent lots
D. ABSORPTION FIELD DATA
Date installed
Length , \ ~'~'" ' Width \~
Total absorption a.rea
Depi~ssion over fi~'ld (Y/~
Resulis:~fail) ,'-!
Peroxide treatment (past 12 months) (Y~
Soil rating t ~J{~'
G ravel thickness
Cleanot~ts present{~5/N)
Date of adequacy test
for
~, ~ ~o~ ~ If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot ' '?-~:>z> On adjacent lots
To building foundation
On adjacent lots .-zp~ · 4-
~.oc>
Surface water
Curtain drain
Cutbank
System type
Total depth
Property line
To existing or abandoned system on lot
Water main/service line
Driveway, parMng/vehicle storage area
bedrooms
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effe~.~_'~.of this inspection.
,, ....~ or, ,q/__tl.
'* 5 & S ENGINEERING ,. . ~'~' ~%~ -%.'~ ~
Engineers Name , , ..~[,~,,~.~~
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee: $
Date of Payment
Receipt Number
DEPT. OF ENVIRONMENTAL CONSER%'ATION
ANCHORAGE DISTRICT OFFICE
800 E. DIMOND BLVD., SUITE 3-470
ANCHORAGE, ALASKA 99515
WALTER J. HICKEL, GOVERNOR
(907) 349-7755
April 19, 1993
Mr. Ray Shafer
S & S Engineering
SUBJECT: Troll Knoll Subdivision
Class "A" Public Water System, PWSID 210778
Dear Mr. Sharer:
I have completed a review of this office's files concerning the monitoring status of the
above-referenced Class 'A' Public Water System and found the following:
The last satisfactory Total Coliform Bacteria Sample results was submitted
to this Department on March 24, 1993. This does meet the provisions of
18 AAC 80.200(a), of the State Drinking Water Regulations.
The last inorganic Chemical Contaminants Sample results were submitted
to this Department on April 4, 1992. This does meet the provisions of 18
AAC 80.200(a), of the State Drinking Water Regulations. A reading of 8.2
mg/I nitrate was reported in the last sample, additional sampling is being
requested.
The last Radioactive Contaminants Sample results were submitted to the
Department on January 4, 1993. This does meet the provi.'sions of 18 AAC
80.200(a), State Drinking Water Regulations.
4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC)
were submitted to this Department on May 19, 1992. Based on analysis of
the previous VOC samples results have been satisfactory. This does meet
the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. ·
Issuance of this letter does not imply that the above-referenced Class 'A' Public water
System is in compliance with other provisions of the State Drinking Regulations.
If you have any questions on the above information, please do not hesitate to contact this
office at 349-7755.
Sincerely,
Environmental Eng. Asst. II
TIME
DATE
INSPECTOR
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME ~.~ TIME
ENVIRONMENTAL SANITATION DIVISION
Tele~one ~720
DIRECTIONS: Complete ail parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
,. P.0PERTYO..ER_. , i PHO.E
MAH. ING
PHONE
PHONE
PRONE
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE
~ SINGLE FAMILY
I'-I MULTIPLE FAMILY
7. WATER SUPPLY
INDIVIDUAL·
COMMUNITY
PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON'SITE··
[] PUBLICUTIL1TY '
C.,?/:-I:' ':' ,MEEROE,,EDROOMS
r-I One ~ Four
~ Two ~ D Five
~ Three ~ Six
I'-I Other
· ATrACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
· . THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
i--1 SINGLE FAMILY
MULTIPLE FAMILY
I-1 ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
2. WATER SUPPLY
PERMIT NUMBER
f--I INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTI LITY
Connection Verified
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
F-IPUBLIC UTILITY
Connection Verified
I-'lSeptic Tank'or I'-I Holding Tank
Size: /~)
'give dimensions:
TYPE OF TANK
PERMIT NUMBER
DATEINSTALLED
INSTALLER
IfTankishomemade SOILS RATING
TOTAL ABSORPTION AREA
4. DISTANCES
WELLTO:
Absorption Area to nearest Lot Line
MANUFACTURER
MATERIAL
5. COMMENTS
[] OTHER
DATE
[~APPROVED FOR ")-- BEDROOMS
C~] CONDITIONAL APPROVAL (letter must accompany certificate)
t"-I DISAPPROVED
72.010 {Rev. 6/19)
'JV'mrdcipalityo
Anchoral e
825 "L" STREET
ANCHORAGE. ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN.
MAYOR
DEPARTMENT O~: HEALTH AND ENVIRONMENTAL PROTECTION
May 15, 1981
Signa Johanson
% Judie Rowland
Post Office Box 1201
Eagle River, Alaska
99577
Subject: Lot 4 Block 2 Troll Knoll Subdivision
Approval for the individual sewer and water faciliites
cannot be granted until the following items have been
completed:
(1)
A cleanout needs to be installed to the septic
tank. This will need to be reinspected by this
office.
(2) The septic tank pumped with a receipt submitted
to this office.
/(3)
An adequacy test needs to be performed 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
office at 264-4720.
this
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Alaska School Employees
% Thelma'
3500 Eide Street 99503
Federal Credit Union
DAVID A. SLENKAMP
MECHANICAL ENGINEER
694-9055
May 18, 1981
ROBERT A. SHAFER
MUNICIPAUTY OF CAIff~:~-IE~GO[E E R
DEPT. OF H~ALT69,~2979
ENVIRONMENTAL F2OTECTION
MAY 2, I 1981
RECEIVED
Sun Realty
ATTENTION: Darlene Nicholaysen
P.O. Box 1201
Eagle River, Alaska 99577
Dear Darlene,
Reference: Lot 4: Block 2: Troll Knoll Subdivision: Johanson
property
A sewer system adequacy test was performed on the system located
on the referenced property as you requested. The septic tank was
pumped and verified to have a capacity of approximately 1250
gallons. The seepage pit was charged with 1000 gallons, of water
and after period or 24 hours all of the water which had been added
had percolated out of the crib.
It can be concluded from this test that the septic system is currently
functioning adequately for the two bedroom residence located on
this property, However, the system cannot be guaranteed against
subsequent failures.
If we may be of further assistance, please do not hesitate to call.
Sincerely,
cc= ~las~a School Employee's ~ederal Credit Union
~h'~IO~= ~helma
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 195X EAGLE RIVER, ALASKA
e
4.
5.
6.
GREATER ANCHOP~AGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Approval requested by:
Mailing Address:
Property Owner:
Mailing Address:
Legal Description:
Location:
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony
National Bank of Alaska
P.O. Box 3-3859 Anchoraqe 99501 Phone:
Sven Johansen Phone:
Type of facility to be inspected Stnqle
Well Data: CO)~4UNITY WATER SUPPLY
1/9/75
Lot 4. Block 2. Troll Knoll Subdivision
Leprechan Drive Peters Creek
No. of bedrooms
B. Depth
D. Bacterial Analysis
Size
A. Type
C. Construction
Sewage Disposal System:
A. Installed 1974
C. Septic Tank: 1.
D. Seepage Pit:
E. Disposal Field:
1. Absorption Area 494 Sq. ft2. Material
Total length of lines
1/9/75
B. Installer Sprtnqcreek Excavatinq
lO00 qals 2. Manufacturer Greer
Loq
23'
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
, Absorption area
, Other contamination
, Absorption area
20'
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
Legal Description
Lo~.4, Block 2, Troll
Knoll Su:~Civ~o
Co~,~ents
Approval ~Valid for one year from date signed
Greater Anchorage Ar~a Borough, Department of Environmental Qu,-.lity
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these fccil~t~¢s
are operating satisfactorily.
SIGNED
Date
.Q-O~ (1/74)