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Home My WebLink AboutTROLL KNOLL BLK 2 LT 7 GR ' ..ER ANCHORAGE AREA BC'-" JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 SEPTIC TANK: FROM WELL MANUFACTURE INSIDE LENGTH / INSIDE WIDTH NUMBER OF M A T E R I AL ..~""~.~'~'~ COMPARTMENTS LIQUID DEPTH / LIQUID CAPACITY(/O~GALLONS. TILE DRAIN FIELD: ' DISTANCE FROM WELL FOUNDATION NUMBER OF LINES / DISTANCE BETWEEN LINES NEAREST LOT LINE ~' ,~ ! TOTAL LENGTH OF LINES ~'/;~ TRENCH WIOTH-~IN. TOTAL EFFECTIVE / ABSORPTION AREA ,~ ~" ~ SQ. FT. LENGTH OF EACH LINE ,~'"~'~ I DEPTH OF FILTER DEPTH: TOP OF TILE*TO FINISH GRADE ~ MATERIAL BENEATH TILE_,~ ~'/--.~__IN. ABOVE TILE TYPE CONSTRUCTION BUILDING FOUNDATION CESSPOOL APPROVED INSTALLED BY= NEAREST LOT LINE _ OTHER SOURCES DISAPPROVED SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 REMARKS SYSTEM DIAGRAM OF SYSTEM 3 /,ed~O~ · HOUS,r- ~ NEAREST ~, SEPTIC · SEWER LINE TANK ~UNI ¢I,-'ALI T¥ OF A~¢F,dRAGE DEPARTMENT OF HEALTH A~D ENVIRONMENTAL PROTECTION 2510 E. TUDOR RD. · 8NCHORAGE~ AK. 9950? 276-222i ON--S I TE PERMIT NO. ( 78i~3 ) APPLICANT LOCATION LEGAL RL LRRSON. L? B2 TROLL KNOLL SUBD BOX 594 - E.R. ~94-2309 LOT SIZE ~000 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MRXIMUM t~UMBER OF BEDROOMS SOIL RflTING (SO FT/BR)= 105 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= S LENGTH= 27 I~RRVEL DEPTH---- THE LB~GTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE 8ND THE BOTTOM OF THE EXCAVATION (IN FEET). REQU I RED SEPT I C TRNa, 5 I ZE= 1000 GALLONS BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVRTE WELL OR 280 FEET FOR A PUBLIC WELL. SPECIFICRTIONS AND CONSTRUCTION DIRGRRMS ARE RVRILRBLE TO INSURE PROPER INSTALLATION. PERt1 I T VRL I D FOE ONE ~tERR FROtl I $5UE I CERTIFY THAT i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MR¥ REQUIRE ENLRRGEMENT IF THE RESIDENCE I~ REMODELED TO I~CLUDE MORE THRN 3 BEDROOMS. .............. ISSUED ~ ~~ · O°~ E GEO'~-'CHNICAL El' DEVEL~_?MENT CO, Perfomed for: Iii. J: Box gQ. Davis St., E~gle River, Alsek, 9g'o-/7 /~ 8~4.27/4 or 888-2280 / Russell Oysttr Earl El~is e~4.27~4 SOZL L~ ~-~ Soils ~ Foundations " -' ~- % J: ~%', ~Z ?~ Lend Develop~nt I~111ng Address: Depth (feet) '"~': . Sotl Chiractertsttcs 3 ? 8 9 ].0 ]-3 16 Ground Water Encountered: Yes / No If yes, what depth Proposed %nstallatton: Seepage Pit Drain Field Performed by: -~~ ~ ~....~.~,~.2 I)lte: 0'8' E GEO'.ECHNICAL ~ DEVEI'.?MENT Box 90. Davis St., Eagle River, Alaska 99577 694-2774 or 688-2~80 Russell Oyster 694.2774 Soits ~ Foundations CO. Parlor=ed for: Depth (feet) Sol1 Characte~stlcs ' '. Ea# Elis SOIL LOC; Land Development o 10 15 16 Ground Water Encountered: Yes No ~ If yes, what depth Proposed Installation: Seepage Pit ,-~Orain Fte~d ~ Co~ents: ~ ~'~ ~ ~K~ ~ ~' ~ ~c~-,~ % ~",. ~c~*~'~ ~.' ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~.\ (~"~ _ 1~ ~C~(~ OF ON-SITE SEWER AND WATER FACILITY Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) (b) (c) Location (address or directions) Applicant Name Applicant Address Telephone: Home ~ ~_~ - S'b'~ Business Applicant is (check one): Lending Institution ~, Owner/builder I-I; Buyer r"i; Other [] (explain); (d) Lendinglnstitution }~'-~ t/--,~]A2.~T'~-'~- )~c~-~.,4.~ Telephone Address (e)' Real ~tate Company~d Agent ~ ~7~ Address ~.~' Telephone (f) Mail the HAA to the following address: S & $ ENGINEERING 170~ Eagle R~ ~ R~d No. 2~ ~1~ R~,-,, Ala~t 995~ TYPE OF RESIDENCE Single-Family [~'~ulti-Family Number of Bedrooms Other WATER SUPPLY Individual Well [] Community [~"~"ublic I-I . .. Note: If com reunify well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legaiity and status. SEWAGE DISPOSAL : Onsite'[~Public [] Community[] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 o! 2 72-025 ENGINEERING FIRM PROVID, INSPECTIONS, TESTS, FILE SEARCH, r A AND INFORMATION ' 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 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 frpm 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 g & S ENGINEERINC 17034 Eagle R[v~' Loop Road No. 204 a~agle River, Alaska ~9577 Telephone DHEP APPROVAL Ap~rG~d for -~ Approved '/~ Dis:~pproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) · ~UNICIPALITY OF ANCHO~irEALTH AUTHORITY APPROVAL (HAA) ENVII~ONMENrAL SERVICES DIVIStON CHECKLIST - FEBRUARY 1984 APR 8 i987 Legal Description: RECEIVED WELL DATA If A, B, C, D.F-C. Approved~.Y.~N) /~¢~> Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) Well Classification Well Log Present (Y/N) Total Depth Cased to Static Waler 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 CleanoutJManhole Water Sample Collected by Water Sample Test Results Comments ~:::) t ~./5 ; On Adjoining Lots Z: ¢:~//~ ; On Adjoining Lots To Nearest Public Sewer . To Nearest Sewer Service Line on Lot ; Date SEPTIC/HOLDING TANK DATA Date Installed Standpipes ~f~N) Depression over Tank (Y~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: Air-tight Caps~)N) ,~ -~I -~J'l~ Size / c:x..~c> No. of Compartments ~--- Foundation Cleanout {Y,~ Date Last Pumped . ~//~/,~ ~' ;for /V'/A Temporary Holding Tank Permit (Y/N) ~"'//~ To Water-Supply Well ;> fY',/~' To Property Line /~)t ~ To Water Main/Service Line ~' O*'-," Course '/~ To Building Foundation To Disposal Field To Stream. Pond. Lake. or Major Drainage Comments Page I of 2 72~26(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field ('~......~ Results of Last Adequacy Test "/C) ~' ~/1~/~"" Type of System Design ,.~ . '~ / -. ~t ,Or Length of Field -~,~ ! Depth of Field ,'~ Gravel Bed Thickness ~/. r Standpipes Presenl~f/N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot ~//~J To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line / &~ / '~ To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) Comments D. LIFT STATION Dale Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level al Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MO~, and HAA guidelines in effect on the date of this inspection. D.,e - 17034EagleRiwrLoepRoedNo. 204 / ~::~'"~,.....--~o ,~' ~;o~B~h,i~5 ,AJB~P~ 9'~'/'/ MOA NO. ~' / - '"' =-~ Receipt No. ~--~.) 0/-- 0 ¢)~ 7 Date of Payment Amount: $ Page 2 of 2 DEPT. OF ENVIRONMENTAL CONSERVATION / ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA q950! GOVERNOR T~lel3hone : Addre~: 274-2533 DATE: Apri! 1, 1987 PWS I.~.# 210778 To Whom it May Concern: According to records on file in this office the SUBDIVISION Water Regulations Water System is in compliance with the State Drinking Sincerely, - HUNICIPALII'Y OF A}tCHORACE DIVISION OF ENVIRO~iENTAL HFALTH DEPAR~iEKT OF HEALTH A~D ENVIRONHENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. Ceneral Information Applica~ion Date /( ~-~ / ~ ~ (a) Legal Description (include lot, block, eubdLvision, section, to~nship, range) Applicants ~Idrese Applicant is (check One) Lending Institution Buyer ~; Other [~ (explain); Telephone 3 [ff - (f) Hail the HAA to the follo~r!ng a~drese: Type of Residence Number of Bedrooms 3, Water Suppl7 Other (describe) Note: If community ~ell system, must have written confirmation from the State · Department of Environmental Co~ervation attesting to the legality and status. Sevage Disposal Onsite .~0~[. Public [-~ Community [-~ Holdin8 Tank ~ Note: If community well eys:em, must have witten confirmation from the S~ate Department of Environmental Consewatlon artec=lng ~o the legality and s=atus. [Page 1 of 2] Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified By my seal affixed hereto and as of the validation dace sho~u helov, ! verify that u~y investigation of this Hea~th ~uthority Approval show that 'the on-site rater supply and/or ~ustewater disposal system is safe, functional and adequate for the number of bedrooms and ~ype of structure indicated herein.. X. further verify that, based on the in~ormatiou obtained from the Municipality of Anchorage files and from investigation and inspection, the on-site ~ater supply and/or vastewater disposal system is in co~pliance ~rith all ~unicipal ~d State codes, ordinances, and regu~a- tious in effect ou the date of this inspection. Address ~o~ Z~ /~- ~ ~ ~F Telephone DEEP Approval Approved Approved Terms of Conditional Approval CAUTION TEE HUNICIPALITY OF ANCHORAGE IEPARTI~ENT OF ~TR &~ E~IKO~ ~OTECTION (D~P) ISleS ~TH A~HORX~ ~PROV~ ~T~ZCA~S B~ SO~LY U~N T~ ~RESE~- ATIONS CI~N ~ P~ 5 ~0~ BY ~ ~PE~E~ ~OFESSIO~L ENGI~ER IN ~ STA~ ~ ~S~. ~ ~EP ~ES ~ ~ A ~SX TO P~SERS OF HO~S ~D ~IR ~ING ~TI~IO~ ~ O~ER TO SATISFY ~R~IN ~DE~ ~D S~t~ ~S. ~PLO~ES OF ~EP ~ NOT ~UCT ~SPECTIO~ OR ~YZE ~TA BEFORE A CERTZFfCA~ ~ ISS~D, ~ ~ICIP~I~ OF ~CH0~ ~ NOT ~SPONSIB~ FOR (DHEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7-19-8l O~CIO. ZST- FEBRUAI~ 1984 Well Log l~esent (Y/N) Total Depth Cased to Static ~ater bevel Casing Height Above Ground Elect=ical Wiring in Oa~duit (Y/N) Separation Distances f=au Well~ To Septic/TloldinG Tank on Lot To Nearest Edge c~ A~s~Dtion Field on Lot To Nearest Public Sewer Line Wnte~ ,%~l;~l.e C,o.Lle~d By Water Sample Test Results Leg.al Description: ~- 3~ 7 8/J6~ MUNICIPALITY OF ANCHOP, AG- D[PT. OF H=ALT.H & [NVi?-.ONM[NTAL FX3'~[CT]CN NOV 2 1 T'/~-~ If A, B, ~ C, D.E.C. ~d(Y/N) Date C~,¥1eted Yield Pump Set At Depth of G=cutir~ Sanita=y Seal on Casing (Y~) Dep=ession Around W~llhead (Y~) ~ o~ ~joinin~ Lote ~ On Adjoining Lots To Nea=est Public Sewer To Near~st Sm~r Service Line on Lot B. S~£zC/8OLDING ~ t~TA Date lrmtalled ~/) 7 Size /~ m o W.~ ( No. c~ ~;..,~nts Sta~iges (Y/N) / Air-tight Cam (Y/N) / F~ Cles~out (Y/N) DeL-.-ession o~r Tank (Y~) ~ m~ ~t ~d~,/- ~i~in~ ~a~ ~ Fi~ (Y~) ~/~ ~ ~ ~ - Holding Tank Hi~'~-Nate~ ~ (Y/N) ~/~ Te~ ~oldinG Tank Permit (Y/N) ~/~ Separation ~tar~s f~c~ Septi~JHoldinG Tank~ To ~uildinG Foundation To Disposal Field To Strewn, Pond, Lake, or Major ~rainage Receipt Date ~aid: Amount: [Page 1 of 2] 2-15-84 Soils Ratin~ in Absorption S~=ata Date Zns~allsd %//7 7 Width of Field ~ w ~/~ T~e of S~'stem Design [en~h of Field ~-I / Depth of Field ~ ' Date Ins~*~ led Sim in ~11~ '~ ~' ~1 at Hi~ ~r ~ ~1 at Ele~i~ ~s(Y~) ~i~ensi~f~ =Pum~ Off' ~evel at Vent (Y/N) ~ln~ C~les a--in9 ac~guac~ ~st. ** Check Permitted Bedro:m Raticz~ Against HAA Request certify that ! have ~%ecked, verified, c= .---%fc=med to all ~OA HAA Guidelines in effect B1/d5/s [Page 2 of 2] 2-15-84 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA g9501 BILL SHEFFIELD, GOVERNOR Addre~: 274-2533 To Whom it May Concern: According to records on file in this office the ~-~ ~~. Water System ~) in compliance.with the State Drinking Water Regulations ~ '-~}~ O- .~:~'.'~' · DEPARTf,ENT, Ul~ ~TH:AND ENV.IRONMENTAI]. PROTECTION ~..:..,:...,,:...~,, .,.; · ~/~1 '" " ~-~, ~-~, ~ '. ' ':' - .' ' ~ Date Received: March 22, 1977 1st Inspection: ;~ D~ 2nd Inspection: Time REQUEST FOR APPROVAL OF INDIVIDUAL SEWER 2~ND WATER FACILITIES Lending Institution Request: State Veteran's Administration Mailing Address: 907 West Northern Lights Phone: Property Owner: Mailing Address; Alan/Helga Larson Post Office Box 594 99577 Phone: 694-2309 Legal Description: Lot 7 Block 2 Troll Knoll Subdivision Single Family Residence: (x) Number of Bedrooms: Multiple Family Residence: ( ) 5.. Well Data: Type Public 6. Sewage Disposal System: On-site system Permit ~ Installed Septic Tank Size Area ~ ~ Absorption I /^ 7. Distances: Well to Septic Tank ~/~- to Sewer Lines ~ Nearest Lot Line Absorption Area to Nearest Lot Line Number of Bedrooms: Depth ~ Bacterial Analysis Well Log Fi%ed/~ (x} Public Utility ( ) Installer Manufacturer Soils Rate /O~-~ Material to Absorption Area '?. ' 'v '" :'Department of, IIealth and Envir6nmental .Protection '~ ~ :', 'Request for 'Approval of Individual Sewer and Water .Facilities Legal Description: Lot 7 Block 2 Troll Knoll Subdivision Comments: Affadavit Attached: ( ) Letter Attached: Disapproved: Date: ( ) ~epartment Worksheet: MUNICIPALITY OF ANCHORAGE ~,',UN~CmAuT[ OF DEPAR~ENT OF HEALTH AND ENV RONMENTAL PROTE~ION ~1~O~ ' "~'~'~ 2510 Ea~ Tudor R~, Anchara~. Alaska ~ ~ REQUEST FOR APPROVAL OF M~ 2 ~ 1977 INDIVIDUAL SEWER ,~ WATER FACILITIES~ ~. ECEi (ED 1. Typeoflnspection: CMRO ~ --~VA~ FHA CONV 3. Name of Buyer: ~5~'~ ~ ~g~(~ ~U~s ' 4. Name of Lending Institution: ~~-- u~,~, ~r~.: ~o~~/.b~/~ ,~one: ~ 7a- ~-.~,~ I e Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, d~pth of well No. Bdrms. "~ Individual Ae~ co~ ~l---,rc,..c.(-,'o~ Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation 72,003(3/76)