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HomeMy WebLinkAboutCALKINS LT 9 /Y-~' 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 MAILING ADDRESS LEGAL DESCRIPTION LOCATION B~ ~.~/,~ 1. DISTANCE TO: Iwell lO~)1 Manufacturer C..,'"'/~'e Liq. capacity in g0Jlons {:)OD . IF HOMEMADE: DISTANCE TO; Manufacturer IAbsorption area II · Dwelling~o.)L le,.t NO. OF BEDROOMS~_~ PERMIT NO. Material ~ ~ No. of compartments Inside length Width Liquid depth Dwelling PERMIT NO. IWel' I 1 8 ' F°unda"°%~--al DISTANCE TO: } Length of each I~...% * Total length No. of lines ~j 3 of tile to finish grade q ~ Material beneath tile th Width Depth Type of crib Crib depth Material"-'------------- ~n gallons Nearestlotline ~ O' PERMIT Distance between lines Well DISTANCE TO: Class Depth Driller DISTANCE TO: Building foundation inches I 0 ~' inches Total effective 8 s r tion areaI PERMIT NO. Total effective absorption area Nearest lot line PERMIT NO. Septic tank Absorl: OTHER PiPE MATERIALS PV¢ ct SOIL TEST RATING t3'o ~' /~, APPROVED ~72-013 (Rev. 3/78) DATE LEGAL F'ERMIT NO: DATE ISSUED: APPLICANT: .ADDRESS: CONTACT F'HONE: ON--SITE SEL~ER. F'FRMIT 85b046 HAND WRITTEN , 02128/85 OHARA CONST. 727 LAOANA iOCHORAGE~ AK 694-5080 99577 LEGAL DESCRIP: ' SUBDIVISION: CAULKINS LOT: 9 SECTION: 9 TOWNSHIP.: 14N RANGE: 1W LOT SIZE: 17000 (SQ..FT. OR ACRES) BLOCK: NA I certify that: ' 1. I am ~amiliar with .the ~equzrements £or on-site sewers and wells as set ~orth by the Municipality o~ Anchorage (MOA) 'and the State o£ Alaska. ~. I will install the syst. em in accordance with all MOA codes and regulations,. and in 'compliance with the design cr'iteria 0£ this permit. 5. I will adhere to all MOA and State o~ Alaska requirements £or th~ set back distances £rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION 'IS INSTALLED .IN AN AREA COVERED BY MO~ BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST~BE OBTAINED; (2) AS-BUILTS WILL NOT BE AF'PROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: APPLICANT: OHARA CONST. ISSUED BY MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG [-1 PERCOLATION TEST SOILS LOG- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 5 6 7 9 10 11 12 '14 16- 18- SLOPE p) DA, E PER~ORMED= O~ ~, /qsz SITE PLAN ENCOUNTERED? 0 P E ,~,~.~..~'J~'J. ~ Tim/e Time Water Drop ~o. ~::E ~ / 20. PERCOLATION RATE (minutes/inch) ~ F TEST RUN BETWEEN . FT AND ~ FT . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date,/(~ ~ GENERAL INFORMATION (a) Le~ip~n (include lot, .block, subdivision, section, township, range)~, --'~:~-~'-~P Location (address or directions) . ,~ · (b) ApplicantNam~; ~.~z/ ~lephono:Home ~-~W~ Business Applicant Address ~ O~,:A P,~ .. ~. ~- / (C) Applicant is (check one): Lending Inshtubon ~; Owner--S; Buyer ~; Other ~ (explain); (d) Lending Inst,tution ~~-~:~z~-~, ~-- Telephone Address (e) Real ~tate Company and Agent ~ ~ (f)~O HAA to the following address: TYPE OF RESIDENCE Single-Family ~ MultJ-Fa. mily Number of Bedrooms Other WATER SUPPLY Individual Well/l~" Community [] Public [] f Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to tho legality and status. 4. SEWAGE DISPOSAL Onsite~ Public [] Community[] Holding Tank [] / Note: If community well system, must have written confirmation from the State Department of Environmentat Conservation attesting to tho legality and status. Page 1 of 2 7~-025 [11,8.4J 5. ' EtJGfI',iEERfI'/G FIR~,~I PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORI'?IATION As cedified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation et this AuthorityApproval 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 fha Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater d~sposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on lhe da:e of this inspocl~on. Name of Firm ~ ~. ~' r~,~,'-, .... ,,,-. Telephone Date ' ' DHEP APPR O_V,/~. ~--7.' Approved for ~/i.~ bedrooms Approved ~ DisapproVed Term5 of Cond~:~onal Approval . Con 't'orm CAUTION The f/~unc~pahty of ~,nchorage Departrncnt of Health and Environmental Protection (DHEP) issues Health Authority ~,~proval certificates base~ solely upon the representations given in paragraph 5 above by an independent professional eng:neer reg~s!ered ,n the State of Alaska. The DHEP does this as a courtesy lo purchasers of homes and their lending inst~tuhons in orCer to saSsfy ce~la,n federal and state requirements. Employees of DHEP do not conduct inspections or analyze Ca'.a before a cerbhcate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the ~rofe~siona! en~.neer's wc, rk. Page 2 of 2 OEP]'. 0~: HE^I.TH & - ' ,u0 0 ? 1985 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ~ WELL DATA Well Classification Well Log Present~'N) Total Depth ~ Static Water Level Casing Height Above Ground Electrical Wiring in Conduit~N) Separation Distances from Well: To Septic/i~,dW'~J'Tank on Lot Date Completed '~ - ~' ~ ~'~' Yield Depth of Grouting - Pump Set At t3, ~, Sanitary Seal on Casing Depression Around Wellhead (Y~;) If A, B, C, D.E.C. Approved (Y/N) ~, ¢=>C3:) i On Adjoining Lots To Nearest Edge of Absorption Field oN Lot ~ ~, ~ ~ ; On Adjoining Lots To Nearest Public Sewer Line ~ ~/~' To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments \ ~ f~. To Nearest sewer Service Line on Lot t. ~t ~ ~>"~ ~' (::::~..~--__~V~::~f-4,..~,~,; Date ~:,- ~r'- -~' B. SEPTICN't{)L-I~'NGTANK DATA Date Installed ~ Size ~ No. of Compartments 'Z... Standpipes (~N) Air-tight CapstaN) Foundation Cleanout{~)N) Depression over Tank ('~) Pumping/Maintenance Contract on File (Y/N)..3 /' Holding Tank High-Water Alarm (Y/N) Separation Distances from septic/kb)tdmg'Tank: To Water-Supply Well ~ r.~ ~ ~ ' To Property Line To Water Main/Service Line Course Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) ,~3//~. To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Commen~ Page I of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata \'~'--c:, Date Installed "~-'7~'7... Width of Field Square Feet of Absorption Area Depression over Field (Y.~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~ To Building Found~a~io/n ,'-:':'~C' Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present.N) Date of Last Adequacy Test To Property Line ""7 .~.-~' To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) D. LIFT STATION Date 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 at Vent (Y/N) A 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 MOA and HAA guidelines in effect on the date of this inspection. Signed '" S & E E~JGINEERIN(:I Company -,, ~R~ 1~'..' MOA No. c. ,,.~.E RIVER, ALAS:/d~, Receipt No. PH. 6rJ"r'2979 Date of Payment Amount: $ ~.~'~ ~ Page 2 of 2 72-026(11/84) Municipality ®1 Anchorage November 25, 1985 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907)264-4111 T ON KNOWI ES. MAYOI i DEPARTMENT OF HEALTH & HUMAN SERVICES H.H. Wilson Constructing Engineers, Inc. 9601 Buddy Werner Drive Anchorage, Alaska 99516 Subject: Sewer Improvements, Lots 2A, 2B, 2C, 2D Finch Subdivision Waiver of Required Horizontal Separation Distances to Sewer Line Components Dear Mr. Wilson: We have reviewed your request for a waiver of the required horizontal separation distance between the private wells on Lots 9 and 10 of Calkins Subdivision and the proposed public sewer line referenced above. We have approved a waiver of the minimum required horizontal separation for the distance between Manhole #2(as noted in the submitted blueline) and the well on Lot 10 to 48 feet. This waiver is valid only if the construction details as specified in the blueline submitted to the Department are followed. A waiver to 25 feet for the separation distance between the wells on Lot 9 and 10 can be obtained only if special construction procedures are used to insure sewer line joints remain watertight. Each joint in the proposed sewer line shall be equipped with "Field Lok" gaskets(U.S. pipe or equivalent) and heat shrink sleeves(Raychem or equivalent). These waivers will be considered valid after an inspection report verifying required construction details is submitted by a registered civil engineer and approved by this Department. If you have questions regarding this matter, please call me at 264-4720. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw 907 562 .T.I~6 . lunicipa Ar. xr:.hora e ' M 'g kH.,J U- 3 0 0 C~ - ¢~ R C T I C. i' 0 D'C ,"C, A.NC~,C;'P,A&;E A[ ASKA 937, 26;-4 39502-0650: 02 l)eer Rr. Wi!son: specified i:~ tile l)ltieiina snbrMrted Co the i)apart~rent are :newer line. nha]] be eqnipperJ 9'Jri: "Fie{d !,ok'~ Ras{,:ct~;(, .5. pJl~e :~' and hea~ shrink sleaves(Relycheu: er rquiva~en~). 'these waivers will be conaide:-ed valid after an i~p~Jction report rifying required ccmntruction details i~: sub;i;ir~e<t bv a :eR!ntered civil en in,er and approved [~y Chis 9ap~rtmer:t, ' - 264- If vou have ~ ~ " ~IRCO%,ij y ~ Constru x HENRY WILSON Eng' eyors 9601 BUDDY WERNER DR. ANCHORAGE, AK 99516 (907) 346.2000 40 � November 18, 1985 ineers, Inc. Municipality of Anchorage CHARLES A. LANDERS SR BOX 192•A, MYRTLE DR. EAGLE RIVER, AK 99577 (907) 694.9096 Division of Environmental Health Re S 8249 Finch Subdivision 825 L Street - 4th Floor Waiver of separation dis- Anchorage, Alaska tance from private wells to proposed public sewer Gentlemen: One of the conditions of approval for subject subdivision is that Municipal sewer be extended to serve the property. ?�s shown on the attached blue line of the proposed sanitary sewer plans, the Municipal sewer now runs east -west on Bonnie Way. The existing sewer line is 32 feet from the existing private well serv- ing Lot 9 Calkins Subdivision. Extension of the sewer southerly on Highland Drive in the standard location required by AWWU will put the new sewer line 25 feet from the well on Lot 9 Calkins and 25 feet from the private well serving Lot 10 Calkins Subdivision. The logs of these wells indicate that the ground water in this lo- cation is very deep. Lot 9's well is 400 feet deep. Lot 10's well is 340 feet deep. The details of the proposed sewer extension require ductile iron pipe with sealed manholes. All connections within the manholes are to be mechanical. In view of the type of sewer construction proposed and the great depth of the groundwater in this location, we request waiver of separation distance from these wells to proposed sewer line be granted to allow construct the sewer line 25 feet from the existing wells. .. ""S A[ *1i Very truly yours, H. H. Wilson .........4.43,11 49--si �) � NO. 1732-E Jua* 22, 1196&