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&