HomeMy WebLinkAboutSCHROEDER EAST BLK 4 LT 5< OOOM
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/ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
264-4720
- , 825 L Street - Anchorage, Alaska 99501 Telephone
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NANN1979;�----FOTNEW
�� ❑ UPGRADE:
l
MAI NG ADDRESS
LEGAL DESCRIPTION
49ee
--
LOC ION
NO. OF BEDROOMS
f,
Uy
DISTANCE T0:
Well
�G� .rE
Absorption at�ea
�/
Dwelling
�r
PERMIT N0.
7�
E- Z
M �tufactu rer
Mate/Sial—e /
No. of compartments
uaj Fa..
Z z '
L_
' -�
N
Li capacity in gallons
�'t6i
IF HOMEMADE:
Inside length
Width
Liquid depth
�
6 � Z
DISTANCE TO:
Well �
Dwelling
PERMIT NO.
B Z F
Manufacturer �'
Material
Liquid capacity in gallons
O
w=
DISTANCE TO:
Well / l/�
/r�CC� �''G
Foundation _
�% 1:'C,-,
Nearest lot line 2
�.�
PERfy1IT NO.
%�%i7 --C
LU r Z
F- ZLUL'
No. of lines
Length of e ch ine
Total length of lines
--
Trench width
(a inches
Distatanc between lines
Q b.
0
Top of tile to finish grade ')
� A �
Material beneath til,
�inches
..........
Totall ffective absorption area
/0'6'"�.L����—
Length
Width
DepthPERMIT
N0, r
LU
aF-
Type of crib
Crib diameter, `
diameter,)/,,
Crib depth
Total effective absorption area
W FL
In
Well
Building foundation
Nearest lot line
DISTANCE TO:
_
w
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
w
Building foundation
Sewer line
Septic tank
Absorption area(s)
DISTANCE T0:
OTHER
PIPE MATERIALS
(-,
—
SOIL TEST RATING
1--
INSTAL/LE�i
1
'�'
REMARKSQ�
y 1
—i
'.
_q
APPFIA�VED C DATE LEGAL
wRMTT HPIN, lC0NT HHS THE RESPONSIBTLlTY TO INFORM THlS DEPRRTMEN7 DIF! [NG THE
IFAM HLLRTION {NSPECT/ONS OF MAY WELLS HDJHCENT TO TH/S PROPERTY HND THE
NUMBER OF RESIDFNCES THRT THE WELL WILL SERV(7
Ji 11 P r: ::� : A 1: 1 (THOWS YWT v Q I ?I f 1 (Z � If ti !I.0����� —�—
BHCKFILLING OF RNY SYSTEM NITHOUT FINAL lNSPECTIUN HN0 1XPROVHL BY THIS
DEP8RTMESIT WlLL 8E SUBJECT TO PROSECUTlON
MIN}MUM DISTHNCE BETNETAW R WELL HND HHY ON~SITE SEWRGE D/SP'Sun L SYSTFM IS
100 FEET FOR H PRlVHTE WELL/ OR
150 TO 200 FEET FROM H PURLlC NEL| DEPENDING UNIA THE TYPE OF PUBLl1 WELL
OTHER REQUlREMENTS MHY 0PPLY, SPECIF}CHTIONS HND CONSTRUCTTON DIHGR01S HRE
HVHILH8LE TO INSURE PROPFR TNSTHLLHTMIT
11 H. 11 :F" 1: OTTYS: V A 04 Z 0 A � 0 h T g �v T a ��� 1. Kv ?" � I �i;
Y -.11j' /) ` /L/�) '
DEP8RTMENT UF HEHLTH
'L'
HND ENVlRONMEMTHL
404/[EC1/OH
99381-
S25 STREET,
��P,--���lr��
RNCH0RHGE, RK
264�4720
`�--
PERMIT N'
Ar" PLIQUA T Rf
)
! HONG[HU
4220 BRXlER SP
12 3�� 2729
LOCATJON PRINCE
OF PEHCE DR
LEGHL 1-5 1
SCHROEDER E!:: 1S S/D
LOT
SIZE 22080 S0UHRE F�ET
TYPE OF SOIL HBSORBTlON
sYSism IS:
DRHIto, IBr
MHXIMUM NUMBER
OF BEDROOM
SOIL RHTlNG
(SQ FT/BR)- 254
THE REQUIRED SIZE
P10 IfAl hv�"l- 4 -9,
OF THE SO[L H8SORPTION
0 A: 1 12- AM 4 A 1 1-1
SY�TEM I��
A OYQ {A VAX
wo ww�k- Q-1 17 K J��= �
THE LENGTH
|)IMENSICIA I5 THE LENGTH
(IN FEET) 0F
THE [RENCH OR DRHINFI7LD
THE DEPTH
OF H TRENCH UR PiT 1S
THE DlSTHNCE BFTWEEH
THE SURFHCE OF THF
GROUND HND
THE BUTT(.1M OF THE EXCHVHTIOH
(IN FE[T)
1:1 w 110 A
I S: �
�1:. :"1 if frn 1,
THE GRHVEL
DEPTH lS THE MINIMUM
DEPTH OF GRHVEL
BETHEEN THE OUTFRLL PIPE
HN0 THE B
lOM OF THF EXCRVRTlON
(IN FEFT)
�
���,� - �-��U��
�����'�
0 A Vol &P Q! 01 Y" 1 H Kv��
wRMTT HPIN, lC0NT HHS THE RESPONSIBTLlTY TO INFORM THlS DEPRRTMEN7 DIF! [NG THE
IFAM HLLRTION {NSPECT/ONS OF MAY WELLS HDJHCENT TO TH/S PROPERTY HND THE
NUMBER OF RESIDFNCES THRT THE WELL WILL SERV(7
Ji 11 P r: ::� : A 1: 1 (THOWS YWT v Q I ?I f 1 (Z � If ti !I.0����� —�—
BHCKFILLING OF RNY SYSTEM NITHOUT FINAL lNSPECTIUN HN0 1XPROVHL BY THIS
DEP8RTMESIT WlLL 8E SUBJECT TO PROSECUTlON
MIN}MUM DISTHNCE BETNETAW R WELL HND HHY ON~SITE SEWRGE D/SP'Sun L SYSTFM IS
100 FEET FOR H PRlVHTE WELL/ OR
150 TO 200 FEET FROM H PURLlC NEL| DEPENDING UNIA THE TYPE OF PUBLl1 WELL
OTHER REQUlREMENTS MHY 0PPLY, SPECIF}CHTIONS HND CONSTRUCTTON DIHGR01S HRE
HVHILH8LE TO INSURE PROPFR TNSTHLLHTMIT
11 H. 11 :F" 1: OTTYS: V A 04 Z 0 A � 0 h T g �v T a ��� 1. Kv ?" � I �i;
Steven A. Johnson Soils Log
box 76 Percolation Test
Chugiak, Alaska 99567
Phone: 688-3085
Performed for hill Mongeau Date 8/24/7b
Legal Description Lot 5 Block 4 Schroeder East Subdivision _
Test Pit Location EO'N and 301W of the SE corner.
It
11L I I01- 2' red brown sandy gravelly silt w/organa_cs
( MT. ) 275 ft2/bdrrn
A., 4
6
12
14
16
5'
7'
2'4 13' brown silty sandy gravel with moist
stringers of clean fine sand and boulders
to 2 feet (GM) 225 ft2/bdrm
gravelly sand stringer from 4' to 5'
perc test from 5' to 7'
water table at 10'
Total. depth this test 13 feet
AVERAGE ABSORPTION AREA REQUIRED FROM SOILS LOG = 254 T�_ft.2/bdrm.
nAmF
NET TIME(Min.)_
NE_T DROP (In.) _
PER RATE Min in
8/24/7830
1.20
®25"5
e
30
1.0 �
30.0
120
3.50_34.3
-
30
0-75 �
42.0 e
0
0.75
42.o
Percolation rate 42. 0
Signed
minutes/inch
Lvej�e %.welt, /11e, 99577
i
7l
C;„,cavej ritlEl ezci:h
j;w.Aldor:> : ilri borcip"'m
`r2
Vii) Cnaa. ,+�Ici =,�F.Ei;Elr ._ 'tta�.acls't
Loi` 5, BlocA !i
.Schitoedeit �a-4,4.Subd.
MUNICIPALITY OF ANCHORAGE
DEPT. Cil' -,11 ._1
ENVIR0N;v1Erv1 -TION
RECEIVED
9C_,
.LOQ'
a'1mi0” €yet -„6 •
I
1.'0
Pr's vo ohoo
!"I'd J,ackot
,`-,t q c AB
z
a. 11
a.v-.
:L X
Loi` 5, BlocA !i
.Schitoedeit �a-4,4.Subd.
MUNICIPALITY OF ANCHORAGE
DEPT. Cil' -,11 ._1
ENVIR0N;v1Erv1 -TION
RECEIVED
Parcc
Municipality of Anchorage.
Development Setvice§ Dl rpartrnerit .
Building Safety Didision
On -Site Waley & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage,'AK 99519-6650
wmv.ci.anchorage.ak.us
.(907)343-7904
CERTIFICATE OF HEALTH H AUTHORITY. APPROVAL
FOR A 'SINGLE FAMILY DWELLING
I.U. _050--0.62-17-000
1. GENERAL INFORMATION
Complete legal description
HAA=
Expiration Date. -V
SCHROEDER EAST SUBDIViVON: LOT 5, BLOCK
.. r ... , .. > ..f .< _. ... .. . r .. n ✓ ., !' rw;N . a. tom_ . ,
4. STATEMENT OF INSPECTION BY ENGINEER
„•.., ,t'
As certified by rny, seal af6ed heretd and as of the validation date shown below, ! verify that my.
investigation, based on procedures outlined `in the Health Authority Approval Guidelines for this application, .
shows that the on-site water supply andior was+evlater disposai system ,is(arc) safe, functional and adequate
'for the number of bedrooms and type of structure indicated hereto !further verify that based on the.',.!
information obtained from the Municipality ofAnchorage files and from my investigation and inspection, the
ori -site water supply.and/or ivastewatrr disppsal system is(are) in compliance with all applicabte'hburiicipat
and State codes, ordinances, and regulations in effect'a't the time of installation.'
Name of Firm _.•ALASKA \TATER & %VASTEWATER CONSULTANTS; INC phone 337-6179 -- —
Address _ 6901 DEBARR ROAD, SUITE. 26 .' ANCHORAGE,. AK;;99504
Engineer's Printed Name JEFFREY A. GARNESS, R E
Date `' `F �z`� ad U3,
1,�--
Engineer's Comments:. ..
!Kt• ✓C, Inc. ale mole . Lo provide t' �.
III conducting this cvrrA: Torr, 4�" ' a thorough,
ronscienlious enginoerin, afia!ySiS Of tfrC' SytitelT iN F.CCJr'dcnce with ADEC anif hfJP:
Ati'/
o p
DSD Guidelures O 1\r �jJIL ions. The repor::;d resu'is doscribed the performance of the
c.�
�> ��' I i`5,
t =
system under tho condWorrs encountered at tire• tune• of tho test, and seperali'oir •.
distl^rices measured to read,•':y idonfifiab'c features. Tfrc operational life of all we!!s and
a ✓i; ' .. ' I I' I d:
A
septic systcrns depend on the local soils condition, ground•.•:aterlevels 'that rnay,
G .. . . "
fiuctuale during 1Le year, and the water usage of the fanrrly being served by tho system..
t%
These conditions are outside the control of the evaluator of the sys,em. •Satisfactory test
.
a�4,
r'csu4s do not quare?ntee Nhrre perfcrmarcc- of the system, nor do'they guarantee it
f cy ,. G nc--s ��
there are no hidden defects or encroachrrrents. AK'N✓✓C. Inc. can therefore not provrde
C 7953
a,-?yw.arnanty or fulure cstirnafe of how long tho system :,fill conlinuo to meet fho
o � i
operational rcruirernonts of tho AD[C a' CSOA DSD. 77re content of this relied is for
�� �'°v F . "'
r�-
CU��
tiYb sr.!c berrc(it o(lilc own 'r listed abo✓e. Any re•'ia: r,x u ion or usr; of this repod by any
c
�J.\Ci`i
otl:crperson or party is not ruthori7cd. no, rvi!i it confer any legal fight whatsoover.
5. DSD SIGNATURE
�_--.
--,-„--- Approved for -- bodrooms.
— -- Disapproved.
r.:lr(r:l!rri
_- Conditional approval for —_—_. bedrooms, with the fllov:ing stipulatio(l3`.:,•'e'^"'`
. • ;;
• ft �
71
LY
ri
°�.
%�i�iVuR,�llr; ."
V
ZjJ)
)7 ))
Attachments: ,..�
HAA Checklist Manitenance Agreements
Septic System Advisory Supplemental Engineer's
Reort
Well Flow Advisory Other
By:Original Certificate Date: 1/ra3
(Rev.1 1)
Well production. ... UNK g.p:m
45. �•. . s- _:,
3 g.p:m
WATER SAMPLE.RESULTS
Coliform colonies/100 ml.. Nitrate.0, a mg /L
Other_bacteria colonies/:100. ml.
Arsenic: N . A .nig./L. Date of sample 1 /6/2003
Collected by: AKWWC, ,: INC `
B..SEPTIC/WOLDING.TANK DATA
Tank Type/Material
Date installed:
Tank size gal. Number of Compartments _
Cleanou+s (Y/N)
Foundation cleanodt (Y/N) _ Depressinn oyc, .lank (Y/N)
High water ,alarm (YIN)
Date'of PLimpingPumper
C. ABSORPTION FIELD DATA:
Date installed Soil rating (g.p.d:/ft of ftF/bdrm) _.
System. type
Length ft Width ft.:
;;Gravelbelow. i
Total depth ft. Eff, absorption area ftZ : Monitoring tube Depression oyer,field
Date of adequacy test Results P ail)
For bedrooms
Fluid depth in absorption field before t :_ in, Water added
gal New depth.in.
Elapsed Time:' . Final fluid depth -in.
Absorption rate >= g.p.d.
A venation treatment (past 1.2 mo:) •(Y/N & type)
If yes, give date
1-10-03;10:38AM; :907 5615301 it 2/ 3
7
LtLME Environmental Services Inc.
w' IPPIPPIPPPPPPPPPI00
CT&E Ret.#
1030182001
Client Name
AK Water & Wastewater Consultants Inc.
Project Name/#
Schroeder East L5 B4
Client Sample ID
Schroeder East L5 B4
Matrix
Drinking Water
Sample Remarks:
All Dates/Times are Alaska Standard Time
Printed Date/Time 01/09/2003 15:46
Collected Date/Time 01/06/2003 15:20
Received Date/Tlme 01/07/2003 12:00
Technical Director to/poen C�Ed
Released By I
Allowable Prep Analysis
Parameter Results PQL Units Method Limits Date Date Init
Waters Department
Nitrate -N 0.200 U 0.200 mg/L EPA 300.0 (<=10) 01/08/03 JS
r
Microbiology Laboratory
Total Coliform 0 col/100mL SM18 9222B (<=1) 01/07/03 KAP
a.,
E
4
01/07/03 12:58:43 PM
P.
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td 11'
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JJEENW0352-s,w - L.
WELTS
Record View For Key #: 837
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Well Log PDF File: 837.pdf
IKey
11837 1
(owner
IIMONGEAU, WILLIAM
(property Description
IISCHROEDER E L05 B41
ILAS or ADL Number:
II
(Region:
I122B
(Date of Completion:
11
IDepth (feet):
11204
IMeridian Quadrant:
IIsB I
ITownship:
1114
(Range:
112
ISection:
Ill
ISecprts:
IIADDC 1
IMap Number:
111-88
(Weil Log Status:
IIs
(Driller:
IICOTTEN DRILLING I
(Date of Entry:
111/14/1992
1Data Tags:
II 1
(Remarks (1):
Ii
IRemarks (2):
II
IRemarks (3):
II
IRemarks (4):
II
http://info.dee.state.ak.us/welts/detail.asp?key=837 1/3/03
01/03./03 FRI 14:49 FAX 689.6498
VISTA REAL ESTATE ER
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10.
A.S-BUILT
I hereby certify that T have surveyed the following desci ilied
property: LO 7
Anchorage Recording' Precinct, Alaska, and that the improve -
menta situated thereon are within the prolerty lines and do
not overlap or encroach on the property lyisg-adjacent,there-
to,.that no improvements on property lying adjacent thereto
encroach on the premises in question and that there are no
roadways, transmission lines or other visible casements on
said property except as indicated hercom
Dated at Eagle River, A3aska
thi£ % ' 8fly of .. � . , 191?
ROHEBT C. JOIiNSCI4 i[
SCALE: Registered Land Sup eyor No. 68o•LoS
1' ; 2,0 •' Boa 456, Eagla.River, Alaska
Phone (07) 664.2543