HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS BLK 3 LT 7MA~UN~ AD. ESS
LEGAL DESCRIPTION
t'~ MUNICIPALITY OF ANCHORAGE /~ t
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
PHONE
b$ OUPG.AOE
kiq. capacity in ga ions
//~ ~ IF HOMEMADE:
DISTANCE TO: Well
Manufacturer
Well~.~~ J;oundati~nq /
DISTANCE TO: I ~ ~f'2' (~ !
' NO. Of line~ I Langth Z.~/~°f each line NlaterialT°tal ,~ oJ lines
~ i.. Top of silez~ ,i~. grade beneath tile
Length Width Depth
Type of crib Crib diameter
Well
DISTANCE TO:
Cla~.~ ~ Depth
Building foundation
DISTANCE TO:
Crib depth
Building foundation
Driller
Sewer line ~L,2.~7~7
NO. OF BEDROOMS
Dwelling PEHMIT NO.
Width Liquid depth
PERMIT NO.
Material
Nearest,~---~l°t I~e.
Trench widt~ inches
B~ inches
Liquid capacity in gallons
PER IT NO.
~o10~
T° iai ~7.abs.~ti°n area ZT~
PERMIT NO.
Total effective absorption area
Nearest lot line
D~stance to lot line
Septic tank...~.~ &) /
PERMIT NO.
Absorption area(sD
OTHER
PIPE MATERIALS
SOIL TEST RATING
REMARKS
~ROVED DATE LEGAL
72-013 (Rev. 3178} ~
PERMIT
RPPLICFINT
LOCFITION
LEGFlL
DEPFlRTMENT ,. HEFlLTH F~ND EN'/IRONMEHTFIL . ROTECTION ~
or-4--s T TE SEI.-IER PERI"1T T
( 82810-~ )
STEVEN g SKRGGS
L? B-~ THUHDERBIRD HTS
PO BOX D CHUGIFIK
LOT SIZE
48888 SQUFlRE FEET
TYPE OF SOIL FIBSORPTION SYSTEM IS: TRENCH
I'IFIXIMUM NUMBER OF BEDROOMS
SOIL RFITING (SQ FT?BR)= 85
THE REQUIRED SIZE OF THE SOIL~BSORF'TION SYSTEM IS:
DEPTH= ?T' 'LEI'4GTH =- 43 GRA%~EL DEPTH= -----:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFtINFIELD.
THE DEPTH OF FI TRENCH OR PIT IS THE DISTFlNCE BETHEEN THE SURFFlCE OF THE
GROUND FIN[~ THE BOTTOM OF THE EXCFIVFITION (IN FEET).
THERE IS NO SET HIDTH FOR TRENCHES.
THE GRFIVEL DEPTH IS THE.MINIMUM DEPTH OF ORFIVEL BETHEEN THE OUTFFILL PIPE
RND THE BOTTOM OF THE E×CFIVFITION (IN FEET).
RED SEPT I I:: TRI'-.Ii-,-. _c;. I -~"E= :1.01Z~0 GRLLOI"--I_'~.
PERMIT FIPF'LICFINT HFlS THE RESPONSIBILITY' TO INFORM THIS DEPFlRTMENT DURING THE
INSTFILLFITION INSPECTIONS OF FlNY HELLS FIDJRCENT TO THIS PROPERTY FINE) THE
NUMBER OF RESIDENCES THFIT THE MELL HILL SERVE.
Ti--lO ( 2 .', I I'-,ISPECT I E~I'-.IS liRE F:EQIJ I RED
BFlCKFILLING OF FlNY SYSTEM HITHOUT FINFlL INSPECTION FIND FIPPROVFIL BY THIS
DEP'BRTMENT HILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTBNCE BETHEEN Fl HELL FIND FlNY ON-SITE SEHFIGE DISPOSFIL SYSTEM IS
188 FEET FOR Fl PRIVFlTE NELL OR 158 TO 288 FEET FROM Fl PUBLIC lqELL DEPENDING
UPON THE TYPE OF PUBLIC HELL.
MINIMUM DISTFlNCE FROM FI PRIVFlTE HELL TO Fi PRIVFlTE SEHER LINE IS 25 FEET FIND
TO FI COMMUNITY SEHER LINE IS 75 FEET.
OTHER REQUIREMENTS MFlY FlPPLY. SPECIFICFITIONS RND CONSTRUCTION DIFIGRFIMS PRE
FIVFIlLFIBLE TO INSURE PROPER INSTFILLFITION.
PERM I T E×P I RES DECEr. IBER gl, 1982
I CERTIFY THAT
1: I FlM FFlMILIFlR HITH THE REQUIREMENTS FOR ON-SITE SEHERS AND HELLS AS SET
FORTH BY THE MUNICIPFILIT¥ OF ANCHORFIGE.
~: I HILL IN~TALL THE SYSTEM IN RCCORD~NC~ HITH THE CODES.
: I UNDER__ND THA~THE ON-SITE SEHER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RE~IDEf.,CE~r. IOD~D~i/// TO INCLUDE MORE THAN 3 BEDROOMS. . ,~
- 8PPLIC~NT ST~] L. SKBGGS -- '"~
RuHel! Oyster
694-2774
Performed for:.
O & E EN~,NEERING & DEVELC?MENT CO.
Box 90, Davit St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Legal Description: /' ~ /7//
Depth (feet) Soft Characteristics
Earl £llls
688-2280
8~
9
10
11
12
PLOT PLAN
PERC. TEST
15__
16
Ground Water Encountered: Yes /~No If yes, what depth
Proposed Installation: Seepage Pit Drain Field ~
Comments:
Performed by: ~ .~.~ L~/~'"t~'~_
December 29, 1978
#78-110
Circle Construction, Inc.
Box 2520 l~litna Circle
Eagle River, Alaska 99577
SubJectl Lot 7 Block 3 Thunderbird Heights Subdivision
A permit issued by this department for well and/or
sewer system has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be
sent to this department to document the ~nstallation
date.
If there are any further questions, please contact
this office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
Ik;S/lJw
encl copy of permit
PERMIT NO.
APPLICANT ~TPP; P' F:ONC;TK'I;CTTnN INC BOX 2520 HOLITNR CIRCLE 694
LOCAT I OH EKLUTNR
LEGAL L7 B-~ THUNDERBIRD HTS S?D~.~---~ LOT SIZE 26000 SOURRE FEET
,,
//
MR×IM,jMTYPE OF SOIL ABSORBTION SSSTEFI~__~~.
NUMBER OF BEDROOMS =~_..,.. SOIL RATING (S~ FTZBR
'THE REQUIRED SIZE OF THE ~OIL AB. SORPTION SYSTEM
THE LENGTH 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 E~CAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE E×CRVATION (IN FEET).
RED SEPT I C TANK S I ZE= 1000 GRLLOr,~S
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTRLLRTIOH INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
'NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
T&,~O ( :::' > I [-~SPECT I O[,~S ARE REQL~ I RED
BACKFILLING OF ANY SYSTEM WITHOUT FINAl_ INSPECTION AHD APPROVAL BY THIS
'DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE NELL~ OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F'ERf4IT EXPIRES DECEMBER 3l, ~78
I CERTIFY THAT
l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
S I GNED: ___-~___~_' __~__ ..................
APPLICANT CIRCLE CONSTRUCTION INC
MUNICIPALITY OF ANCHORAGE /'~
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
- - 343..4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
LOT 7; BLOCK $; THUN~ERBZR~ HEZGKTS
Location (address or directions)
f0! Tku.~d~bZ~d'/),~ve · .
(b) Propertyow. n~r "Fag I/og~" Telephone: (home)
(c) Lending Institution " Telephone
Maili.ng Addre. ss " '
(d)
Real Estate Company and Agent .TAP,~ m~TTF ¢0~.~PA~/Y ATTIV:
Address 10925 E,~9~e F, Zu~,r Roac~ Eag~_ I~ucr, AK 99571
Telephone 694-5~00
(e) Mail the HAA to the following address: (or check hereJD( If hold for pick up.)
List contact person and day phone number below:
$ & S ENGINEERING
· . 17034 Eagle R~ve~ L~p Road
Eegle River, Alaska
Business
TYPE OF RESIDENCE
Number of bedrooms
Single-FamilyJ~
WATER SUPPLY
Individual Well ~:
Community
Note: If.community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th le~.~lity ~d status.'
SEWAGE DISPOSAL
On-site EX Public [] Community [] Holding Tank r'l
Note: If Community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72.02s (,~,. z/.) Page I of 2
.5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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 end 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
Address
Date
$ & $ ENGINEERING
17034 Eaqle River Loop Road
Eagle Rlver~ Alaska 99577
Telephone
.. Approv for S. edrooms _ Date
· , ' Approved Disapproved Conditional
· · ,Terms of Conditional Approval
'filJli|*lJ
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated 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 ts 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)
Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
., ,.,.:/,~0',0".6G~ ' 343-4744
N,,,j,'~C,~/"T'"T., ~ ~?~,~,TC~.$ D;'Z:'~T~,
A. WELL DATA
Well Classificat~ion
Well Log Present (WN)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wirin~ in Conduit (Y/N)
Date Completed
Depth of Grouting
SEPARATION DISTANCES FROM wELL:
To Septic/Holding Tank on LOt
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Legal Description:
if A, B, C, D.E.C. Appr0ved~N) ~
Yield
Pump set At
Sanitary Seal on Casing (Y)N)
Depression Around Wellhead (Y/N)
I..~.
; On Adjoining Lots
~ JJ~ ; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
; Date
B. SEPTIC/HOLDING TANK ~ATA ·
· _/~,.~ ~ /e'~-
Date Installed ~'/~"' Size I O~
Standpipes~N) y Air-fig~ht CapstaN) ~
Depression over Tank (Y/J~
No. of Compartments ~
Foundation Cleanout(~/N) 7
Date Last Pumped ~ --I G ~ ~'
To Water-Supply Well '
To Property Line
To Water Main/Service Line
Pumping/Maintenance Contact on File (Y/N)/,4 //
Holding Tank Hi~h~.Water Alarm (Y/N)' '
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
"~:~C) I Jo" TO Building Foundation
! o I~... To Disposal Field
To Stream, Pond, Lake or Major Drainage Course
Comments '~'"~'~' ' ~..~-"~ ~, pCO/_
; for ~
Temporary Holding Tank Permit (Y/N)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~:) -
Width of Field"
Square Feet of Absortion Area
Depression over Field (Y/I~
~" ~ Type of System Design
~ -'~ * Length of Field ~ i
Depth of Field "7 I
,' ' Gravel Bed Thickness ~ I
~--.~'7~' ~ Statndpipes Present<~N)
N'/ Date of Last Adequacy Test
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well ~ '~
f
1'3
To Building Foundation
Lot ~/P
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
; On Adjoining Lots
To Cutback (if present)
Ioo I-/-
To Property Line ,/c> t..j.,
To Existing or Abandoned System on
/
D. LIFT STATION' /"]/.
Date
Size in ~G~II~,.,,~
"Pump ~)B" Level at~''-,-
High Water Alarm Level at~'"'""-~
Dimensions
Manhole/Access (Y/N)
Pump Off" Level at ' '
' ' ' ' Vent (Y/N)
Tested for ~ Pumping Cycles during Adequacy Test.
Meets MOA Electrical Codes (Y/N)
Comments '. '
*'Check Pe"rmitted Bedr(~om Rating Against HAA RequestS'
I certify that I ha'~e che-cked, verified, or conformed '{o all MOA ar{d HAA guide
his
inspection~ ,:-. ~;, ," .,-~'-'~ ~' ; -
Si ned S &SENGtN~ERING~ ~o, : ~" "~~ *' :?
Company E~eRlver, Alaska 99577 ~.' ,., ,'~
, ra'
Date
,, ., . ~ ~.. ..,.:'~
Receipt No. ~ / ~ ~ ~ ~ ~ ~/"""' R;c~ipt ' '~'' ......";"'~'~' '
No. - -
Date of Payment //-/~' ~ Waiver Fee: $
Amount: $ / ~. ~ Date of Payment
~ m-. ~ B.ck Page 2 of 2
STEVE COWPER, GOVERNOR
DEpT. OF ENVIRONMENTAL CONSERVATIO
ANCHORAGE WESTERN DISTRICT OFFICE
3601 C STREET, SUITE 322
ANCHORAGE, ALASKA 99503
November 13, 1989
S & S Engineering
17034 Eagle River Loop, Suite 204
Eagle River, Alaska 99577
563-6775
PWSID: ~ ~11156
According to the records on file in this office, the Eklutna
Thunderbird Heights Subdivision Water System is in compliance w~
the state of Alaska Drinking Water Regulations.
Sincerely,
Environmental Field Officer
VEC:bas
Type of Residence
ungle Family
Itlple Family
(:] Other
Water Supply
[~ Commu~lly .
~ewer Die. Peal
APPLI(' NT FILLS OUT UPPER HAI' ONLY
z~p code ~'~ ~' 7
Zip Code
Zip Code
Zip Code
Phone
Phone
AI"rACH V~LL LOG. A wall log Is required for ell wells drlled since June 1975.
For wells ~'tlled prior to thru date, give well depth (attach log If available).
Year Individual Installed: '"~
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time
Time
D/~.~ -- ( ~ Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
( ~ ) APPROVED BEDROOMS
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE
*CONDITIONS OF APPROVAL
Soils Rating I Date~" ~----q~ "~,,..-Sewer Installed
IWell TO Absorption Area
Well to Tank
Well Lo~ Received
Septic Ta~k Size