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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