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Home My WebLink AboutT15N R1W SEC 8 LT 90 E2 GREA ANCitORAGE AREA BOR~ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 -'H INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME.. LOCATION LEGAL DESCRIPTION SI'-PTIC TANK: DISTANCE £~ NUMBER OF INSIDE LENGTH .INSIDE WIDTH _LIQUID DEPTH__ _LIQUID CAPACITY_ ~,') ~¢ _GALLONS. SF-EPAG E PIT: NUMBER OF PITS // DIAMETER OR WIDTH /,~-, ?'" / *~ } -- LENGTH,) ?, DEPTH ,7) LINING MATERIAL /~/t¥&-% _ CRIB SIZE: DIAMETER____DEPTH DISTANCF FROM: ,~ j~.~, TOTAL EFFECTIVE BUILDING FOUNDATION ~,4 NEAREST LOT LINE .~£~ *' ABSORPTION AREA (WALL AREA) WE I.L/~¥'~ ~',.-~, _. SQ. FT. ADDITIONAL ABSORPTION WI--LL: ? TYPE ~_, W '" C- BUILDING FOUNDATION CESSPOOL APPROVED _CONSTRUCTION. DEPTH NEAREST NEAREST SEPTIC LOT LINE SEWER LINE TANK OTHER SOURCES DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: (?' /~-', INSTALLED BY: _~-/~/)/~)¢':/:' PIPE MATERIAL: ~//~¢"/ LOT SLOPE: /d!/-'~. / Form No, EQ-03'~ DIAGRAM OF SYSTEM DATE ' OODWARD - LUNDGR N & ASSOI IATES,INC. RECEzVED, ,11,1!,, ! 0 19f3 July 9 , Job NO. 1973 A12109-14 Wallace Mile 19 Chugiak, Construction - Old Glenn Highway Alaska Attentiou: Mr. Wallace Gentlelllen.' Subject: Seepage Pit Inspection East Hail Lot 90 - Book 241, Sec. 8, T.S. 15 N, R.1 West Chugiak, Alaska Page 302 of Seward Meridian At your request, the undersigned inspected the subject excavation and logged the vertical soil profile on July 6, 1973. The rela- tive pit location is shown in Fig. 1 and the soil profi].e is shown in Fig. 2. The soils were visually classified and absorption values assigned accordingly on the basis of our experience and by written guide- lines of the Greater Area Anchorage Borough. If we can be of any further service to you, please call. Very truly yours, WOODWARD-LUNDGREN & ASSOCIATES .~o~dn e 7~.~~- - Kinney, P.B. Chief Engineer RPK:nck CC GAAB, D.E.Q. Atten: Mr. Buchholz, R.S. OAKLAND SAN JOSE SAN FRANCI.r;CO ANCHORAGE, ALASKA WOODWARD-LUNDGREN & ASSOCIATES SAMPLE SAMPLE DESCRIPTION_ color, moisture, particle size, consistency Geologist ?-' 1 ' of casing, ce,sing blows, fluid loss, bit condi- tion~ crowd, rprn~ etc,) DR I LLER~S WELL L'OG NOIJ. DgLO;Jcl 1VJ. N]WNO~iAN:i ~ HJ-IV~H JO 'id](] ~DV'dOHDN¥ ,JO xLnVdDINFlY,/ SIZF. DEPTH :~ ' ..... : CASING DEPTH YI ELD :' ' ~ ' -- II' '' STATIC WATER LEVEL "'''/ PUHP INSTALLED ,'/' TYPE GROUTING DEPTH ~/'-¢/' HO~ TESTED ..z_-' ,',., FOf~IATIONS ENCOUNTERED AND APPROPRIATE DEPTHS T0 __ TO _. .. _TO__ _ TO __, _ TO TO__ L)c~ p ~x f~ To EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 MAY 2 1 1992 ivhmJci ~ahty oi/',r~chorage Dept. -lealth & Human Services LETTIFR ~Please reply [~ No reply necessary SIGNED EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 LETTER MAY 20 1992 s.bi~ot ~-~- z~ ?~ Muoici ~ah~y oJ Anchorage ~/~ ~/~ ~'~.c, Dept. '~ealth & Human Services Please reply I~ No reply necessary MUNICIPALITY OF ANCHORAGE . ,f'~'~ DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Fnvironmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6660 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 051-151-08 HAA# 1. GENERAL INFORMATION Completelegaldescription E 1/2 Lot 90, T15N R1W Section 8 Location(siteaddressordirections) 21438 McKinley View, Chugiak Property owner Jacqueline McCormick Day phone 688--4946 Mailing address P.O. Box 671821, Chugiak, AK 99567 Lending agency _N./A Mailing address Day phone Agent N/A Day phone Address 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site x Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER 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 application 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 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 rvlunicipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Eaqle River Enqineering Services Phone 694-5195 Address P.O. Box 773294, Eagle River, AK 99577 o Engineer's signature DHHS SIGNATURE /'~v... Approved for Disapproved. bedrooms. Date Conditional approval for bedrooms, with the following stipulations: Additional Comments By: . Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Flealth Authority Approval Certificates 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 is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~"~//,~- .LOT A. WELb DATA Well type ~/2~//,.'.//~'&; If A, B, or C, attach ADEC letter. Log present (Y/N) Total depth :2., ~uO / Sanitary seal (Y/N) Date of test Static water level Well flow Pump level Parcel I.D. ADEC water syStem number _ ././~/.4 Date completed. _ ¢¢/¢"/¢i. Driller -.~.~//~//'/-~ Casedto /.z/~,/( ~,3"' '~/' C/~singheight ~-~ / Wires properly protected (Y/N) ~/~ ~' FROM WELL LOG $.5- .4.0 g.p.m. AT INSPECTION SEPARATION DISTANCES FROM WELL TO: Septic/boldirtg tank on lot /,.~ z Absorption field on lot /,~(~ z Public sewer main /~//,~ _ Sewer service line / ,-~) / ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank /,//4 WATER SAMPLE RESULTS: Coliform __,~ Nitrate Date ofsamp,e: Collected by: _ , Other cacteria _ SEPTIC/HOI;DING TANK DATA Date installed__C2 ,~ Tank size /~,~_~-E~ ~,~,;-~,r- Compartments ,/ Cleanouts (Y/N) ,V~ ~ Foundation cleanout (Y/N) ,A/'o Depression (Y/N) High water alarm (Y/N) _ ~---/--/~ Alarm tested (Y/N) __ /%///// Date of pumping ~2 ~./~'/(2 '~ Pumper ,~-,.~ SEPARATION DISTANCES FROM SEPTIC/HE)bDHN6 TANK TO: Well(s) on I°t /,~¢ ~ To property line_ ..~ Surface water/drainage On adjacent lots :/' /~ / - ' __ Foundation __~z2~___ Absorption field/~ E~0~2¢/~' / / Water ma-k~/se rvice Ii ne J /0 72-026 (Rev. 7t91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons M h an ole/Acce.ss--(¥/N) Vent (Y/N) __ Pump on" level at, ~ "Pump off" //,~ .--/ level at High water alarm level ~...¢ ~""~ Cycles tested Meets MOA electrical cod~-~'~- SEPARATION DI~/~'FA~JCE FROM LIFT STATION TO: Well o.9~--t0~ On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~.~c~/ Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating Gravel thickness ,~ / Cleanouts present (Y/N) Date of adequacy test for %-//_'~/~ System type -~L~/~/O.,E ~g.~ /2/7' Total depth 4 ~¢~ bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot / ~(~,~ / To building foundation On adjacent lots /' ,_~ LO Surface water Curtain drain / On adjacent lots / /~(~ / Property line To existing or abandoned system on lot Cutbank Water meh~/service line. '/ /~ / Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date Engineer's Name ,~) ~ ~'~, Date .3-//~'-/¢ ~_. ~.~.. / ¢.-~ ~ HAA Fee $ /~7~) ¢)---~ Date of Payment ..:.4--/~'- ~..'2.-~ Receipt Number ~.2.~,¢~ <¢ - 72-026 (Rev. 3/91} Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number ~ PUBLIC WATER SYSTEM I.D. ~ X PRIvATEWATF"Ra¥STEM ~AMPLE TYPE: PUrchase Oroer ~Routi~e SPecial Purpose ~ Trea~ed Water Chec~ Sample flor original COntaminated SamPle With lab reference ~1 TI.~".~ - - 2~5 FAIRUANi(~ ~TR~ET ANOHO~GE, ~0 INDUSTRIAL WAY . ~ , FAIR KA ~ . To BE COMPLETED BY CLIENt · , u~tll ~OIIlOr~l gacteri~~- TO BE COMPLET~ Received at: ~neh. ~ Fbks' Date ReCeived ~~~ Time Receive~ N e~ Sample Due ~. , COMMENTS: SATISFACTORY UNSATISFACToRy U RESAMPLE~ OTHER BACTERIA TOo NUMEROUS TO COUNT TNTC ~. of Tole/Coliform Colop/s~ per ~.~., ~.., e~ . NORTHERN 'rESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907} 456-3116 · FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 · FAX 274-9645 Eagle River Engineering P.O. Box 773294 Eagle River AK 99577 Attn: Louis Butera Report Date: 05/08/92 Date Arrived: 05/05/92 Date Sampled: 05/04/92 Time Sampled: 1417 collected By: LB Our Lab #: Al17131 Location/Project: - Your Sample ID: E 1/2 Lot 90 Sample Matrix: Water Comments: MDL = Method Detection Limit Flag Definitions 13 = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Date Method Parameter Units Result Flag MDL Analyzed EPA 353.3 Nitrate-N mg/1 1.2 O.1 05/07/92 Microbiology Supervisor