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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 13B ,~ ,( ~/~UNICIPALITY 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 PHONE ~I~EW MAILING ADDRESS LEGAL DESCRIPTION LOCATION - f , NO. OF BEDROOMS ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ ~ Z No. of lines Trench ~ --~m / .. -- inches Total .,,~,i~ absorption a~ea ~ Topoftiletofinishgrade ~ ~ / Materiaibeneathtile Q inches Lengt~ Widt~ Depth PERMIT NO. ~ Type of crib Crib diameter Crib depth Total effectiw absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) GAAB-HD. I /. HEALTH DEPARTMENT . .,,'.' # 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 .... ~' ' INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM / SEPTIC TANK: MAILING ADDRESS 77f'7 LEGAL DESCRIPTION/----------~'~-('~'~. DISTANCE FROM WELL 7 ~' / LIQUID CAPACITY / ~"~'-"~ GALLONS. MATERIAL ~"" "~"~'~"'--'~)'~/ ~ NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH, SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS~OUTSlDE DIAMETER NEAREST LOT LINE /~'~) /' ~ OR WIDTH / DISTANCE FROM WELL //1~"~ 7 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH. { Z-- / , DEPTH , BUILDING FOUNDATION '*Z.* (~'~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELl NUMBER OF LINES ABSORPTION AREA. DEPIH: TOP OF TILE TO FINISH GRADE FOUNDATION. DISTANCE BETWEEN LINES .SQ. FT. LENGTH OF EACH LINE. , NEAREST LOT LINE TRENCH WIDTH iOTAL LENGTH · OF LINES , IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE.~ WELL: TYPE 2~(.-(-.--~'p ~ DEPTH LOT U~E /~) r~_ ~ST ~ S~T~C . , SEWER LINE, ,TANK DISTANCE FROM ' ~-.~'_j~ / ' WATER · · BUILDING FOUNDATION.. _SAMPLE //J/O , NEAREST 7~{ SEEPAGE /~ /," OTHER , SYSTEM ~' CESSPOOl. ""- o SOURCES DIAGRAM OF SYSTEM DATE APPROVED ~ H£,~U. AU~nOmlV · _ rqu[~ I c I PF'''~,. I T%r' L F A[~CHOF--R~',E '"' " DEPARTMENT OF k. RLTH AND ENVIRONMENTAL PRO. :CTION · '" 825 'L' STREET, ANCHORAGE, AK. 99501 ~8~574 ) PERMIT NO. APPLICANT TOWNSEND HOMES GEN DEL EAGLE RIVER LOCATION WHRYLGWARY CIRCLE LEGAL Li3B EAGLE RIVER VALLEY RRHCHE LOT SIZE 6;94. 9484 22890 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH HAXIMUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ~--,EPTH= 8 LENGTH= 62 GRR'-/EL DEF'TI:I- '1. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETNEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETNEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REr~J_I I RED _'~EPT I C TRr~K $ I ,7__.E= ::!_000 ,_~,'-~L! E,I'-,I_'~ PERMIT APPLICANT HAS THE RESPONSIBILITY TO IHFORM THIS DEPARTMENT DURIHG THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE NELL WILL SERVE. TtWO ( ? ) I [~SP~CT I OIlS ARE REQU I RED BACKFILLING OF ANY SYSTEM NITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPRRTI1ENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R NELL AND AHY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE NELL~ OR 150 TO 200 FEET FROM R PUBLIC NELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEI~:M I T EXP I RES DEC:Er-lBER gl.. 1978 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND HELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ~CCORDRNCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SENER SYSTEM MAY REQUIRE EHLARGEMENT IF THE s IRESIDENCEGN~~~~~~I~REMODELED TO~.~CLUDE MORE ............ THSN ~ BEDROOMS. ~ ~R~CANT T~4NSEND HOHES . GAAB-IID-2 GREATE~ "ANCHORAGE AREA(~OROUGH C~No. H EALTlt DEPARTMENT ~ ~ -~c: 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT MAILING ADDRESS '77/,~.z~. Z<:2'/~PHONE NO~-?~ RESIDENCE ADDRESS ~'~ LOCATION OF INSTALLATION ,../' / APPLICATION TO INSTALL: SE~IC TANK ., SEEPAGE PIT. , DRAIN FIELD , OTHER · FINANCED THROUGH ~ TO BE INSTALLED BY PERCO~TION TEST RESULTS ff~ ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT ms ,s ~o s,.v, As ~. P~) .,,.~,~ ~o ,.s~ AS DESCRIBED BELOW, SIZE OF UNIT TO BE SERVED ~ ~ ,' '~') '"- ~SEEPAGE AREA '~ ~ '~' '1~I TYPE ~ Authority I certify that i am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. performed for: leaal desc, I 5- 9. .10- II --12_ 1,5- 14.. M.D.G. OILS LOG ENGINEERING - PERC. TEST [] sods log JZ~_percolation test ground water ' '~ depth 20' perc. rate /c~_.~-,-~,,,.,mm./in. ~ --"- 0~- /- ~ ' · between ~,f,'~.. .....~.ft. . comments /~.,,~,,.~ ,x?-/z>-/, -2oo <-~.-_-,.//-<~';=~ r,-~'.;~~, · , . . /. :- ..~ , ,, . performed by. /'7',)D,(,,,,:~, .,/~ _ cert.fled b~.?//~~.~-date. v %'. ~7:.~- : ~.-~' .' .% MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343 -4744 Business Parcel I.D. # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LOt I$B, E~g~e Riv~x Fa~l~F Ranoh~tt~ Location (address or directions) 18908 Whir~aw~y (b) Property owner AHFC ii 455,~ Telephone: (home) CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING (c) Mailing Address Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Address 7bbOfl Oo~;to~f~oprl Omluo; ii901. Fr~gpo_ g]uo~. 4~. clq~;77 Telephone bq4-420fl (e) Mail the HAA to the following address: (or check here~ if hold for pick up.) ' List contact person and day phone number below: 2. TYPE OF RESIDENCE Number of bedrooms Single-Family~Z 3. WATER SUPPLY Individual Well r-i Community [] Public,O: Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site,O~ Public [] Community D Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 724328 (Rev. 7/88) Page 1 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 sh own 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 .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 Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address S & $ENGImp''' ~'"~''~ 17034 Eagle River Loop Road No. 204 Eagle River, A~a~,,= Date Telephone 6. DHHS APPROVAL Approved'for .~'~ bedrooms by Approved ,~:~/ Disapproved Conditional Terms of Conditional Approval 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 is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72..025 (Rev. 7/88) gaol( Page 2 of 2 Ac E~:~_ ",~ ']-l~ilth Authority Approval (.AA) .\~:"G]l~ ~/ ·: CHECKLIST - FEBRUARy 1984 2 8 1989.. 343-4744 RECI:IVt:U----" Legal Description: WELL DATA ' A Well Classification '" ' ' Well Log Present (Y/N) Date Completed Total Depth Cased to Depth of Grouting Static Water Level Casing Height Above Ground ' Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lo't To Nearest Edge of Absorption Field on Lot To Nearest Public'Sewer Line To Nearest Sewer serVice Line on Lot Water Sample Collected by' Water Sample Test I~esults · If A, B, C, D.E.C. Approve'd ~;ZN) ._~____ Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) · ' '; On Adjoining Lots "~ ~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING TANK DATA Date Installed "7-1"7-?~Size J Ic:x~o Nc. of Compartments Standpipes (~N) 7 Air-tight Caps {~/N) y Foundation Cleanout ~N) ~ Depression' over Tank (Y/~:) I-J ' / Date Last Pumped Pumping/Mainte?ance Contact on File (Y/N) ~ J/~, ; for Holding'Tan~ ;High;Wa;er Alarm (y/N)~ I~/1~ Temp;rarY Holdi'ng Tank Permit (y/N) SEPARATION'DISTANCES FROM SEPTIC/HOLDING TANK: . .~ ,..~ ,' .. , ~... To Water-Supply Wail'. · ~ I~r To Building Foundation To Prp_pert'y Lin.e_, ' :':,~ O ~ To Water Maih/Service'Line To Stream, Pond, Lake or Major. Drainage Course comments To Disposal Field 72-02~ (Rev. 7/88) Front Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Depression over Field (Y~j' Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Desig.n Length of Field Depth of Field Gravel Bed Thickness '~ ! ~,c::~,'~' Statndpipes Presen{~-~]N) Date of Last Adequacy Test Comments To Property Line t ,==. L'ir' TO Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) Date Installed l Dimensions ~ Manh,ole/Access (Y/N) "Pump On" Leve~ __ ' " "PumP Off" Level at High Water Alarm Level at ~ ~ Vent (Y/N) _ Tested for ~ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) ~ Comments ~ **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 Company Date 17034 Eagle River L._c~..~Road No. 204 Eaale River, Alaska ~";// MOA No. Receipt No, Date of Payment Amount: $ 724)26 (Rev. 7/88) Back O~ 4[. ~. ... ~',~',__ ~ ;~ng~Seal Receipt ~o. Waiver Fee: $ Date of Payment Page 2 of 2 ' APPLI T FILLS OUT UPPER HAL I'ONLY Mailing Address //// //(bt~. L~;//,//(/ ::~ /~/., (~'/~./~_ }~///~".~ Zip Code ~,.~"~'7 ..---- .1 Address n Zip Code Type of Resi~nce / Single Family ~ Other Water Supply ~ Individ~l A~ACH ~LL LOG. A w~l I~ Is requlr~ lot all wells dri~ed since June 1975. ~Communlty For wells Oilled prior to that date, give well depth (attach log If available). ~ Public Utility Sewer Disposal ~ Indivld~l ~0', Indlv~ual Installed: ~ Public ~illty When ~mected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. t'~ Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: J,,/tUNICIPALITY OF ANCHORAGE C": 'JE' ~.T ~', FJqVIR :3; ,Ih. RECEIVED (~ ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL° BY: Soils Rating Date ,~wer I[lstalled Well To l~sorptlon Area Well Log Recolved I r .d 7'/ ' T£ we,, ,o Tank Sep,,c T,.k January 21, 1983 _-~ Randy & Dorothy 110 Whtrlaway Road Eagle River, AK 99577 Subject: Eagle River Valley Ranchettes Lot 13 B Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The septic tank. pumped %lith a receipt submitted to this department. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. The standpipe to the sewer system need caps on them. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Enclosure JR39/p/EH Jim Roberts Associate Environmental Specialist EXCAVATI ON ROBERT A, SHAFER WORK CIVIL ENGINEER 694-2979 January 25, 1983 J~UNICIPAUTY OF ANCHORAGE DFPT. 0"' t~5''LTH ~' Dynamic Realty ATTENTION: Charlene Skeel P.O. Box 1796 Eagle River, Alaska 99577 Dear Ms. Skeel, Reference: Lot 13B: Eagle River Valley Ranchettes ' "' 2 J 1983 RECEIVED A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of water over a period of 48 hours. The average daily flow exceeded 450 gallons per day without any adverse effect on the system. It can be concluded from this test that the waste water disposal system serving the three bedroom residence is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. please do not hesitate to call. If we .?ay be of further service, :Ms/ss cc: Municipality of Anchorage Department of Health and Environmental Protection First Alaska Mortgage SRB 196X EAGLE RIVER, ALASKA A H R MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF NC 0 AGE DEPt'. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PF~T~J~NTAL 825 L S~ - A~ho~, A~ 99~1 ENVIRONMENTAL ENGINEERING DIVISION OCT 3 ~ 1978 Telephone ~720 REQUE~ FOR APPROVAL OF INDIVIDUAL WATER AN~ DIRECTIONS: Complete all pa~ts on page 1. Ineoml~l.t~ mq.~ will nm be promsad. Flaa~e allow ten (10) days for proc~sing. MAILING ADDRESS PROPERTY RESIDENT (If different from abo~e) BUYER MAILING ADDRESS MAILING ADDRESS M..~N G ADDRES~ PHONE PHONE PHONE PHONE 6. LEGAL DESCRIFTION STREET LOCATION 16. TYPE OF RESIDENCE SINGLE FAMILY r-1 MULTIPLE FAMILY 7. WATER sUPPLY [] INDIVIDUAL* COMMUNITY r-I PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY NUMBER OF BEDROOMS ]--'l One [] Four I-'1 Two [] Five ~ Three [] Six [] Other * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) **If individual/on-site, give installation date~"~J ~4/'~' . If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED 72~010(3178) ~ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE t NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS -'~ SINGLE FAMILY [] ONE '~ THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY I-"1 INDIVIDUAL DEPTH OF WELL -'~ COMMUNITY DATE DRILLED r"l PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~ I N DI VI DUAL/ON -SITE DATE INSTALLED r-IpUBLIC UTILITY ~j_ j~.-~:)~ . '~ Connection Verified INSTALLER '~Septic Tank or I'-lHoldingTank I [~-tJ~ Size:~ If Tank is homemade SOILS R)~'TING give dimensions:~ TYPE OF TANK MANUI{ACTURER TOTAL ABSORPTION AREA MATEI~L 4. DISTANCESwELL TO: S*..i./Ro,din. Ten. J~V=.omt,o. Area js--r Lin* J Near,. Lot Lind Absorption Area to neerest Lot Line 5. COMMENTS [~'"'APPROVED FOR "~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title LEGAL DESCRIPTION 72-010 (Rev. 3/78)