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HomeMy WebLinkAboutSCHROEDER EAST BLK 5 LT 551f) i GF"ER ANCHORAGE AREA B"'IGH r Rf Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 / DISTANCES: INSPECTION REPORT ON-SITE S� SEWAGE DISPOSAL SYSTEM NAME /1E✓IRY W, _ �,, (rh14 f? A MAILING ADDRESS 30 15 D1605 &'(l PHONE 2_-77- 5772 - LOCATION LEGAL DESCRIPTION Lo r 5 61oCK SEPTIC TANK: DISTANCEs FROM WELL l$ //'�NUMBER OF MANUFACTURER An�iwrort MATERIAL` OMC-reTc COMPARTMENTS I INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY _'ODO GALLONS, SEEPAGE PIT: NUMBER OF PITS I DIAMETER (fir OR WIDTH q-tt',LENGTH IZ, DE=PTH RI _. qq LINING MATERIAL (D -601-T-6- CRIB SIZE: DIAMETER-LLDEPTH (E DISTANCE FROM: WELL 1yr1 _. BUILDING FOUNDATION_ TOTAL EFFECTIVE 7 , NEAREST LOT LINE ABSORPTION AREA (WALL AREA) / Z— SQ. FT. ADDITIONAL_ ABSORPTION. WELL: III TYPE d -VIIIA _CONSTRUCTION �T-AIIJVARD DEPTH DISTANCE FROM: BUILDING o1 NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE --,SEWER LINE ---,TANK_ SYSTEM _. CESSPOOL OTHER SOURCES APPROVED EMARKS DISAPPROVED REMARKS--- DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: .), 2 � " f3 dPwt Form No. EQ -031 DIAGRAM OF SYSTEM „K„, GREATER ANGHORAGF AREA BOROUGH °° °pf° Q n DI$PARTME:NT OF ENVIRONMENTAL QUALITY PERMIT NO. I�f c �In(` 3330 "C” STREF_T ANCHORAGE, ALASKA 99503 Utf TELEPHONE 274-4561 9o•„t.a'H`'��°/% SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT I INSTALLATION LOCATIO/���N---5---777//I/�` LEGAL DESCRIPTION � 31k INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY 'FO BE SERVED MAILING ADDRESS L.L�-/UCl_�C -� ��"��iPHONE�x SEEPAGE PIT DRAINIELD FINANCED THROUGH TO BE INSTALLED BY :TOIL TEST RESULTS —_— NOTE: THIS PERMIT IF, NOT VALID WITHOUT SOIL. TEST COMPLETION DATE ANTICIPATED�'- FINAL, INSPECTION: 24 HOUR NOTICr- REQUIRED. RACKFILI_ING OF ANY SYSTEM WIT -HOOT FINAI_ INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORI'T'Y WILL BE SUBJECT TO PROSECUTION. SEPTIC TANI< SIZE LO O, /� -TYPE "� �� "T�_=T- SEEPAGE AREA SIZE MINIMUM DISTANCES, RB.QUIIRF.MFNTS FOUNDATION TO SEPTIC TANK S) I I FOUNDATION TO SEEPAGE PIT __ga� DRAIN FIELD /0 -. SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK . SEEPAGE PIT. DRAIN FIELD / ✓ _ TO NEAREST LOT LINE. / I WELL TO SEPTIC TANK --ZOO SEEPAGE PIT /y0 -.--. DRAIN FIELD-/Y__!� ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPT19 TANK _� / SEEPAGE PIT DRAIN FIELD SEPTIC TANK. LSU --. SEEPAGE PIT DRAIN FIELD/y U T'O RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FI'fTF_"D WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBEDSYSTEM IS IN ACCORDANCE WITH SAID CODE. / DATEAPPLICANT'S SIGNATURE T EAGLE RIVE ENGINEERING SERVICES INC. P. 0. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694.5195 JOB /- s SHEET NO. $' fy S- Sc / Y -ad, L FGJ fi OF CALCULATED BY / DATE CHECKED BY j It�/q (A -0- crni c DATE Development Services Department Building Safety Division c. On -Site Water & Wastewater Program 4700 BroStreet P.O. boxx 19 196650 Mark Begich Anchoroge, AK 99519-6650 "" Mayor M.w mini orn/ons.t� (907)343.7904 Pump Installation Log Well Drilling Permit Number: SW_ / Date of Issue: Parcel Identification Number: Q�_(U9-./9 Legal DescriptionLFiE/ �� f35- LJ Property Owner Name & Address: N, co 4,0 / / 7 4e o S- q= A( of r r G rv. csACL£ Ie/f/��, Pump Installation Date: Lf /! t-7 Pump Intake Depth Below Top of Well Casing: dfeet Pump Man ufacturer'sName: /Z --p jActcLT Pump Model: CNS /Z_ CJ 6 Pump Size P2 hp Pitless Adapter Burial Depth: / d feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? ayes ❑ No Method of Disinfection: Comments: Pump Installer N; ANCHORAGE WELL & PUMP SERVICE, INC 330 EAST 76TH AVE. ANCHORAGE, ALASKA 99518 (907)243-0740 - FAX:(907)243-0742 E-MAIL: pumpmanjim@att.net Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. IISCL. INFORMATION:/ 6 .ars; DRILLER'S NAME .......---............................. 9861 �,0Nnr 7�d 7YO �Q,30(ylIAO y 3 1. .1 a LOG OF DRILLING by A U t. Y G LLi Iiia LOrY viAoi i. WNER OF.LAND DEPTH OF .1..1..4:.!5.=...Y... ..... ........��f..�/!Z.��.!P.... WELL..;..o.'.............:.....:. DDRESS ......... :::............. STATIC LEVEI. OF WATER FT. ............ pp /ELL SITE....... .............. ............................................................................. DRAW .DOWN FT. ...... 1..Ls...................... :. ........:r r HE. ,ATE—STARTED :......�r��.� ... ..... .................. GALS. PER ........:.�^�..�........................... ...... ... jATE--ENDED .......... a an ...7. .......................... KIND OF CASING .....L'...... ...........:......................... :INA OF FORMATION: ROM ..... 0 ............... FT. TO.s21......:... ,knli(-,r PROM ROM........................FT. TO................:...... ET ::. :... .:... ROM.. ?�.A..............FT. TO...i Q.....:. FT.:.f.!..��....... FROM........................FT TO.......... ;..:... FT............. ................. SOT��....J.•/` F L'...p.,.::....FT. TO....... (:.I....... FROM........................FT. TO ........................ I ................................. ,To...., �.. �....:.,,F'r...... SNr74.�' FROM. TO :.I°x Wore,.. . ...... FT. .. ......FT. ...................... ........ ................. f�J 'ROM...1... �^ !! ,;u i1 rt11d, TO :FT............................... ..........FT. TO.......1..!�.....FT......J.lrUD..`S^FROM ........................FT. ................ ....... 'ROM.l.�!3......... FT, TO ..... L�!.!�...:.... FT......... /�C.: .. FROM........................FT. TO ........................ FT............................... 'ROM..........FT. TO .... C:�C).....FT...... ,7.✓u-u L`- FROM........................FT. TO ........... .:........... FT.-........................... 'ROM.. U ......... FT. TO--- .....FT...... } %' L .o,^.... FROM........................FT. TO.-- ................ ..FT.................._ IISCL. INFORMATION:/ 6 .ars; DRILLER'S NAME .......---............................. 9861 �,0Nnr 7�d 7YO �Q,30(ylIAO y 3 1. .1 a MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Sr//// DIVISION OF ENVIRONMENTAL HEALTH r CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 5/5/86 _ 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 5 Block 5 Schroeder East Addition T14N R1W Sec,1 Location (address or directions) _Charit Drive, Eagle River (b) Applicant Name _Kerry Kimura Telephone: Home 694-•9650 _ Business _ Applicant Address _132 Prince of Peace Eagle River, AK 99577 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder-U' Buyer ❑ ; Other O (explain); (d) Lending Institution Home Savings and Loan Telephone _ Address 1001 E. Benson, Anchorage, Alaska (e) Real Estate Company and Agent N/A Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family ® Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well LZ Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ED Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 5. ENGINEERING FIRM PROVIDh, - INSPECTIONS, TESTS, FILE SEARCH, Do A 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 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. * 4' separation to water table left to Municipal determin- Name of Firm EAGLEtMR-ENGMEBiNGSERV46EB--/— Telephone ation . Address Date P. 0. BOX 773294 6. DHEP APPROVAL Approved for Approved CV.l1'. p000e4C f,faV`f� � eJ� i e'er eeo�oee,°.,�Je o ;a ----�;, Engineer's Seal 6>. ;"-:io ca000e ce oou°..• •aa eea rz •yE l; Q CE6736 bedrooms by(� °" /°„`' g Date Disapproved Conditional Terms of Conditional Approval CAUTION .Sa-z?-a6 The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/84) A. WELL DATA Well Classification _ iii / U'« i -F- If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) 2e-sDate Completed � 7 ,7� — Yield 3' 35 Total Depth ,dos` Cased to ,2 `r Depth of Grouting /4 — Static Water Level SS- i r� w >� `'>r -�s — Pump Set At / fes• Casing Height Above Ground / 5" Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot X00 Depression Around Wellhead (Y/N) N On Adjoining Lots To Nearest Edge of Absorption Field on Lot O On Adjoining Lots ¢/4)0 To Nearest Public Sewer Line 4/ kl To Nearest Public Sewer Cleanout/Manhole —/t/ )A To Nearest Sewer Service Line on Lot Water Sample Collected byL7 sLe it % �-w� ��� s ; Date Water Sample Test Results S, is �� ferry Comments B. SEPTIC/HOLDING TANK DATA Date Installed A7 Size 5 No. of Compartments Z Standpipes (Y/N) y Air -tight Caps (Y/N) 2_1 Foundation Cleanout (Y/N) — IV — Depression over Tank (Y/N) _ Al Date Last Pumped Pumping/Maintenance Contract on File (Y/N) IVJIJ ; for Holding Tank High -Water Alarm (Y/N) Z�11. Temporary Holding Tank Permit (Y/N) ry — Separation Distances from Septic/Holding Tank: To Water -Supply Well oo To Building Foundation — 6 G ID To Disposal Field > '�) .5. i To Property Line — !-/S To Water Main/Service Line il° f Course HILI Comments Page 1 of 2 72-026(11/84) To Stream, Pond, Lake, or Major Drainage +vrvivit,WAu I Y OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) MAY G 6 DW CHECKLIST - FEBRUARY 1964 264-4720 RECEIVED Legal Description: ��� .�_ ,S y��f S 75 14 A. WELL DATA Well Classification _ iii / U'« i -F- If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) 2e-sDate Completed � 7 ,7� — Yield 3' 35 Total Depth ,dos` Cased to ,2 `r Depth of Grouting /4 — Static Water Level SS- i r� w >� `'>r -�s — Pump Set At / fes• Casing Height Above Ground / 5" Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot X00 Depression Around Wellhead (Y/N) N On Adjoining Lots To Nearest Edge of Absorption Field on Lot O On Adjoining Lots ¢/4)0 To Nearest Public Sewer Line 4/ kl To Nearest Public Sewer Cleanout/Manhole —/t/ )A To Nearest Sewer Service Line on Lot Water Sample Collected byL7 sLe it % �-w� ��� s ; Date Water Sample Test Results S, is �� ferry Comments B. SEPTIC/HOLDING TANK DATA Date Installed A7 Size 5 No. of Compartments Z Standpipes (Y/N) y Air -tight Caps (Y/N) 2_1 Foundation Cleanout (Y/N) — IV — Depression over Tank (Y/N) _ Al Date Last Pumped Pumping/Maintenance Contract on File (Y/N) IVJIJ ; for Holding Tank High -Water Alarm (Y/N) Z�11. Temporary Holding Tank Permit (Y/N) ry — Separation Distances from Septic/Holding Tank: To Water -Supply Well oo To Building Foundation — 6 G ID To Disposal Field > '�) .5. i To Property Line — !-/S To Water Main/Service Line il° f Course HILI Comments Page 1 of 2 72-026(11/84) To Stream, Pond, Lake, or Major Drainage EAGLE RIVER ENGINEERING SERVICES P.O. BOX 773294 EAGLE RIVER, AK. 99577 694-5195 April 30, 1956 Mr. Steve Morris Civil Engineer, Onsite Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 REF: Lot 5, Block 5, Schroeder East Addition Dear Mr. Morris: On behalf of my client, Mr. Kerry Kimura, I am submitting the information necessary for a determination of Health Authority Approval for the above .referenced lot. The septic system absorbtion rate has been tested and found adequate for a 3 bedroom use. The leachfield was installed in 1974 by Berg Underground and was inspected and approved by the Municipality at that time. A search of your files has not produced a soil log. The designation of a soil :rating of 225 would lead me to believe a test hole was dug and I have included soil logs from adjacent lots. The original tank size should also be corrected to 1250 gallons as shown on the enclosed reciept and by pumping. As the system was previously approved by MOA the matter of verification of 4' vertical separation to water table, and resulting approval is left to your determination. If there are any questions or if additional information is required please feel free to contact me at 694-5195. Sincerely, Lou Butera, P.E. Encl: HAA application soil logs inspection report May 22, 1986 Mr. Steve Morris Civil Engineer, On-site Services Municipality of Anchorage P.O. Box -1.96650 Anchorage, AK. 99519 REF: Lot 5, Block 5, Schroeder East Addition Dear Mr. Morris: On behalf of my client, Mr. Kerry W. Kimura I am submitting the information necessary for a determination of Health Authority Approval for the above referenced lot. My previous Health Authority summi_tal contained a letter noting that a search of MOA files had not produced a soil log and since the MOA had inspected the original installation and had granted previous approval the matter of 4' vertical separation to any ground water table was left to your determination. Your reply suggested that I submit reasonable evidence in the form of neigbor.i_ng soil logs that would allow determination of area GWT. The enclosed soil logs are provided for your review. The soil logs for lots 1 & 3 of block 5 show no water to a depth of 14' and 11'. Whale this is not a sufficient depth for the seepage pit on lot 5, lack of any water is a good indicator. The most valid evidence comes from the soil logs done for road upgrade by Quadra Engineering. I have enclosed a profile drawing which shows that the level of the bottom of the test hole is 4' below the elevation of the seepage pit. The test hole # 10, performed by Quadra is 42' south and approximately 75'west of the seepage pit on lot 5. Also included on the profile is the relative elevation of the test hole on lot- 5, block 4, Schroeder East which is North of lot 5, block 5. This soil log shows water at 10' which :in :relation to the elevation of the seepage pit- places the GWT at 16'depth.. To the best of my knowledge there does not seem to be a GWT problem in this subdivision. While one cannot be 100% certain that groundwater is not present to affect the existing installation, there is reasonable evidence that perhaps suggests the absence of a ground water problem in this instance. I would suggest that any future upgrade of the septic system :require a testhole to +16' with a, 7 day monitor tube installed. As the original :inspection .report was approved by MOA, the continued approval using the available evidence presented is left to your determination. If there are any questions or if additional information is required ease feel free to contact me at 694-5195. page 2. L5, B5, Schroy -r East Addn. Sincerely, Lou Butera, P.Z. hncl: soil logs profile drawing road upgrade plan/profile C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata �5 Type of System Design — Date Installed /57�1 Length of Field —_1— — Field Depth of Field y — Width of —� / Gravel Bed Thickness C %2 Square Feet of Absorption Area Standpipes Present (Y/N) Depression over Field (Y/N) A Date of Last Adequacy Test ' �`a Vis- — //)) e �.iTi r bi ri J" / • ,f "6 Results of Last Adequacy Test ( Separation Distance from Absorption Field: To Water -Supply Well ��o To Property Line— To Building Foundation To Existing or Abandoned System on L t y14 ; On Adjoining Lots 0 To Water Main/Service Line tiv To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area uornmenrs D. LIFT STATION /V /4 Date Installed Size in Gallons — "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments To Cutbank (if present) — Dimensions Manhole/Access (Y/N) _ — "Pump Off" Level at __ Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** 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 s l'�`—�� Dates/FG Company f s ` MOA No. Receipt No. ,.. cdta e: i17 • .i., Date of Payment _ .0 Engineer's Seal Ca P u � Amount: $ 7 ! �oo°on=near c,.� �b-+9ib OF OO PpOOya °AR ttf e�}} r- Page 2 of 2 a , Louis A. Dutera C1 6736 r`c ° l 72-026 (17184)