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HomeMy WebLinkAboutHIGHLAND TERRACE #5 LT 7L7 Aaan N oB- Hea_ MUNICIPALITY OF ANCHORAGE ,1 and Environmental Protec Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 .on INSPECTION LOCATION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM __ MAll_lNG ADDRESS Z'z~'~----~J~' ~ ~[ '~ PHONE SEPTIC TANK: DISTANCE FROM WELLZ INSIDE LENGTH MANUFACTURER ~.~¢~ _ MATERIAL INSIDE WlDI'H LIQUID DEPTN NUMBER OF ____COMPARTMENTS LIQUID CAPACITY /~-5'iDGALLON$, TILE DRAIN FIELD: DISTANCE FROM WELL t~ of Lines / ABSORPTION AREA~Z/~2 SQ. FT. LENGTH OF EACEI LINE I ! DEPTH OF FILTER / DEPTIt: TOP OF TILE TO FINISH GRADE ~ ~"/ MATERIAL BENEATN TILE ~,-~ ~ TOTAL LENGTEI ~:'~ FOUNDATION .... NEAREST LOT LINE ...........//~/~'~ OF LINE ABOVE TILE ~/ IN. SEEPAGE PI'l-: DIAMETER Log Crib Rings BUILDING FOUNDA-I'ION ___ OR WI DTFI ., ILENGTH__, DEPTH Crib Sige: DIAMETER ..... DEPTH_____ DISTANCE FROM: WELL TOTAl.. EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT. Well. Class :j~, Depth: Well Distance To: Lot Line Bldg: Sewer Line: Pipe Materials: ~/~j~ # of Bedrooms: ~ Inst:aller: ~,'~ Remarks: J i i i I j..jj .,j..,j,.. j. L .;I*'H'-,I I J .i,.ll..]J'"l I .I I .. I::. L:i l:"Jl I'I.I.I",I,I,I"IUI"'t [,:~1~:, t1'"11"41:..:i::: I:::l::. I1.'.11::.[:.1",1 H I.'JL',.I:.,,I., I"It",tL:~ I'"11",1¥ I..1t"4'""::::,.i: I[::. '.::,l:.':l,,.IHl:.'.il::. L)I'.'.:,I'"'L.I'.::,I"H.. ~:,"r'l:::,l I::.1"'1 LI.I.,:II::I I'-I:::1::, I l:..IJl:~'. H I-'1',.~.1.',,,'i:-II1:: I.,.II::,L..L.. I...ll'~.! ;~',1:::t1::i I"'1::.1:.1 I..l:.lJ',:'. H l:-'l..,IJ::Jl.,,..l.l:,.; P, II::,L,.I ..... I.ql:::.[..I.... l:,,l:,Jl~i[::, ['i:i:,:~1:::. J,:..'J~J,:..ll:.,I .[ l:,;.'.l::,l,.:l HI':,IL) I"IL,I'.::) I I::ll':: I:':.'.[:'. I I.,,l[,::.r'~JT:.L) I L,I J 'd~, I.:d::l:'"Hl:( I I"11::;.1",1 I l.',l ,( I l:~J I.. J:',l ,.E:I:::I [.:lJ-J'.r".'::, UJ" J Ht::'. J.'.ll::,t..ll,. L.:I:.IP'I[-'L.!::. I J. I I:'i:i:::.1~.! 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I..:UL)E,~:,. :!.: .L I.,If',tl..:~l::..l:,::::;:, I Hl",ll:.:~ I HI'"{ I I 1:41:.:. l:Jf',l~"','::, .L I I:';. .',::,t:::.1.',11:::.i:'~ ?.,¥:':, I I::'.i:"1 I"1H¥ I".'.I::.I,~.!L.I .I. I":~1:."., I::.i:,lL,H:f~.%~l:::.f'll:"~l",l I .i: I" t HI::. i,:'.l::.'.::,.l:l:,:g:'.i",ll:.:l::. .i:'.::', I,t.L:,l:'l:l:.lL)h:.l....l::.l..;J IU ,l:r,fL.:l...IJI..)i'~ I"'ll:..ll.~il::. I i~,IHI'.4 ,'.:I- HI""I~"I.., .I.I...;Hf',t I I..:HI:_I:::..l I",1% I:J",f I I::.l':'.l:"'l':: .!, .%1::.'.::, '::',:.:,1..11::.1.:, I:::I ¥'. ........ r~::~-:%~:?~ .......... ....... L:'H I I: MUNICIPALITY OF ANCFIORAGE . DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION TEST Pouch 6-650, Anchorage, Alaska 99602 276-222'[ ~ ' · - SOILS LOG - PERCOLATION TEST SOILS LOG PERFORMED FOR: ~r~',z:?D'Z./d~/A/.'~ ..-~./v'2-'~---,f~./~/~"~z'~---~.~ DATE PERFORMED: ,~--,z~7' c~ // '~'~ LEGAL DESCRIPTION: ,~-O 7- 7 ,~D.O /7-'IrmA/ /[/0. ~ ,/7//r~f/Z_~7,3/,,~) ~'-"~../~,~.,,c~/E ~U/~ D/I/I,~/t~A/ SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18 19 2O WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE {minutes/inch) TEST RUN BETWEEN FT AND ---- FT PERFORMED BY: {'~:,ldL/d/ ~ ~Ze~ CERTIFIED BY: DATE:,: ~-_/D. D /,, ~2~ 72-008 (7/76) BIT AND COREHEAD RECORD RUN DEPTH IN }IOURS RUN MUD RECORD TIME RECORD DRILL STEM RECORD WEIGHT ~RILLING SIZE D P FJEMARKS: FORMAT,ON iRO~'^~YI %E,~,T i:~Z L I MAME HRS ACCIDENT:-- SLOPE TEST (GIVE NAmel FT : I ~.)~_l~E : WTR. LOS5-C C OTHER J~G D P FT D~DTH 'N, .... TRIP ......... I ACCIDENT- >, Ii ~un no. ~ ~I~L ~0 I .................... HOU .... N ~_ -- ~MTL. ADDED ,REMARKS) ]~ ~ I' ..... I F T PRINTED IN U.S.A, APPROVED unicipalitYof Anchorage P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 xl~qX~ Tom Fink, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 8, 1988 Romona Williamee/Marge Doorman PO Box 670272 Chugiak, Alaska 99567 Subject: Lot 7 Highland Terrace Subdivision Permit #870302, Tax #050-312-14 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1987. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report (three-part form) must be sent: to this office for review and approval, and for documentation. Effective January 1, 1988, a new fee schedule is in effect. When re-applying for a new permitr the new fees are; $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. S nf> ly, /p Robert W. Robinson Program Manager On-site Services RWR/ljw enc: Copy of Permit MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date AUGUST 27, 1987 GENERAL INFORMATION (a) Legal Description (include lot, blockf~rf~division, section, township, range) NTP, FTT,ANf') ~RRRACR ADT)TTTON ~[DT 7 Location (address or directions) lng1 9 ¢,ORRTR WAY: NAGf,R RT~/T;:R (b) Applicant Name LYNDA BANNER Applicant Address 1L0_928 OLD GLENN HWY Telephone: Home NA Business 694-5500 EAGLE R:L-VBB, ~J< 99577 (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other I~ (expl.ai(!); (d) Lending Institution G.M.A.C. Address 701 RR~t q~]T)OR SUIT}~ #107 (e) Real Estate Company and Agent ,TACK 'Address 1092R Of,P Gl,~ ~ RAGLE Telephone 694-5500 (~) ~ai~ the HAA to the following address: Telephone _562-2181 ANCHOP, AGE, AK 99503 ATrN: LYMAN KING A~I71~N: LYNDA BANNER AK 99577 TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms /4 Other WATER SUPPLY Individual Well [~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite ~ 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 (1l~84) ENGINEERING FIRM PROVIDING .SPECTIONS, TESTS, FILE SEARCH, DA'I ,ND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this ~ealth 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 flies 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.~ with waiver of separatior~ distance, well to septic. Name of Firm EAGLE RZV]~R 'm~fGINEER..T..NG SVC. _ Telephone 694-5~5 Address P.O. BOX 77~294~. EAGLE RYV~.R~ AK 99577 Date DHEP APPROVAL Approved for-/Z~"~'~C~,~ bedrooms by '~*'~'''~7' '~'~ Date Approved Disapproved Conditional Terms of Conditional Approval CAUTION 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. ']'he 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) MuNICIPAL[fY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION AUG 2 7 1987 WELL DATA Well Classification Well Log Present (Y/N) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: If A, B, C, D,E,C, Approved (Y/N) Date Completed /M~'J~ '"'¢ '~('~'/-~¢J Yield Total Depth ...~-5"O / Cased Static Water Level ,3 ¢- ' Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Y To Nearest Edge of Absorption Field on Lot ~5- / Depth of Grouting "~"/~ Pump Set At ~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Line Cleanout/Manbole Water Sample Collected by Water Sample Test Results Comments To Nearest Public Sewer ~"/¢'~' · To Nearest Sewer Service Line on Lot ,--,.2.F- / ; Date ~_/?:/~' 2 SEPTIC/HOLDING TANK DATA Date Installed _/? ~ 7 Standpipes (Y/N) ,~' Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) 'w'./& Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~-~{5 a/_~o~.. To Building Foundation ~.~' / To Property Line ~5- / To Disposal Field Z¢¢~" To Water Main/Service Line ~-/o / Course ~-/~o / Size J..,25--~ No. of Compartments _ Y' Foundation Cleanout (Y/N) Date Last Pumped '~./~ ; for To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field ~ / Type of System Design Length of Field ~' ~ / Depth of Field ,~' / Gravel Bed Thickness ~-- / Square Feet of Absorption Area Depression over Field (Y/N) '/// Results of Last Adequacy Test '-g'~' /'~'~' ~'~' ~'_.~ Separation Distance from Absorption Field: TO Water-Supply Well ~'~'6-t ~"¢"~'"~'¢"~' To Building Foundation - ,5 Lot To Water Main/Service Line ',~/o / To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ //-/~ ,-'¢ ¢'- "~¢?, Standpipes Present (Y/N) Date of Last Adequacy Test ~/'-~ ~"/~ To Property Line ~'~ / To Existing or Abandoned System on ; On Adjoining Lots /- ,.~¢' / To Cutbank (if present) /--/~ / D, LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA 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 ~~----~' MOA No. .2. ©O /-o o1_3 Receipt No. Date of Payment ¢~' ¢ ~ ~ --0~ 7 Amount:$ ~'/~.] t~ / ~-~ Page 2 of 2 ~2-026 (11/84) M "1..~ ~. i C i '~ a .,i. ' ~ 'y ~ P.O. L (196650 ANCHORAGE, ALASKA 99519-6650 O5~~ (907) 264-4111 Anchorage MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES September 4, 1987 Lou Butera, P.E. Eagle River Engineering Services P.O. Box 7'73284 Eagle River, Alaska 99577 Subject: Lot 7 Highland Terrace Subdivision Waiver Request .WR87-050 Dear Mr. Butera: Your request for a waiver of the 100 foot separation required between the well and septic system on the subject property has been granted. Thi~ distance has bean waived to 85 feet. The existing septic tank and the closest portion of the existing trench are located 85 feet from the well on the property. This waiver is based on your assessment that any seepage from the septic system would be directed away from the well because of topography in the area. Furthermore, you have indicated that the well is drawing from a bedrock confined aquifer which would be protected from local contamination. This waiver is valid for the existing four bedroom single family dwelling only. Upgrades or enlargements of the septic system will invalidate this waiver. Sincerely, ste . Morris Civil Engineer On-site Services cc Gus Andress, P.E. Manager, On-site and Water Quality Programs ENGINEERING Leu But,a~a, P.O. /]ox ?73294 Eagle River, Alaska 99577 Telephone (907) August 26 1987 Mr, Steve Morris Civil Engxneer, On-site Services Municipality of Anc~horage P.O. Box 196650 Anchorage, AK 99519 REF: Lot 7, Highland Terrace ~.~ MUNIClPAIJTY OF ANCHORAQE DEPI, OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED Dear Mr. Morris: On behalf of my client, Lynda Banner, I am submitting the information necessary ['or your determination of a waiver of separation distance, well to septic tank, to 85' and wel] ho end of leach trench to 85' for the above referenced lot. The septic sysLem absorption rate has been tested and. found to be adequate for a 4 bedroom usage, The leachfJeld was installed in 1977 by Caulkins Construction and was inspected and approved 'by the Municipality at that bi,ne, as per the Inspection Report enclosed. The request for f~nai approva.[ shows the well to septic tank distance as 87' and well to ]eachfield as 92' Our field measurements confirm the tank inlet to be at 85' From the well and trench end to be at 85' from the we] 1 . The attached file well log shows that the well draws from a bedrock confined aqu:i, fer a't a depth of 250' The well static level is 35' below Lop of casing wi. th a drawdown of 3' at steady pumping rate of 6.67 GPM. The casing is continuous to 93' where it is seated into bedrock. The surface topography is such that any seepage would be directed away from the weJ. 1 location toward a 15-25% slope to the south, the Jot being located at the base of a 2100 foot elevation mounta:i n. The subsurface 85 . A water sample for coliform and 2 . 3 nitrate, density. If information J s needed, soil is a GW type with a pete. rati. ng of' coliform bacteria and nitrates showed 0 The area in quest:ion has a low population hhere are any queskions or concerns, or J f additional please fee]_ free to call me at; 694-5]95. Sincere] y, l,ou Burets; P.E. LB: bls a k't achlnen It .~ Lbuis A. Butera · CE-6736 ',. No. [S-5318 ~'~'~' AS-BUILT. SURVEY ., .. HO'FiNE LAND.SURVEYiNG" .''p.o. bO;; 1036, wasllla, alaska 00087, phone'.37~-3744 APPLF ',NT FILLS OUT UPPER HA Property C, wner '~ Address Lending Instilution Address /~ . .~ { [~,~..¢, ~...: , Realty Co. & Agent Address ' ONLY Zip Code Zip Code Zip Code Zip Code Phone - 'i .' .¢ Phone Phone Street Location Type of Residence l~...Single Family Multiple Family No. of Bedrooms [] Other Water Supply 'J~lndividual (_q. Community [] Public Utility Sewer Disposal ?,,Individual [] Public Utility ~ Holding Tank ATTACH WELt. 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). Year Individual Installed: -.~ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time [)ate inspector Field Notes: Date Inspector (]~,) APPROVED BEDROOMS ( ¢ ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE i¢ t') ' -'~L ¢% ', Time Date Inspector 'CONDITIONS OF APPROVAL. Time Date Inspector MUNICIPALITY OF ANCHOP, AG8 lIEUT, rSF i =/ kTt[ ~' ENViRO; c.,,,iN .Z~L EECEIVED Soils Rating ?2.023 (3/82) Date Sewer Install_ed j Well TO Absorption Area Well Log Received Seplic Tank Size u:il(:.[ 0::]~i )_'<: Flodin Enterprises S.R. 1 Box 2570 Chugiak, AK 99567 Jack Morris P.O. Box 871647 Wasilla, AK 99687 SEWER ADEQUACY TEST Legal: Location: Owner: Residence: Water: Sewer: Date of Test: Test Procedure: Test Results: Lot 7, Addition 5, Highland Terrace Subdivision Corner of Cicutta Way, Eagle River Jack Morris Four Bedroom Ranch On Site Well From Municipal Records Tank: 1250 Gallon, 2 Compartment, Fiberglass Absorption System: Drain Trench Soil Rating: 85 Installation Date: November, 1977 October 15-16, 1983 The septic tank was pumped at 10:15 October 15, 1983. Receipt attached. The tank truck introduced approximately 700 gallons of clear water to the drain field. The water level in the trench rose 54~ inches. However, no water backed up into the tank. The system accepted the 700 gallons with no signs of stress and recovered to within one inch of the static level required. The system should be ap- proved as meeting the Municipal Requirements. REQUEST FOR APPROVAL OF INDIVIDUAL WATER AN[:) SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete roquosts will not bo procossed, Please allow ten (10) days for processing. 1. PROPERTY OWNER 1 PHONE Everette C. Caulkins /z__f~C~/_,~,k%>. MAILING ADDRESS Box 683 Eag_le R~ve_r, A~l_ask~a 9__9~_7 PROPERTY RESIDENT (Ifddfe~e,t from above) P;IONE 2. BUYER PHONE James L. Morris 694-3370 MAILING ADDRESS Box 1166 Eagle River, Alaska 99577 3. I_ENDING INS'rlTUTION PHONE Peoples Bank & Trust Co. 279-7511 MAILING ADDRESS Pouch 7-007, Anchorage, Alaska 99510 4. REALTOR/AGENT PRONE Chugiak-Eagle River Realty/Betty J. Fields 694-3355 MAILING ADDRESS Coronado Road, Eagle River, Alaska 99577 5, LEGAL DESCRIPTION Lot 7, Addn. 5~._H%&hland Terrace Subdivision STREET LOCATION NHN Cicuta Way~..E~gl_e__Ri__ve__r_~ Alaska 99577 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS F~_] One E,~ F:our E~ SINGLE FAMILY [_~] Two [-'1 Five [] MULTIPL. F FAMILY [Z] Three E:J Six Other 7. WATER SUPPLY [] INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY ATTACFI WF_LL LOG. A well log is required fol' all wells drilled since June 1975. For wells drilled prior to that date, giv0 well depth (attach Io9 if available.) 8. SEWAGE DISPOSAL SYSTEM [.:~] INDIVIDUAL/ON-SITE" ~ f illdividual/on-site, q ve installation date If system is over two (2) years old an adequacy test is required [] PUBLIC UTILIFY by this Dopa~tment, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCF-SSING CAN BE INITIATED. 72-010(3/78) (SL/~ '^aH) OtO-~L ~(?t]!±) A8 C]3AO~JddVSIG (aleo!j!lJo3 AueduJoooe lSnLU Jailol) 9VAOHdaV -IVNOIJ_ICINOO SIAIOOU Q3 8 UO-.J ClaAO~:JddV S.LNfllAI~O3 '9 au!'1 ~oq ~,saJeaN L ~3H±O [] qVlWaI¥~ :0~- qq3M S33NVJ.$1C] V3HV NOIJ-d~JOS~¥ qVlO± M3Hrl±OVar3NVV~ NN¥1 ~O 3dA/ DNIIVH SglOS F~39-lVJLSN I Q399VJ~SNI 3±VQ Q3AI303H 009 C1399 IbJCl 3_LVQ 993M :JO HJ-dfG H3~]~nN II~LMd XIg ~] HNO3 ~71 OM.I_ C3 HAIH ~ 33HH.L E) 3NO [] :suo!suauJ!p apeLuobuoq s! >lUe± Jl :az[s ~ILle.L 6u!ploH [] Jo >lUel o!!,dos[~] pa!jpaA UOF~3auuoo AJ. 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