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Home My WebLink AboutSUNNY VALLEY LT 9 REM,/-~GREA~'~R ANCHORAGE AREA BORbdGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ,.~-, INSPECTION REPORT ON-SITE SEWAGE DISPO?~.~j SYSTEM SEPTIC TANK: DISTANCE _Ct_ FROM WELL //O("1' MANUFACTURER ? INSIDE LENGTH /~ INSIDE WIDTH ~:-~- ~-- MATERIAL LIQUID DEPTH NUMBER OF ~,,,~-- ...... COMPARTMENTS LIQUID CAPACITY )""J~ ~,--' ~') GALLONS, SEEPAGE PI-T~.-' '--~LcL~g.~ / . / / OR W,DTH , LENGT '-' LI~I~G ~ATE~IAL C~IB SlZE~ DIA ETE .__ T~ ~[STANCE F~OM~ WELL /~'~ / TOTAL EFFECTIVE :://~Q BUILDING FOUNDATION NEAREST LOT LINE~)~. ABSORPTION AREA (WALL AREA) . FT, ADDITIONAL ABSORPTION ':~- ? WELL: TYPE ~'' ~'~.A~.: CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST / / / FOUNDATION LOT LINE C.~-C') ~ NEAREST SEPTIC SEEPAGE __ SEWER LINE /C')~-7L. TANK ~/O'~-/-, SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM Of SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 PERMIT NO. DEPARTblENT C,/ HEALTH BND ENVIRENMENTRL ~-~RZTEZTIEN 2516 E. TUDOR RD.., RNCHORRGE, BK. 99507 276-222t ( 768ii ) BPPLICRNT LOCATION LEGAL JIM CBRLSON ~AGLE RIVER RD L9 SUNNY VALLEY SUBD 7929 LAKE OTIS LOT SIZE ~44-2~42 871.20 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING <SQ FT/BR)= ±~0 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [:.EF'TH= 16 LE~A_3TH= _~:2-: G F." FB "..." E L. [:. E F" ]]-~ :: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OF.'. PI]' IS THE DISTANCE BETWEEN THE 9JRFACE OF THE GROUND AND THE BOTTOM OF THE E,v, cAVATION ,::IN FEET). THERE IS NO SET WIDTH FOR 'TRENCHES. THE GRRVEL [EFTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN 'THE E]UTFAL. L PIPE AND THE BOTTOM OF THE EXCRVATION (IN FEET). T[4Ct (2) ~ ~4$]PEC:-F ZC~-~; RR:E RE~]~LHZ ~:E[:. BRCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION RND RPPROVRL BM THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL RND ANY ON-SITE SEWRGE DISPOSRL SYSTEf4 IS ±00 FEET FOR A PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRRMS ARE AVRILRBLE TO INSURE PROF'ER INSTBLLRTION. I 2L: FORTH 8'¢ THE MUNICIPFILITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. --'.':: I UNDERSTRND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT RESIDENCE IS REMODELED TO INCLUDE MORE THi]~'~ 4 BEDF.:00MS. -z¢--'* ........ iSSUED B' ' ,//:C" CERTIFY THRT I FtM FAMILIFtR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FtND HELLS RS SE]" I F THE P~r,or~ed for Legal Description: ~'his form reports: Pouch 6-650, 99509, - 2518 E, TudoP Road '} Anchorage, Alaska t , Soils ~og~ P e~c ~ ~~--~ ......... Depth Feet 2- 4- 5- 6- 7- 8~ lO- ll- 12-, 13- 14- PIa~ 9round water ~ncountered? _~ ....... ~ yes~ at what depth? ' ' Reading Percola~L~ on rate Date Gro~s Ti~ae Net Time Depth to [t20 ~tet Drop minute, Proposed installation: Seepage Pit '' Drain Field hel-~t~, of Inlet~/5 ~ , Dd~p,t~ to bottom of' pit or trench , . CO:,INENTS: DRILLING, / * -, DRILLING LOG Well O. wner· James Carlson ...... - -.~-. ' Use-of Well Dom. I~cation (address of: Township, Range, Section: if known; or Lot 9 Sunny Vai'le¥ Subdivi:sion--a~/~ ~ ~/.,~ ~'/N, ~ - '.: - 6" : 90 '.. S~e of easing Depth of Hole 28~ feet Casedto feet .=' ~927~ - - Stat e water level ft. [~e) ~ (below) land surface. ~m~sh of well (check one) open ~ Screen ( ); .Perforated .( L). ' ...... ~ ,~. ~" .., ~.~ ' / ' ' -', '~N/~'q~ Describe screen or perforation ~ . ?--]. ~. .. ~:: Well pumping, ~~ ~test at _ _gallo~s'~pe~(:.. -, ~g) (minute) for. 1 hours ~ith 100~ from statm level.~:?~ :;'~ ;! -~'-..:~'~ ? >' '~ WELL LOG ~ .' G~e ~e~H~ O~ ~o~on~ ~ene~ed, s~e ~ ~e~], eo~o~ ~ ~e~s Bed~o~ci%;:water seaps in sporadic fractures throughout TO TO. _TO .TO TO TO. N\VWA Certified Conh'aeIor ~ ~',erfificc, te No's. 814 & 973 - TO 2 -- STATE Owner ': ": ' ' - rv1-W DRILLING, Inc. . P. O. 5ox 4-1224 · 1310C International Airpor[ Road (907) 274-4611 .. ANCHORAGE, ALASKA 99509 ' Location (address of: Township, Range, Section, if known; or distance main road -" DRILLING LOG James Carlson : r'' -- '' :"· :' ' ' ' Use of Well Dom " "' Su~rny VAlley Subdiv. s-E~, NW~, Sec. 16, T14Ns R1W.~ Ea River ;~$3:S~ of cas~g ~ :. Depth of Hol~ ~ -·feet .' ~- .Cased to :' ' ~' - feet"'.:f-~ b [.~ .;; .~]' "~:.'.: ~ . .:.... Statm water level 90 ft. '(~).~ .(below) land surface.: F~ish of well (check one) open end ( x ~.t~: ." Well pumping test at 3 gallons p~r, ~) (minute) for.. ]. :'." ho~rs., with ~ h~ ..-.,. .... :~'~ Da~ of completio~ 11 July 1975 ...... . ...... ~ LL L ::'~ Depth in feet from ground surface Give details of formations penetrated, size of mat~'ial, color and hardness" .:~'- .... ' ' ty Gravel :" O '.TO ~55 Si "Cobble 55 '"TO 90 Gravelly?Hardpan ~'ill :" "-' 90 TO 225 '-' TO " ..........1 '-" _ _ ~ _ _: _ .: ~: _ ...... . ,. :~...: :-..- { . ::,. ,~ .. ,:..:~,_:. :::,.: . TO TO. : ;~. ' TO ..-:"?' .[.:. ,~S. TO .TO .TO. .TO ~ ' .TO BedroC~:'~?'~rav to gree~, muds_tone~ sparce wa~er in -- CUSTOMER ~-; '--~ ;: ' ~ MUNIGIPALITYOFANCHO [-- . :W ~. -~. :: .-~, .... .... : '-"-;~"; -~: "' ' - .,. DEPARTMENT OFHEALTH & HUMAN SERVICES .4 ,. Division of Environmental Services '*~"* ; ...... '~'"' On-Site Services Section ~ · · - '- ' :' P.O. B~ 196650 Anchorage, Alaska 99519-6650 '.- ,-~-* ~ '.~' '~- ":"~-~'~' ":" ~:' ':" ~:'" '~;'" 343-4744 -:~' - . : CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ..... GENERAL INFORMATION .;;~. '"; ;:T'; '- Comple~e.!~gal description Loc~tIon:(,.s.i~ad~lress or directions) 22221 Eagl~ River Road e ,:-~nK~ n~n~r .,~ ~ ~on Day phone -694-2091 '=~ .... add~es~'., -~-{~2221 Eagle, ~v~ Road Eagl~ ~ver,- AK ' ' ' p~"-hone .... ._. ;J:~ Day ;. -...-.. ~.,~Unless o~e~se ~quested; H~ w~ll be held for p~ckup; ;%;~;. .~:;~'~ ,~%, ~,-:~ -- .' :.~ ;;:'-~ -..~ ~.~ _ ~ .~:-~ ._ ...~ .. _-_,.: :~;~:~.~:-.....:. :...~.~ ~ , __.....,; _ ..~ , :- .. - ___ ~;:~ ::- ~ ...:- - , .~.. NOTE: .. If communi~ well system, provide walden conffrmatio~ (r~ State ADEC a~est- - ?;.~ ::~;. "'ing to the legali~ and status of system 4. ~ TYPE OF WASTEWATER DISPOSAL: . ~.-t~- - ~..;;~;r~.:~¥~,'~,~'t~-',:;-~ Individual on-site ..-.. , ~ ..... -,- r ~'-~,-~- .~.:~. Pub lc sewer. ~ · -NOTE: If communi~'Oaste~ater'system, provide wri~en confi~ation from State ADEC le~ii~ and status of system ~"'~ -a.= .,.~s*;"- to the . .............. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigatJon 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 inves_ti_gation 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. S & S ENGINEERING Name of Firm ,-~,,o- ---[- -:..--, --- ----, -, .... Phone RaCe River, Alaska 99577 Address . DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments /) By: ' Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health 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 [3 H HS 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 and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Parcel I.D. A. Well Data Well type '~ '~ ~T~~ if A, B, or C, attach ADEC letter. ADEC water system number /~, Logpresent (Y/N) Y~J' Date completed ]/-3- 7'~7- Driller/~-W Total depth -7. ~' 0 Cased to Sanitary seal (Y/N) Ye ~c FROM WELL LOG AT INSPECTION Date of test //-- ,~ - ~ ~ ~'- ] - ~' Static water level ~ 0 Well flow ~/. 0 g.p.m. Pump level1 ~I/-- ~ ~ S" Casing height z/~.. // Wires properly protected (Y/N) Y¢_s' ~UNICIPALIT¥ OF ANCHOP. AGt:: i;~IRONMENTAL SERVICES DIVISION ,JUN 1 5 ~995 g.p.m. RECEIVED SEPARATION DISTANCES FROM WELL TO: Septic/heldi~ tank on lot /00 "'/- Absorption field on lot / 00 Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manho e/cleanout Petroleum tank /o43 WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: B. SEPTIC/N~EBtNG TANK DATA Date nsta led ..'~. Collected by: Tank size / .2..,4- 0 Other bacteria ;~'& SENGINEER/NG Compartments ~.- Cleanou ' ,. 'Foundation cleanou E High water~;larmi(Y~N) '~ 'i ~,,,/~ ~ Alarm tested (Y/N) Date of pumpi'ng .5-" ~ ~. c ? ~- Pumper ~,/:~ '~ EPARATION DISTANCES FROM SEPTIC/H-Lq~,,,~ TA TO: ' '"' /oo /~ Well(s) on Icl ../,-~, 0 ~' On adjacent lots To property line / ~, / ~ Absorption field /2. ' Surface water/drainage · ! ~ c~ Depression (Y/N) Foundation Water main/service line /o / 72-o2e ¢~9e)' Front CONTINUED ON BACK PAGE C, LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) .~ SEPARATION DISTA~IC~FF~M LIFT STATION TO: ~ On adjacent lots Manufacturer Manhole/Access (Y/N) ,,Pu C c- es1 ed .Surface water D. ABSORPTION FIELD DATA Date inStalled (~" Length --~ ~/ / Width Total absorption area .~' ~/ Date of adequacy test ~ -- / - Water level in absorption field before test Peroxide treatment (past 12 months) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot To buiEling foundation On adjacent lots Surface water ..~Curtain drain E. ENGINEER'S CERTIFICATION 3 Cleanout present (Y/N) Results (pass/fail) 5-" Soil rating (GPD/FF) /~7~ f/,~Z- System type T.~- ~, ~ c J7 Gravel thickness ~ / Total depth / ~ / Depress on over field (Y,~ / /C> ~ _.c'_.c' for ~// Bedrooms Aftertest ..~ ~-. O On adjacent lots / o o ~' ~' Property line / ~' / J'-- To existing or abandoned system on lot Cutbank A/', /~. Water main/service line Driveway, parking/vehicle storage area I certify that I have checked, verified, or conformed to all MOA and HAA Signature Engineer's Name HA,& Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number Rick Mystrom. Mayor Mummpality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 June 28, 1995 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 9 Sunny Valley Subdivision Waiver Request ~WR950027, PID ~050-354-33, HA950223 Dear Mr. Cowan: Your request for a waiver of the required 10 foot separation between a septic system and a lot line has been approv~.c. The waived distance is the leachfield and the property line of 6 feet. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. S in/~e~e ly, /~ Robert W. Robinson Civil Engineer On-site Services RWR/ljm ENGINEERING STUDIES AND REPORTS ROADDESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ROBERTC, COWAN, RE. ROBERTA. SHAFER, RE. June 9, 1995 4unicipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION' 1995 RECEIVED REFERENCE: Lot 9; Sunny Valley Subdivision Request you issue a Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance between the leachfield and the property line at 6 feet. We do not anticipate any adverse affects on the adjacent properties. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 EAGLE RIVER, ALASKA 99577