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Home My WebLink AboutTHUNDERBIRD FALLS LT 9 ' MUNICIPALITY 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 NAME PHONE J (~ NEW MAILING ADDRESS LECAL DESCRIPTION ~oc~o~ ~o. o~ ~D~OO~S ~ Z Manufacturer Material ~ No. of compartments ~ ~ Liq. capacity [n gallons Inside length Width Liquid depth /~¢ IF HOME,DE: ~ ~ DISTANCE TO: Well Dwelling ~ PERMIT NO. O ~ ~ Ma~ufacturer Material Liquid capacity ~n gallons ~ Wail / Foundatio~/~ ~ Nearest lot line PERMIT NO. Nc. of lines / Length of each line Total Iong(h of lines Trench width Distance betw~es ~~ Top~ f ~/l°f tile to finish ~grade ~ ~¢~ Material beneath tile ~--~ inches Total effective~absorption~,F~area Length Width Depth PERMIT NO, ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ 31ass Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer llne Septic tank Absorption area(si ~ DISTANCE TO: OTHER PIPE MATERIALS SOl L TEST RATING INSTALLER REMARKS ~ · 72-013 ( lev. 3~78) PERMIT NO. MU~.~ I C I F'~-~'!L ! T'~ OF Fi~-~CH( ~FI(3E DEPARTMENT OF HEALTH 8ND ENVIRONMENTAL PROTECTION 825 ~L' STREET, ANCHORAGE, AK, 9950i 264-4720 ~ELL AND 0~4--S I mE SEWER F'ERr~ I T APPLICANT LOCATION LEGAL WILLIAM & DONNA WRDDELL L~ THUNDERBIRD FALLS L9 THUNDERBIRD FALLS PO BOX 661 SOLDOTNR LOT SIZE 688 2~51 43000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= lO1 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 8 LEt~GTH= ..~$ GRAVEL DEPTH= 4 THE LENGTH DIMENSION IS THE LENGTH (IN. FEET) OF THE TRENCH OR DRRINFIELD. Tt~ DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN 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 BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET). REQIJ I RED SEPT I C TANK S I ZE= 1000 GALLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TWO (2 > INSPECT IONS ARE RE~.U I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPART~NT WILL BE SUBJECT TO PROSECUTION. 'MINIMUM DISTANCE BETNEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL~ OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERIq I T E×P ! RES DEI~:EI'IBER _~::L,.. CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET I l: FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. --~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. APPLICANT WILLIAM &DONNR WRDDELL ISSUED BY_ _DATE .... Y~. 2 Steven A. Johnson P.O. Box 76 Chugiak, AK 99567 Phone: 907-688-3085 SOILS LOG - PERCOLATION TEST ~ SOILS LOG [] PERCOLATION TEST 9- 10- 11 13- 14- 15- 16- PERFORMED FOR= LEOAL DESCRIPTION: O^TE PERFO.MEO: SLOPE SITE PLAN [~..~ 19 - ~OMMENTS WASOROU.OWATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Re~d~ Gross Net Depth to Date Time Time Water PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN , FT AND ENVIRON~A[iN fAL D~iOTTCTION OOC Co. dba SULLIVAN WATER WELLS J. 1979 P.O, BOX2?2 CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 OWNER OF LAND ~ ADDRESS ~"; ~:. LEGAL DESCRIPTION DATE- Started / ~ ,/ PERMIT NUMBER (.~?,4 ,.e~/:;~£~.d (~ DEPTH OF WELL c."~ /-/,-/C /,q A~ STATIC LEVEL OF WATER FT. ?/.,/~z .,,~ ;~',C k?/~J~ i't~" 2~ DRAW DOWN ~. Ended (~ [/Z.A / 7 ? GA~. PER HR c:~ /1C~ KIND OF CASING (v '.e$ O (j RECEIVED KIND OF FORMATION: From * '~ Ft. to From '~ ~, Ft. to From - Ft. to From Ft. to From ) ;' Ft. to ~. From__.Ft. to From__.Ft. to From__.Ft. to From Ft. to From __ Ft. to__ From Ft. to From___Ft. to-- From __ Ft. to From Ft. From Ft. to From Ft. to From Ft. to Ft. Ft. Ft. Ft. Ft_ .Ft. Ft. .Ft. Ft. .Ft, Ft. Ft, Ft From Ft to Ft. From Ft. to Ft._ From Ft. to Ft._ From Ft. to Ft, From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Ft. to__.Ft._ From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to_ Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft, to Ft, M1SCL. INFORMATION: DRILLER'S NAME [ ;'- .' '; ...... '~" % ........ MUNICI'PALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 9~ Thund~.rbird Falls S/D Location (address or directions) .~/~'-1~ Kc. try Loop (b) Property owner /[,qFC #100016 .Telephone: (.home) Mailing Address 540 F. .~4.¢'h: A~ohn.'ra?.: Ah.. q9~04 (c) Lending Institution Telephone Mailing Address CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING (~-'~l-'q~ ~ I/ HAA# !~-\~'~C1 Business (d) Real Estate Company and Agent Jae~ W~,~'.f'o ¢',~- / In~Z e~n~d~';~ Address !Oq2R FagF_o R~,,~r. A~a4~- qq~77 Telephone 694-5500 (e) Mail the HAA to the following address: (or check here ~, if hold for p~ck up.) List contact person and day phone number below: S & S ENGINEERING 17034 Eagle R~¥er Loop Road No. ~ Eagle River~ Alaska 99527 2. TYPE OF RESIDENCE Single-Family ~" Number of bedrooms 3. WATER SUPPLY Individual Well,VZ~ ~' Community [] Public [] 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 [] / 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. 72-025 (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 shown below, I verify that my investigation of th is 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 __ 5 & S E.NGINEERING 17034 Eagle RlYer Loop Road No. 204 Address ~-~lc .~.!?'.; Ai~ka 99577 Telephone 6. DHHS APPROVAl. Approved for J Approved 'c'~"'"~- D isap p roved Terms of Conditional Approval Conditional 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) Back Page 2 of 2 A. WELL DATA ~ M~NICIPALITY OF ANCHORAGE (MOA) ~l,'~-~J/'~ O~ ANC~Health Authority Approval (HAA) Well Classification Well Log Present.N) ~ Total Depth/'cf ~ Cased Static Water Level Casing Height Above Ground Electrical Wiring in Conduit~[~N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line RECEIVED Date Completed (,.0 -- '7~-'Z. to ~. ~ Depth of Grouting ~' / Pump Set At Sanitary Seal on CasingS) Legal Description: ~ If A, B, C, D.E.C, Approved (Y/N) ~/~ Yield . ,¢ Depression Around Wellhead To Nearest Sewer Service Line on Lot Water Sample Collected by /-----?~/-~ ~'~-~ ~~.-~l~'~ ;Date Water Sample Test Results _~__~/?-~.. ~c_>~' ~ ; On Adjoining Lots ~ \ Oc> ; On Adjoining Lots To Nearest Public Sewer CleanOut/Manhole Comments B. SEPTIC/HOLDING TANK DATA ~/~/?~ ,~ ~,,, ~ Date Installed / I ~ :size Standpipes(~N) "7' Air-tight CapsC~/N) Depression over Tank (Y/~p Pumping/Maintenance Contact ~n File (Y/N)~ Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: No. of Compartments . Foundation Cleanout te Last Pumped /~ -'Z'~ ~q,.~ .~D; ; for Temporary Holding Tank Permit (Y/N) ~.~ To WatepSUpply Well \ To Property Line To Water Main/Service Line \ To Stream, Pond, Lake or Major Drainage Course Comments '~'- ,~--"\ ~ ~..,~:~ ¢c:<:A..- 72-026 (Rev. 7/88) Front Page 1 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/Ct) Results of Last Adequacy Test / Type of System Design Length of Field '~')¢'~ ~ I Depth of Field '~ Gravel Bed Thickness ~-- '~';~%'¢~ Statndpipes Present ¢~/N) r'~ Date of Last Adequacy Test / SEPARATION DISTANCE FROM ABSORPTION FIELD: t To Property Line t ~ To Existing or Abandoned System on ; On Adjoining Lots '-~ ~ 4- To Cutback (if present) ~'~ To Water-Supply Well To Building Foundatiqn 1 ~ Lot 'A /,/% To Water Main/Service Line To Stream, Pond, Lake, or Maior Drainage Course To Driveway, Parkin9 Area, ,or Vehicle Storage Area Comments 3c~.~0~&-~ V~W~ ~ ~r~¢~--4 P, LIFT STATION ~ /~... Date Installed S~s. "Pump On" Level a~t Dimensions Manhole/Access (Y/N) "Pump Off" Level at High Water Alarm Level at-'"""'"'""--~ ~ Tested for Meets MOA Electrical Codes (Y/N) Comments Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in inspection. Signed Company Date MOA No. $ & S ENGINEERING 17034 Eagle River Loop Road No, :204 Eag;u R;wi', A[a;~c, ?9577 Receipt No. Date of Payment Amount: $ 72-026 (Rev, 7188) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 this . L & GEOLOGICAL LABORATORIES OFALASKA, INC. CHEMICA 5633 B Street Drinking Water Analys~s Report for Total Cohform Bacteria TO BE COMPLETED BY wATER SUPPLIER E] PUBLIC WATER SYSTEM I.D.# ~ ~' PRIVATE WATER SYSTEM Name Mailing Address Phone No. S & S ENGINEERING 17034 Eaale Ri~ef' Leap Rea [~io~ _ Eagle Rivert Alaska State City Mo. Day year SAMPLE TYPE: Routine ~ Check Sample (for routine sample with lab reL no. [] Special Purpose SAMPLE NO. LOCATION L Zip Code TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~ Satisfactory [] Unsatisfactory [] Sample too long in transit; sample sh°uld not be over 30 hours old at examination to indicate reliable results. Please send new sample vie special de!i,cerY mail, )ate Received Time Received /~.¢ c~ Analytical Method: Membrane Filter [] Treated Water [] Untreated Water * No. of colonies/100 mi. Time Collected Lab Ref. No. Result* Analyst L .J L-T-] L READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL wATER ANALYSIS RECORD ~'~.. ~?b Membrane Filter: Direct Count __BGB__ Verification: LTB_- Reported By ~ ~ 0 ~' ~ o Time:. TNTC = Too Numberous To Count OB = Other Bacteria ~,.~ ~ ~,~' ! ' CHEMICAL & GEOLOGICAL LABORATORIES OF AIASKA, INC. / ~'-~ 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ! w-~-+-~+,~-,-~,-,~ \ FEDERAL TAX ID # 92-0040440 PWSID Callectoa NO¥ 14 ~3 t 13=30 ks, ~ecelYe8 NO¥ 15 89 { 16:30 hts. lralyoi~ Coapletet :NOV 17 89 Send ~eports to:. Laboratory Supez?lso[ :5~PI~ C. ~D[ · 1)3 & $ : ~, ' · ; [ . i , ; · 'i Special lnst[uct: Chemlab ~ef t: 85~1 [ab $mpl ID: 3 Allowsble ?azeaete~ ~este~ Nesult Units Matho~ Li~dts NITP~T[-N Sample ~e~azke: ROI~It~ SAMPLe. SAMPLE C0LLEC~$D B! R3S. 1 ~eets Perio=~ea See Special Instructions Above Ul-~na?ellable liD= ~one Detected '* See ~ample Remalks lboYe NA- Not knalFzea LT-[ess Than, G~*Greote~ Than ~" DATE RECEIVED INSPECTION APPOINTMENTS DATE DATE DATE MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES 5. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY' NUMBER OF,BEDROOMS [] One [] Four [] Other [] Two [] Five ~% Three [] Six * ATTACH WE LL 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.) 8. SEWAGE DISPOSAL SYSTEM '~ INDIVIDUAL/ON'SITE~ [] PUBLIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MU LTIPLI-' FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I N D IVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Cmlnection Verified ~ IN8TALLER []Septic Tank or [~Holdin§ Tank Size:-'"/~(~'~C-->O If Tank is homemade $OILBRATING [live dimensions: TYPE-OF TANK MANUFAOTURER TOTAL ABSORPTION AREA MATERIAL 4, DIBTANCEBwELL TO: Septic/Holding Tank Absorption Area 8ewer Line Nearest_ Lot Line Absorption Area to nearest Lot Line 5. COMMENT8 ~PPROVED FOR ~-,3 BEDROOMS [~] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev, 6/79) CHEMICAL & GE,_ ~OGICAL LABOI{ATORIES c/' ALASKA, INC. TE~.EP~ONE (907} 562-2343 ANCHORAGE INDUSTRIAL CENTER '; ,~ . 5633 S Street ~ Dr ing r Analysis Report for Total Coliform Bacteria ~ TO BE COMPLETED BY WATER SUPPLIEF WATER SYSTEM: ~ I.D. NO. ' Water System Name Phone No. Mailing Address TOBE COMPLETED BY LABORATORY Ana vs~s snows tins Water SAMPLE to be: Sat sfactorv [] Unsatisfactory R Sample too long in transit; sam pie should '~'~(~t be over 48 hours old at examination Ci[y State Zip Code [] Treated Water [] Untreated Water SAMPLE Time ~ Collected NO. Collected ~ By 1 to indicate reliable results. Please send new sample. Date Received ? '~") ~* ? Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routlne~samp e · with lab ref. no, [] Special Purpose LOCATION Time Received A~i~iytical Method: t"-[] Fermentation Tube I~PMembrane Filter :~. I~b .R:,~,. No. Result* Analys~ 06-1220 (D) Rev. Xg78 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE P~e~umpt lye 1Omi 1Omi 3.0mi 10mi /0mi 1.Oml 0.1mi , 24 Hours COLLECTING SAM PLE.: ;' =.~t,.lo Tu,o Report, EXCAVATION ROBERT A. SHAFER WORK CIVIL ENGINEER 694-2979 July 31, 1983 Red Carpet/Greatland P.O. Box 633 River, Alaska 99577 Eagle ATTENTION: Lola pederson Dear MS. Pederson, Reference: Lot 9: Thunderbird Palls subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and was verified to have a capaci~_t~L_OJLL0/1Q~311ons. The absorption trench was tested-- y~6ontinuous flow of water over a period of 48 hours without any adverse effect on the system. The average flow during the 24 hour period was 505 gallons. It can be concluded from this test that the waste water di'sposal system serving the three bedroom trailer house located on this property is ~u~ functioning adequately~ However, the system cannot~ls-e guaranteed ag~t--s~bsequ~nt failure. If we may be of further service, please do not hesi%ate to contact us. Sincere~,~ cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA GREA%=,R AMCHOI1AGE AREA BOI~ 104 West Northern Lights Bouaevard Anchorage~ Alaska 99503 S- 2132 Plat Statd'~: Freliminary ~ BOROUGH: f~g~neer Public Works Department Sand Lake Fire Department School District Street Names Tax Assessor ~aska Department of Highways Alaska Railroad ~chorage Natural Gas Corp. Central Alaska Utilities ~ugach Electric Association Date~ 9/15/70 CITY OF Ai]~iORAGE: Fire Hat,hal Municipal Light & Power Departmen~ Property Management Officer Public Works Department Telephone Utility Traffic Engineer Water Utility GAB Telecommunications, Inc. Matanuska Electric Association ~atanuska Telephone Association Assistant Superintendent of Mails Pm: Subdivision / ~Y33~%~ Description of Property: See attached plat. Lois Paradis Gentlemen: Petition hag been received by the Greater Anchorage Area Borough Planning and Zoning Commission for the proposed Subdivision of s~ect properny. Attached is a copy of ~e proposed plat. Wiil you please submit your con~ents in writing~ specifying any easements or other requirements that your department or agency may need. If we do not hear frem you by 1Qf_9~_(i ....... we will assume that you do not wish to subr~it any comments. If you have no further use for the attached print, please return it with your comments. P~nning Departn~nt Enclosure