HomeMy WebLinkAboutDAVID LEE LTS 3 AND 4
MAILING ADDRESS
, MUNICIPALITY OF ANCHORAGE ~1
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 /.,'~-~EW
67Y- UUPG.ADS
/
We. ' I ..5--- ' /
IF HOMEMADE:,,~/ / !'~DwellinglnSide length~ --
Well
DISTANCE TO:
DISTANCE TO:
No. of lines /
Top of t3o/~inish grade
Foundation
lin~
/
Width
r
Length Width
Type of crib Crib diameter
Well
DISTANCE TO:
DISTANCE TO:
I Trench~.~ I (inches
inches
Depth
No. of compartments
Liquid depth -
PERMIT NO.
Liquid capacity in gallons
Crib depth Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
OTHER
~IPE MATERIALS
IL TEST RATI
DATE
LEGAL
l'll_lt-I I '9 I PAL I T"T' I----I[=' R1.-ICHORRGE
DEPRRTHEHT OF HEALTH AND ENVIRONt'IENTRL PROTECTION
B25 L STREET, RHCHORRGE, AK' 99501
264-4720
PERHIT NO:
DATE ISSUED:
RPPLICRf~T:
ADDRESS:
CONTACT PHOHE:
01'-.I--5 1' TE
840197
04717784
JOH[l SHORT
P 0 BOX 7740~2
ERGLE'RIVER, RK
694-7550
_'5EI-4 El;: PERI"1 I T
LEGAL DESCRIP: SUBDIVISION: DAVID LEE LOT: ~
SECTIOH: 11 TOWNSHIP: 14N 'RANGE: 2H
LoT SI2E: 7410 (SQ. FT. OR ACRES)
MAX BEDROOHS: 4
BLOCK: NR
LISTED BELOW ARE THE OF'TIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC
SYSTEH. CHOOSE THE OPTION THAT BEST FITS YOUR SITE.
BED
DEPTH TO PIPE BOTTOrt (FT.) 4.8
GRAVEL DEPTH <FT.) 0.5
TO~AL DEPTH <FT.> 4,5
GRAVEL HIDTH (FT.> 19.0
GRAVEL LENGTH <FT.> ~5.0
GRAVEL VOLUI'IE (CU. YDS. ) 24.6
TRHK SIZE <GALS) 1,250.0
SOIL RRTIHG <SQ. FT. ZBR) tt0
2.0
~.5
5.5
5.0
48.
35.
250.
'110
DEPTH TO PIPE BOTTOH < ~. 5 FT. REQUIRES INSULRTIOH
DEPTH TO PIPE BOTTOH < 4.0 FT. 'HAY REQUIRE R LIFT STATION
TANK HUST HAVE RT LEAST THO COHPRRTHENTS
I CERTIFY THAT:
1. I RH FRHILIRR WITH THE REQUIREHEHTS FOR ON-SITE SEWERS AND HELLS RS SET
FORTH BY THE r'IUHICIF'RLITY OF RHCHORRGE (HOR) AND THE STATE OF ALASKA.
2. I WILL INSTALL THE SYSTEH IN RCCORDRHCE WITH ALL MOA CODES AND REGULATIONS,
RNr) IH COHPLIRNCE WITH THE DESIGN CRITERIA OF THIS PERHIT.
.~. I HILL ADHERE TO ALL HOA RHD STATE OF RLRSKR REQUIREHENTS FOR THE SET BACK
DISTANCES FROH RHY EXISTING HELL, WRSTEHRTER'DISPOSRL SYSTEH OR PUBLIC
SEWERAGE SYSTEH ON THIS OR ANY RDJRCE~T OR NEARBY~ LOT.
4. I UHDERSTRND THAT THIS PERHIT IS VALID FOR R HRXIMUH OF 4 BEDR~)OHS RHD
ANY ENLARGEMENT WILL REQUIRE Rt~ ADDITIONAL PERHIT.
IF R LIFT STATION IS INSTRLLED IN Ar4 RRER COVERED BY HOA BUILDING CODES,
THEN (1) RN ELECTRICAL PERMIT AND INSPECTION HUST BE OBTRINED~ (2> RS-BUILTS
HILL NOT BE APPROVED WITHOUT RH ELECTRICAL INSPECTION REPORT~ RHD (~) THE
ELECTRICAL HORK HUST/BE DONE E:Y R LICENSED ELECTRICIRH.
S I GNED ' DATE:
APPLICANT:
ISSUED BY ...................... Z .............. DATE: .... % ........
illJl'-.I 'i' ~. I PI~IL I.T'T' CIF'-. '
DEPFIRTI'IENT. OF HEFlLTH F~ND EN?ZRON~IENTFIL F'r~.OTEBTZON
· 825 / STREET,. ANCHORAGE, RK 9~501
~64-472~
84~i~7
JOH~I ~HORT
P 0 BOX 774~32
ERGLE RIVER, AK 99577
694-7550 .; '
SUBDIVISION: DFI'./ID LEE .. LOT:
SECTION: ii TOHNSHIP: 14N RFINGE:
7410 (SQ. FT. OR aCRES) f.'
BLOCK: NFl
4: E:~r.,r'OOH:'_,:
· --.TEH CHC, O"-:E TffE OPTION THaT BEST FITS YOUR SITE. 114~l \ ' /I
-- ........ '- ................. N-v- - - ~-f~4 ~
.~ ~o ~'~r~- ~.or.,o~ <FT.> 4.0 . zo.**~' X= 7
TRL. £,["PTH (FT.) ..'4. 5, ' ' 5. 5 g,o - ~ ~r
.~VEL liiDT, H (FT.), .. i9...O-- ' (:~[7"
,','w · :. · :
,~.[L v:':U!~- :.c~. v~$. ). . ~ _.. ·· · . ~ ~. \
~i: ~IZE (uRLS..' · ::.. . I, 250. 0 .~::'f.'.. - i, ~50. 0 *:,~ ~ ~c,_ ~
.......
:,.., £.[:F'TH T'O pXF'E BOTTOM < 3.5 FT.-...~[OU'iRr-s IUSULFlt/~OU' ' - / \
· ~:*: DEPTH '[0 P'[PE BOTTOM ~' 4.. 'O'FT.' .ItFIY ~'ED.U[R£ Ft LIFT C:;TFITIOH ' "
'* ~ ~R~;.: HUST HaVE RT LEFI'ST THO COHPRP, TI'iENTS
i. ! F~'; ;F~:;[L~RR HTTH J'HE REOUIREMEhlTS FOR OIl-SITE SEHEF:S FIND HELLS Rf.'SET
t:021'~ B',' TH~ ItUNICIPFILITY OF' FINCHORRGF: (l'lOFl) aND TH[ STFlTE OF RLFISr~FI
2. I 1.~I1_~-. INSTFILL'~tI~' SYSTEI'I Ill FICCORDFINCE HITH FILL I10Ft CODES'FIND' F'-iCi~JLRTIOI~S,
AND ll'l [r_~IF~L.'ItgI~'~'I.IITH THE'DESIGN CRITERIFI OF THIS F'EF:MIT.
Z. I ~ULL~,t~6-'TOiL'~L~{I~OFI'nI'ID STFlTE OF FtLIqSK~ RE~UIREMEN,T.S FOP IH-' .=-.i-'.T I-~FICI':
[,ISYRII~j~S'~:F[JOI~.FINY, i~XIST,ZNG HELL, HRSTEH~TER DISPOSFlL ST'STEM 0~: ~-' ~::' ~.':
,-I. I-UNDERSTRNDLTHRi]'/'.'(H'.IS~'PERMIT IS VRL, I[,LF'OR. R MR}::IItIJI'I OF' '4 E:EDF'.Ob~:._ ~',;.:' ,
'FIH'¢ DJiL~,F, GE~.ENT.Fj:I.~jC.L: R[~UIRE RN Rp?.LT.J!t~I~_I''. PERMIT. · ' '
· ., ~ '.. .~.. .. .,,,, .'.: ., - ..- .,.-: , .Z.
· Fl LIF~ STFIT.ION..IS' INS'TFILLED' IN RN RRER COVERED E:¥ flOR BUILDING CODES,
~EN ('i) FlI~ ELEOTRICRL' pE~,,MI't RNE*'INSPECT'IONJttUST DE OD. TFIINED.~ (2) FtS-E-.'UILTS
LL NOT. BE RF'~ROVED ;WX~HOOT FlH ELECTRICAL INSPECTION F:EPORT.; RllD (3) THE
.ECTF'.I~RL HORt~ J. IUST/B.E..DONE B',' Fl LICEMSEBF ELEC_..T.RICIRN.
· . , ., ~ · :- .., .~.
... ..x,.._ x,- .
~ ,/ r., ~--- . .~ ~'f-~ · · ' ;._ '.~_/_//z/ ~. _ ~ · Y/I
· .' ...................................... T~- -~-~- --- 'o" --~.- -
.'.!:. :.,.~~T___=.__:. ' ' '" '.;'"' "__ 0~' ,It',.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L~ Street, Anchorage, Alaskm 99501 264-4720
SOILS LOG - PERCOLATION TEST
I-~ SOICS LO(;
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCmPT,ON:
1
2
3
4
5
6-
7-
8-
9-
SLOPE
DATE PERFORMED:
10-
11
13-
14-
15-
16
17,
18
19
20
COMMENTS
PERFORMED BY:
72-008 (6~9)
WAS GROUND WATER y
ENCOUNTERED? ~'~ I~
0
/
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN FT AND FT
(minutes/inch)
DATE:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorege, Alaska 99501 264~4720
SOILS LOG -- PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
SLOPE PLAN
1
2
3-
6-
7-
8
9
10
12
13
14.
15.
16-
18-
20-
COMMENTS
-- t
WASGROUNDWATER
ENCOUNTERED? ~(~)
IF YES, AT WHAT
DEPTH?
10:7
S
Reeding Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
CERTtFIED BY:~
72..O08 (6/79)
(minutes/inch)
F'T AND ~T
°ATE:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage0 Alaska 99501 264-4120
SOILS LOG - PERCOLATION TEST
SOILS LO0
PERCOLATION
TEST
LEGAL DESCRIPTION:
I
2
~3
12
SLOPE
13
14
15
17
18
19.
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
DATE PERFORMER ~ - ~ ~ ~'~'-~
SITE PLAN
Dross Net Depth to Net
Reading Date Time Time Water Drop
COMMENTS
PERCOLATION RATE
TEST RUN BETWEEN '
CERTIFIED SY:
(minut~llnch)
FT AND ~T
72-008 (6/79)
.MUNICLPALIT~ OF ANCHORAGE ' ~ ~JL.~-~
A~I~ICATION FO~ HEALTH ADTHOR/I"f APPROVAL CErTIfICATE
IL C, eneral Information
Application Date
(a) Legal Description (include lot, block, subdivision, section, tovnship, ranse)
Location (address or directions)
(b) Applican~s Name ~-'~
hone - Home Business
Applicants Address.~o~-
(c) Applicant is (check one) Lending Institution ~--~ I O~ner/builder~ I
Buyer~--~; Ocher~(explain~l
(d) Lendin$ Institution
Aa h s
(e) Real Estate Co. & Asent
Address
Telephone
(f) Nail the NAA to the
Type of Residence
Single-Fam!!y~
Number of Bedrooms
3~.~ater Supply
Individual ~e11[~-~
~ Other
Note: IX communi~y vel1 system, must have ~-ritten confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
5eva~e Disposal
0nsite ~ Public ~ Community ~ Holding Tank ~
Note: IX community ~ell system,' must ~ve ~iCten co~i~aCion from the State
Depar~men~ of Euviro~en~ Co~e~aCiou a~es~i~ to ~he legality a~ s~acus.
[pase 1 of 2]
En~ineerin~ Firm Providing Inspections~ Tests~ File Search~ Data and Information
As certified by my seal a~fixed hereto A,~ 'as of the validation date shown below, I
varify that my investigation of this Health Authori~y Approval shows that the on-site
vater supply and/or waetevater disposal system is safe, functional and adequate for
the number of bedrooms and ~ype of structure indicated herein.. I further verify that,
baaed on the i~foraation obtained from the Rinicipali~y of Anchorase files and from my
investigation and inspection, the om-site rater supply and/or ~aste~ater disposal
system is in compliance with all Nunicipal and State codes, ordin~nce, s~__and regula-
tions in effect on the date of this inspection. _~'~ /~F'~/~ad /-.~//:J.~.~'.
, Name Of Firm
Date ' ~'/~.."
Approved for '~ bedrooms
Approved Disapproved Conditional ,~ ,
~AUTION
T~ M~NICIPALITY OF ANCHORAGE r~pAETMENT OF ~EALTH hND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL f~-ETIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS CZVEN IN. PARAGRAPH $ ABOVE BY AN IN~FENI~NT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. 'l:mi ~tEP DOES Tills AS A COORTES¥ TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN OEDER TO SATISFY CEI~TA/N FEDERAL AND STATE REQUIRE-
~ENTS. E~PLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OX ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE }~NICIPALITY OF A~'HOEACE IS NOT RESPONSIBLE FOE ERRORS
OK OMISSIO~ IN THE PROFESSIONAL ENGINEEE'S
(DHEP SEAL)
m~4/e~/Dl8
fir. age 2 of 2]
7-19-8~
BRUST & ASSOCIATES
Engineers - Planners - Surveyors
1610 Dimond Drive
Anchorage, Alaska 99507
(907) 562-7878
December 1~, 1984
Mr. Keith Bandt
Anchorage Department of Health and Environmental Protection
Pouch 6-650
Anchorage, AK 99502
Dear Mr. Bandt,
Re: Eot 3, David Lee Subdivision
Your conditional approval of this system is recommended.
Sincerely,
~/~ ~l~t, PE
1. Fill must be placed around the well casing to insure drainage
away from the well.
2. The casing must be extended to at least 12" above grade.
3. The exposed wiring must be encased in conduit.
Because of the size and configuration of the lot it was necessary to
construct the trench 5' away from the property line and under the
driveway. The inspection report indicates the system was insulated and the
installer informs me that 2" of styrofoam was used.
An 11 foot waiver will also be required from ADEC since the septic
system is 139 feet from a class C well. The attached waiver request is
concurrently being submitted to ADEC for their review.
This will follow up our discussion on 12/1~/84 regarding the
referenced property. Conditional approval is requested for a Health
Authority Certificate for the following conditions.
~NI¢IPALIT~ Oe AS~DI~GE
~ ~L~mOm'T~ APP~VAL
CBBCI(LIS'~ - FEBRIIAI~ 1984
DEC 1 ?
[Page 1 of 21
Tcfcal Dspt. h
Static l~atar level /~ '
Casing ~ignt Above Ground
Electrical Wtrir~ in Conduit (Y/N)
Sepa~ation Distances fxcm Well:
To Septic/Holding Tank cn Lot /,,o
Dap~essicn A~amd W~l].head
Water SamDle Collected ~y
Water S~91e Test ~s~
B. S~I-'£iC~OLDING ~ I~I%TA
Tank (Y/N) /V/'~ Date t~St
TO Nearest ~lge of Absorption Field c~ Lot _/6)G ' ; On ~tjoining Lots +
To Nearest P~blic Sewe= Line /w",4' To Nearest Public Sewer
¢leancut/t~nt.,ole ..~'.~ To Nearest sewer ser~_ce Line on LOt
-s".-' r /£ /r' /-" , //," r .
Receipt.
Date
Amount:
2-15-84
Well Classifi~atio~/w~.~,/w./ If A, B,
Well fox3 Present (Y/N)
Legal Description:
Date Inst'-l~,/-~/l~d ~ Length of Field
Width of Field ,~- ' ~epth
square Feet A scr tic A=ea
~i~ ~ Field (Y~)
~ati~ D~ ~ ~ti~ F~ld:
TO ~il~ F~ti~
TO [~i~way, Pa~king A=ea, ~ Vehicle Strafe A=ea
Date Inse*t led
Si~e in Gallons
"Pure9 On" Le~! at
High ~]ater Alarm Level at
Teste~ f=
Electrical Co~es (Y/N)
C~nts
** O~eck Pem:itted Sed~x~ ~atir~ A~ainst HAA Bsgusst ** ,~
I certify that I haw ~d, ~ri£ied, cr ~%f~,~d to all ~OA HAA ~uidelimes in effec~
on tl~ date of t. his ins~i~.
si~nsd --~ -.
[PaGo 2 of 2]
A unicipaiity
o¥
Anchorage
POU._ .t 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Permit #: 840227
January 31, 1985
TO: Permit Applicant
SUBJECT: Lot 4 David Lee Subdivision
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1984.
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
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
F'IUt,I I C I PAL I T'-r' J_nF F~NCHORAGE'
DEPARTMENT OF HEALTH AND ENVIRONt'IENTAL PROTECTION
8.25 L STREET, ANCHORAGE, RK 9950i
264-4?20
r_~t,l--_~ I TE S. EL~IER '.~:~ . blEI 'L PEAr'1 I T
PERMIT IlO:
DATE ISSUED:
84022?
04?23/84.
APPLICANT:
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIP:
~OT SIZE:
MAX BEDROOMS:
LISTED E;ELOI,I BRE
SYSTEH.
JENNER LEONARD
?03 RNDREANOFF
EAGLE RIVER, AtE 99577
694-5959~p.~
SUBDIVISION~ LEE
SECTION: ii- TOI,INSHIP:
6771 (SQ. FT. OR ACRES>
4
LOT: 4 BLOCK:
RANGE: 2H
THE OPTIONS AVRIL~BLE TO YOU
IN ~ESIGNIN~3 YOUR SEPTIC
CHOOSE THE OPTION THAT BEST FITS YOUR SITE.
BED
DEPTH TO PIPE BOTTOM (FT.) 4,
GRAVEL DEPTH (FT.) 0,
TOTAL DEPTH (FT.) 4.
GRAVEL ~IIDTH (FT.) i6.
GRAVEL LEHGTH (FT.) 32.
GRAVEL VOLUME <CU. YdS. >
TAt'IF, SIZE (GALS)
SOIL RATING (SQ. FT. ?AR) 8.5
TANK MUST HAVE AT LEAST TI.ID COt'IPARTMENTS
4.0
5.5
5.0
5~.
250.
85
I CERTIFY THAT:
l. I AM FAtdILIRR HITH THE REQUIREMENTS FOR OH-SITE SEWERS AND WELLS RS SET
FORTH E:Y,THE MUNICIPALITY OF flN~HORRGE (MOA) AND THE STATE OF ALASKA.
· 2. I WILL INSTALL THE SYSTEbl IN ACCORDANCE WITH ALL MOA CODES AND REGULRTIOHS,
AND III COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERblIT.
3. I I.IILL ADHERE TO ALL MOA AND STATE OF RLRSKR REQUIREMENTS FOR THE SET BACK
. DISTANCES FROt'I RHY EXISTING 1.1ELL, WflSTEWflTER DISPOSAL SYSTEM OR PUBLIC
SEWERAGE SYSTEM ON THIS OR AH'¢ RDJACEHT OR NEARBY LOT.
4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR fl MflXIMUf. I OF 4 BEDROOMS RHD
filly ENLARGEMENT WILL REQUIRE fin ADDITIONAL PERI.lIT.
IF fl LIFT STATION IS IHSTflLLED IN AH AREA COVERED BY MOA BUILDING CODES,
THEH (l) RN ELECTRICAL PERNIT AND INSPECTION MUST BE OBTAINED; (2) RS-BUILTS
14ILL NOT BE APPROVE[* WITHOUT RN ELECTRICRL IHSPECTION REPORT~ fiND (~) THE
ELECTRICAL klORl( MUST BE DONE BY R LICENSED ELECTRICIAN.
.......
LEONRF~,
APPLICANT: ~,~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Stree% Aneho~age, Alaska ~9S01 264-4720
- SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
1
2
3
4
5
6-
7-
8
9
10
11
13-
15
16
17.
18-
19-
20-
COMMENTS
SLOPE SITI~ PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net De, th to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BEI~NEEN
CERTIFIED BY:
minute~/inch)
DATE: ,7'-//