HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 7A 8 .... 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
Dvr , t c
DESCRIPTION
Manufacturer
/ [~ Material , Liquid capacity in ~llons
DISTANCE TO:
Top of Ole to finish grade ~ [ ~ate, ial beneath tile
area
inches
Type of crib Crib diameter Crib depth Total ef f~ti~ absorption area
CIas,~ -- ~0 ~ Driller D,,tence /o lot line
OTHER
PIPE MATERIALS
801L TEST RATING /
EMAR KS . I
1/78)
M L~hlICIF-ALITY OF 'ANCHOF(AGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET~ ANCHORAGE, AK' 99501
264-4720
O~I--SITE SEWER PE-iR~IIT
PERMIT NO: ~SC,]eI~
DATE ISSUED: '05/15/85
ADDRESS: .
CONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
MAX BEDROOMS:
C/O S ~ S ENG'G DYNAMIC REALTY
SRB 196X
EAGLE RIVER, AK 99577
694-297~
SUDDIVISION: E R VALLEY RANCHETTE LOT: 7A
SECTION: 7 TOWNSHIP: 14N RANGE: 1W
17955 (GQ.FT. OR ACRES)
2
,Listed below are the options available to you in designing your
system.. Choose ~he option that best £its your site.
TRENCll-t
DEPTH TO PIPE BOTTOM (FT.) 4.0
GRAVEL DEPTH (FT.) 6.0
TOTAL DEPTH (FT.) ~_10.
GRAVEL WIDTH (FT.) 2.5
GRAVEL LENGTH (FT.
GRAVEL VOLUME (CU.YDS.)
TANK SIZE (GALS) 1~000.0
SOIL RATING (SQ.FT./BR)
TANK ~UST HAVE AT LEAST TWO COMPARTMENTS
BLOCK: NA
septic
BED
4.0 4.0
0.5. ~.5
4.5 7.5
18.0 '5.0
56.0 49.0
24.0 ~6.5
1~000.0 ,',','*-~. 1,000.0 *-~
213 225
I certify that:
1. I am £amiliar with the requirements ~or on-site sewers and wells as,set
£orth by the Municipality o~ Anchorage (MOA) and the State o~ Alaska.
2. I will install the system in accordance with all ~OA codes.and regulati~ns,
and in compliance with the design criteria of'this permit.
5. I will adhere to all MOA and State o~ Alaska requirements ~or tho set back
distances ~rom any existing well~ wastewater disposal system or public
sewerage system on this or ~ny adjacent or nearby lot.
4. I understand that this permit is valid ~or a maximum o£~ 2 bqdrooms and
~ny enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA RUILDINS CODES~
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MU,ST BE OBTAINED;.(2) A~°c~'.'~,JILT.~
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; ^ ~
~,~,.D (3) THE
, ELECTRICAL WOR,~ MUST BE DONE BY A LICENSED ELECTRICIAN.
: GREATE ' .NCHORAGE AREA. .ROUGH
' IIEALTit DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
Case No..
SEWAGE DISPOSAL SYSTEM - APPLICATION 8, PERMIT
RESIDENCE ADDRESS
LEGAL DESCRIPTION
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH ~
PERCOLATION TEST RESULTS ~/
APPLICATION TO INSTALL: SEFTICTANK //C~-0 ,SEEPAGE PIT ~ ,DRAIN FIELd. ,OTHER
TO BE INSTALLED BY //~/ ~ ~ ~
BELOWTO BE FILLED OUT BY HEALTH DEPARTMENT
THIS ISTOSERVEAS ~.,tT[ A. ~'~"~,,t ,PERMITTOINSTALLA_-,,~,"~c'-.*-~.~,'"',~ ~~
. SE~IC TANK SIZE /~ ~,f~,TYPE ~ SEEPAGE , v
~ DIAGRAM OF SYSTEM
DISTANCES:
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
£ /(./'
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorigeo Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
DATE PERFORMED:
SLOPE / SITE PLAN
10-
11
13-
14-
15-
16-
17-
18-
19-
20.
No. i 457-E
COMMENTS
8R13 19~X
PERFORMED BY: ._, .~ .~..~!=_?.. /~! ~'.~&_ ~T
72-008 (6/'79)
WAS GROUND WATER ~%~'~/f') O
ENCOUNTERED? IS
P
IF YES, AT WHAT E
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~m~nutedinch~
TEST RUN BETWEEN ~ FT AND ~ FT
G(~-~ER ANCHORAGE AREA BORO~.LG~
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, A~ASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
SEPTIC TANK:
DISTANCE FROM WELl
MAILING
d
LIQUID CAPACITY ,/~'~'~'~ GALLONS.
MATERIAL ~<~')r~'~ NUMBER OF /
COMPARTMENTS.
INSIDE LENGTH INSIDE WIDTH ~ LIOUID
DEPIH. ~
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
OUTSIDE DIAMETER~OR WIDTH ( 'Z, t' /
. LENGTH / ~-~ , DEPTH
A4~ . DISJANCE FROM WELl ~( d. ~ BUILDING FOUNDATION·
, TOTAL EFFECTIVE ABSORPTION AREA ~ALL AREAI ~ ~ ~ SQ. Fl,
TILE DRAIN FIELD:
DISTANCE FROM WELl
NUMBER OF LINES
ABSORPTION AREA
FOUNDATION ~LINE
i~NE TRENCH WID!H '
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
DEPIH: TOP OF TILE TO FINISH GRADE
.DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TIL~
WELL- Z~'G'~./~ ~//~'/~/~lr'/'~''.~' ~ DISTANCE FROM ~ WATER
..... : TYPE__ DEPIH , BUILDING FOUNDATION. __ _S~PLE ~C , NEAREST
NEAREST SEPTIC SEEPAGE ' OTHER
LOT LIN~ . . ~ . SEWER LINE~ _.TANK. -- , SYST~ . ~ . . CESSPOO~ ~ . SOURCES.
, D~AM~E S, YST~ .
.'J:.:::: ~:::. :,:-:::':.' ~::'::: 't :::..::: :: ':
~-zo : : ~. ,: ~ .... ~ .... ~ ~, : ......
I · - .........' -- ~: -- -'~ ' L~l:_~l ~: I '~ ' ' : ~ : ~.
I ............ ~ .....1,1.-I .~ 1..: ~~ ~1
I . , ...... ~ · . . ~i I -~/ i .... '~
I .... ~ ~ .... ' . ':~:, I ~1 :::'l:.'~'~ll
[::: : ~':..:. ~ ...... ::;_: ]'.: ,, .t:.:::':t"
[ ............. ~ '' ~'[ ..... ...... t ' I
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,
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
[o~ 7A Ea~le River Valley Ranchettes Subdivision
Location (address or directions) tiaa-o-I/at Road
(bi Applicant Name Ann Rag~,e Telephone: Home Business
Applicant Address. ~1 S & S En~ineerin~
(c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain);
(d) Lending Institution
A~dress
(e) Real Estate Company and Agent
Address
Telephone
Dynamic Realty
Telephone
(fi Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family ~ Multi-Family []
Number of Bedrooms ~__
Other
WATER SUPPLY
Individual Well [] Community ~ Public []
Note: If corem unity well system, must have written confirmation from the State Department of Environ mental Conservabon
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite [~x 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' 72-025i~t,~4)
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 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.
Name of Firm Telephone
Address
Date
Engineer's Seal
The conditional approval of January 9, 1985 has been met with the upgrade of
the on-site sewer system, ~ompleted on Hay 15, 1985 by the engineer(S & S Engineering).
Therefore, this Department bas approved the property. I= now meets with
~OA requireme~s.
Approved for ~'t~','~,p(3) bedrooms by Date
Approved xxx Disapproved U Conditional kJ
Terms of Conditional Approval
Hay 22. 1985
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Heatth 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
~ HI~ICIPALITY OF ANCHORAGE ~
DIVISION OF ENVIRO~IENTAL HEAL.,I
DEPARDiENT OF HT. ALTH AND ENVIROI~IEKrAL PROTECTION
APPLICATION FOR ~/.TH A~THORII"/ APPROVAL CERTIFICATE
General Information Application DaCe
(a) Lellal Description (i-elude loc,block,~.2/.~subdtvi~ion,//.~d 6w/l~//~o~ec~l°n' to~n]hipgran~g/e)
Location (address orLtrecc$ons)
(c) Applican~ is (check one) Le~i~ I~s~i~u~ion
Buyer ~; Ocher ~ (~plaln);
(d) Lending Instt~u~ion ~O/~ ~
A~ss
Business
Owner/builder .~',
Telephone
(e)
Real Estate Co. & Agent
Address
Telephone
(f) ~ the HAA to the following address:
2. Type of Residence
Single-Family~
Number of Bedrooms
3. ~a~er ~upply
Individual ~ell["~
Hulti-Fanily~'[
Ocher (describe)
Co~munity ~ 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~ Rolding Tank~
Note: If com.~uniCy well system, must have written confirmation from ~he State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
5- En~ineerin~ Firm Providin~ Inspectio~s~ Tests? File Search~ Data ami Infor~ation
As certified by my seal a~fixed hereto ami as of the validation gate shorn below, I
verify that my investigation of this Health ~uthority Approval show that the on-site
rater supply a~d/or ~asteuater 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 fro~ the Y~micipality of Anchorage files and fro~ ~y
investigation and inspection, the on-site rater supply a~d/or ~astewater disposal
systea is in coapliance vith all Yanicipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm ~ ~...~, ~,,~,,~,,~,},,.~ Telephone
Approved for bedro~s By ~ ~ e~
Approved
Disapproved
~lr~ION
T~ lfUNICIPALIT~ OF ANCHORAGE ~PARIiHENT OF ~TH ~ E~ZEO~ ~OTECTIOR
(D~P) ISS~S ~TH ~HO~I~ ~PROV~ ~ET~ICA~S B~ SO~LY U~N ~ ~RESE~-
ATION5 GI~N ~ P~ 5 ~0~ BY ~ ~PE~E~ ~OFESSIO~L ENGI~ER ~GIS~
IN ~ S~ OF ~S~. ~ ~P ~ES ~ ~ A ~SY T0 P~SEES OF HO~S
~IR ~ING ~STI~IO~ ~ O~ER TO SATISFY ~E~IN ~E~ ~ S~ ~QU~E-
~S. ~O~ES OF DREP ~ NOT ~UCT INSPECTIO~ O~ ~YZE DA~ ~FORE A
CE~TIFI~ ~ ZSS~D. ~ '~ICIP~I~ OF ~CHO~ ~ NOT ~SPONSIB~ FOR
OX ~ISSIO~ ~ ~ ~OFESSI0~ ENGI~EE'S ~0~.
(DHEP SEAL)
[Page 2 of 21
7-19-84
~UNICI~ALITY CF ~ (~)
FEBRUARY 1984
Cased to
If A, B, c~ C, D.E.C.
Date Ccn~leted Yield
Depth of Ggoutin~
s~tic ~ter ~1 Pure9 Set ~
Casing Height A~o~ Ground ~ Sani~ Seal c~ Casin~ (Y/N)
F. lect~ical Wiring in O0~uft ~ De[=essicn Around W~llhead
Separatio~ Disten~s f=~m Well~ /
I On Adjoining Lots.
To Nearest Public Sewer
To Nearest Se~m= Service Line (m ~ot
; Date
Date Xr,,stei~d ./,o
S~u:~i~s
Dal~essicn ~e~ Tank (Y,~D Date
Pum[~in~4aintenance C~'~t~aet ~ Fi~ ~;
To ~Ve=~y L~m to~ 4--
TO Water Mai~/~a~.vice Li~e
Cot=se ~/~
[Page 1 of 2]
So/4-'
To D~s~csal Field
To St:~eem, Pond, Lake, (r ~4ajc= l~ainage
/~.,-I~--r-/~/4.r- ~4~'.
Receipt J ~.-.-~ I~
Date Paid: ]-7-~
Amotmt:
CO. r-a
2-15-84
width of Field
Square Feet of At~tion Area
P~ession ~ Field (Y~
~esults of r*-t Adequacy ~st
Separation Distance f=~m A~s~gtion Field=
To ~il~ F~ti~ ~ ~ ~ ~sti~ =' ~d S~m ~
>~
To Wa~er Main/Se=vice ~ine ~ TO
To Stream--/c= Hajc= ~ains~ Course
To ~i~way, Paxki~ A~ea, c~ Vehicle St~Nags A~ea
Da~e Inst~ l-d D~m~sio~s
C~nts
~eck Pe~mit~ed 8ed~cm Pati~ ~ainst ~AA Bsguest
certify that I ha~s checked, ~rified, c= c0~f~d ~o all ~0A_~%%mm._F~A ~G~lines in'effect
[Pa~ 2 of 2]
2-15-84
DEPT. OF ENVIRONMENTAL CONSERVATION ~
ANCHORAGE/WESTERN DISTRICT ~FFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA q9501
BILL .SFIEFFIELD, GOVERNOR
Telephone: (907)
Address:
274-2533
To Whom it May Concern:
~0~ Water System is in compliance.with the State Drinking
Water Regulations
Sincerely,
1. Approval 'requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Descrip'tion:
4. Location: F~n-O-War R~ad
S. Type of facility to be inspected
6. Well Data: Conrnuntty Water Supply
A. Type
e
Be
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field: Total
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received 4/23/74
Time of Inspection
Date of Inspection .4/24/74
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA
Smtley's Realty
Eaql¢ ~iv~r AK Phone: 694-2114
Louis Miller Phone:
Lot 7A~ Eagle River Valley RannhetteR
Single No. of bedrooms 3
B. Depth
D. Bacterial Analysis
1969 B. Installer Dan Bell
1. Size 1000 gals 2. Manufacturer
1. Absorption Area 12'xl2'x6' 2. Material
length of lines
Conceete Rings
, Absorption area
Other contamination
., Absorption area
, Sewer Lin.es
C. Absorption area to nearest lot line
EQ-034 (1/74)
Page I of two pages
Page of t pages - Re¥._,st for Approval of Individual r & Water Facilities
Legal Description
Comments
Approve Disapproved Date
[/ Approval Valid for one year from date signed
v Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)