Loading...
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)