HomeMy WebLinkAboutHOMAN ACRES LT 2Homan Acres
Lot 2
#01§-27! -22
GREA,_R ANCHORAGE AREA BOR ,
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME _,~----/"/',,~ ,,~/,'"~*
LOCATION
MAILING ADDRESS ~-~'/9~ ~¢2¢' ~/--//~-- ~- PHONE
LEGAL DESCRIPTION ,,~ ¢"7~" ~ /~'J~/'~"~ '/~'~c~"~'"'
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY
GALLONS.
!TILE DRAIN FIELD:
DISTANCE FROM WELL //~
NUMBER OF LINES '/
ABSORPTION AREA ~'~¢)
DEPTH:
/ / ~ TOTAL LENGTH ....~(~ /
FOUNDATION ~-~)-'/-' NEAREST LOT LINE ''~) OF LINES
DISTANCE BETWEEN LINES N/~ TRENCH WIDTP~IN[~ TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE
TOP OF TILE TO FINISH GRADE ~.~1 DEPTH OF FILTER /* ~..~.,/~'~ ¢
MATERIAL BENEATH TILE--O¢2 ~ ABOVE TILE IN.
TYPE CONSTRUCTION DEPTH
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE --, SEWER LINE__ TANK-- SYSTEM
CESSPOOL- OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES: __
iNSTALLED By: -~/~(~)~
SEWER LINE DEPTH:
PIPE MATERIAL: ~--
LOT SLOPE:
I
DIAGRAM OF SYSTEM
June 22, 1977
Alaska Bank of Commerce
Mortgage Loan Section
Pouch 7-012
Anchorage, Alaska 99510
Subject: Lot 2 Homan Acres Subdivision
The adequacy test conducted on the on-site sewer system
failed.
An upgrade of the absorption area is necessary. The
following specifications are the upgrade requirements.
Add to the seepage pit: "absorption trehch"
Length - thirty-eight (38) feet
Gravel depth - six (6) feet
Total depth - approximate cr~b depth
A permit at a cost of $20.00 is required prior to installation.
If there are any further questions, please contact this
office at 279-2511, extension 224 or 225.
Sincerely~
Les N. Buchholz,
Sanitarian
LNB/ljh
cc: Charles E./Constance E. Homan
Star Route A Box 1745~ 99507
GR?'TER ANCHORAGE AREA BOROU~I
Dt:r'ARTMENT OF ENVIRONMENTAL OUALfb _ ~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
MAILING
ADDRESS
LEGAL DESCRIPTION
DISTANCE FROM WELL~'~.~'~/~
LIQUID CAPACITY
_GALLONS.
NUMBER OF
.MATERIAL ~..~-~'~-- COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH~
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING M AT E RI A L'~'(V/-A//~/
NEAREST LOT LiNE_~<~-~:¢,'''~,~)~//' .,~'~¢~ .
OR WIDTH
DISTANCE FROM WELL
, LENGTH ~-'~ , DEPTH
BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~ .,~---~'~NDATION
NUMBER O~-~~ DISTANCE BETWEEN LINES
ABSO P~TION AREA SQ. FT. LENGTH OF EACH LINE
,N~
.TRENCH WID~
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
W E L L :~//,~,z~'~--~ ~/~/J~-C~ -
TYPF/~/-/~/~~c-- , DEPTH ,~t~.~
LOT LINE /~,t/~..~ NEAREST
SEWER LINE/~ ~ SEPTIC
, , TANK
DEPTH OF FILTER MATERIAL BENEATH TILE
IN, ABOVE TILE__
DISTANCE FROM ~'~ ~ g WATER
, BUILDING FOUNDATION,¢~''~J~' 7~- SAMPLE/~/~'~/('/'~-~'~, NEAREST
/ SEEPAGE ~- · / OTHER
~"~ / , SYSTEM ///~ , CESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
GReATEr ANCHOrAgE Area BOrough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456!
pERMIT NO.
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
~ . ~ ~ .,~-~-~:'~'./
~ ~,~,' - , :~:."x '~
~t~ ~/~ ~/~(J~- PHONE
DRAIN FIELD , OTHER
SOIL TEST RESULTS /~J: ~::60~ --/:d/~/h~ : /~ NOTE, THIS PE"~IT IS NOT VALID WITHOUT SOIL
FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~' , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK ,~C~/j//~-
DRAIN FIELD
WATER MA,N TO SEPTIC TANK
DRAIN FIELD
/
SEPTIC TANK, ~ ~ . SEEPAGE PIT
TO RIVER, LAKE STREAM.
., DRAIN FIELD //0
SEEPAGE PIT ///~-/2' //
ALSO CONSIDER AREA WELLS.
~ SEEPAGE PIT f/~/~--
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH RD NCE NO. 28-68 AND THAT THE ABOVE
Municipality of Anchorage
Development Services Departmsnt
Building Safety Division
On-Site Water and Wastewater Prccjram
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak, us
(907) 343-7904
.
Parcel 1.0.
CERTIFICATE OF HEALTH AUTHORITY. APPROVAL
FOR A SINGLE FAMILY DWELLING
#
Expiration Date: /- c'7 - ~) '~ _
1. :GENERAL INFORMATION
.Complete legal description L.
L6c. ation (site address'or directions)
Current Property cwner(s)
· Mailing address
Lending agency
Mailing address
Day phcne '39t¥-aY) I:
Day phone
Real Estate Agent
Day phone
Mailing Address
Un/ess othenvise requested, HAA will be held by DSD for pickup,
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY: '
Individual Well []
Individual Water Storage []
Community Class ~ Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Hold!ng tank
Community On-site
Public Sewer
[]
[]
[]
[]
The Municipality of Anchorage Development Services Department (DSD) Issues Certific--tes of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an indep3pdent professional civil
engineer registered in the State of Alaska· Ce~flcates of Health Authority Approval are require~3 for the transfer of
title (except between spouses) for properties served by a single-family on-site wa~tewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Ce~flcates of Health Authority Approval are
valid for g0 days from the date of issue for properties served by a pdvate or Class C we!l and may be reissued with
new water sample results. (Certificates may be reissued for a pedod mf up to one ye~,r with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a pubqc water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's wcrk.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto snd as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this appli~t~on, shows thet the on-
site water supply and/or wastewater disposal system is(~re) safe, functional and adequate fur the number et
bedrooms and type of struc~re indicated herein. I further vedfy that based on the in[ormation obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply snd/or
wastewater disposal system is(are) in compliance with ail applicable Municipal and State cedes, o;dinances,
and regulations in effect at the time of installation.
Name of Firm s & s ENGIN££RING
17U34 Eagle I,hver Loep Koad ~IO. ~'~,~
Address Eagle River. Alaska 99577
Engineer's Printed Name ~ i~ ~ &.,~.z- C.
DSO SIGNATURE
Approved for ~
Disapproved.
Conditional approval for
Phone (~ q ,./ --~. r.f 7~
Date ! o / '~/o -z.
_-~. ~-t.~ ........ ~.:'~ ,',' ,
-~.-'/- ^ "..~
bedrooms. - ~ ' ' ." ~ -
,l,'~ z- ........ '2~~ ~
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
= : PRCCF, A-M · ·
..' _,,,
Maintenance Agreements
Supplemental Engineer's Report
Other
Odginal Certificate Date:_/
Municipality of Anchorage .~.;~° ,...
Development Services Department ..."~J~j~-~i
Building Safety Division
On-Slfe Water & Waefewafer Program
4700 Sou~h Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci,anchorage.ak, us
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalDesatption: ~-0T ~- JJO~q/~/ /}-¢RF..I
A. WELL DATA
Wail type /°,~,vA Tf-- If A, B, or C provide PWSID #
Date comPleted "~ I q 7 ,~ Sanitary seal ~tN) 'Y~ J
Tataldepth '3.~.], ff. (~ ~,~e. ~
FROM W~LL LOG
Oafe oftest i~ ~ ~.~/~'~
Static water level lt.
Well production g.p.m,
WATER SAMPLE RESULTS:
Coliform O colonlesJ100 mi.
Arsenic:: ~.§JI. -
B. SEPTIC/HOLDING TANK DATA
Wlres pmbarly protected (~)
Casing height (above ground)
AT INSPEGTION
g.p.m. ·
in.
Nib'ate 0~ ~. mgJL Other bacteria __O colonies/100 mi.
Date of sample, q/~T&/o ~_ ..... $ & $ ENGINEERING
t,;o.ectes Dy: T/~! £~11e Eh.,
Eagle River, Alalka 99.q'J~
Tank size' '~t ~'e" gal. Numbar of compartments
Founda~J~n.deanout ~IN) ¥~J ; Depression over tank (Y~
Date'.of pumping el ] ~ '1/0 ~ Pumper ! ,~ ,4
C.ABsORPI~oN FIELD DATA
~.. fll~l'o ~. t3o
Date Inst~led ~ Sod rating (g.p,d./ft~ or~"~-~
'~ot '
Ruid de~ in a~o~on field ~m test~/7~1~. ~mr add~ ~ qy gal.
~ ~: I o0 ~n. Fi~l fluid depffi~ ~. ~o~flon m~ >=
~ mj~e~on ~nt (~t 12 ~.) ~ & ~) ~*~ K~*~
System type
ft.
Depression over field ~v 0
For ~ bedrooms
New depth"~"in.
0 0 0 g.p.d.
If yes, give date -
O. UFT STATION
Date installed
Size in gallons
'Pump on' level at in. 'Pump off I,,.~l .t
Datum ~---~'"'""~'~ ~
E. S~STANCES
in.
Manhn Alaee.~ kY/N)
High water alarm level at
Meets alamt & circuit requirements?
in.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic ten.irt station on let lO0 ~4
Absorption field on lot I OD ~"~-
pUblic sewer main P/ / A
Sewer/cepfic ser~=e line ~ 5' /4
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~ ! Absorption field
Pmpen'y line ) 0,~ / ~'
Watermain /~ //) Water sewice line ,/,o "f- Surface water
Wells on adjacent lots I 0 o 'f
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
P~oberty line ~' o/~ Building foundation / 0/'~' Water main /v/,R
'WaterServlceline, /0 ~' Sun'ace water )00 i.,~ Ddveway, partdngNehldestomge 0 '
· .......,, C,u.~aln drain ~ e,,~. ~ ~-~ .Wells on adjacent lots )__0o ~-
..... _,.,?--
~L 9', '... .'
Date / 0 / -f/0 **'t- '" '":' ': ..... :'"'*~'"
NAA Fee $ .3'/;'-
Date of Payment
Receipt Number
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
~48'
WEST 150.00'
LEGEND SCALE:: 1" = 50'
0CT-02-02 09:2?AM FI~OM-CT&E ENVIRONPENTAL
~t~.," CT&E Environmental Services Inc.
9075615)01
T-927 P.02/02 F-gzI
CT& E Ref.#
Client Name
Prelect Name~
Client Sampte ID
Matrix
1026404O01
S & S Engineer;rig
Lot 2 Horcmn Acres
tot 2 Horp.~ Acz'~s
PWSID 0
S~te P,.m~mtks;
All Datt~/T|me~ are Alaska Standard Time
Printed DalWTlme 10/01/2002 16:08
Co11~ Dat~l~ 09~2 18:30
R~ived Dale~e 09~7~2 10:30
Teebnlcal Director Stephe~q~ Ede
itelen~ed By ~~
PQL Units
Init
Ninate-N
0.200 U 0.200 mF/L EPA 300.0 (<~-]0) 09/27/02
J~T
]CLc~ob~.o!og~z T.iboratoz~r
Tots] Coliforat 0
co~lOOmL $M18 9222B
(<=1) 09/27/02
~C?~]-_'_~, , .~ MUNICIPALITY OF ANCHORAGEs_ ( /
/~,~\~ DEPARTM[ ~ OF HEALTH AND ENVIRONMEN 'L PRO~ECTION
k~Y~J) ~ 825 L Street, Anchorage, Alaska 99m01
~1: Time [~~_ ~2: Time __.~_~~_ ~3: Tim~
Da te ~.~~ Da te .~_~7 ~ ~
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER .AND WATER FACILITIES
]bending Institution Request: Alaska Bank of Commerce
Mailing Address: Pouch 7-012 99510 Phone: 279-5641
2~ Property Owner: Charles E./Constance E. Homan
MailJ. ng Address: Star Route A Box 1745F 99507
3. Legal Description: Lot 2 Homan Acres Subdivision
Phone: 344-4436
Single Family Residence: (
Multiple Family Residence:
Number of Bedrooms: 4
Numbe:r of Bedrooms:
Well System:
Permit #
Construction
Sy .... em ( )
Individual well ~ Community/Public ' °
Depth of Well 235' Well Log on File ( )
Bacterial Analysis
6. Se~age Disposal System: On-site System ~ )
o
Public Utility ( )
Permit:
Installed 1973
Installer
Septic Tank Size
Absorption Area
Manufacturer
Soils Rate /J~ ~
Material
Distances: Well to Septic Tank to Absorption Area
tooewer~ Line Nearest Lot line Absorption Area
t.o Nearest Lot Line
1~~ of Inspection:
GREATER ANCHORAGE ARE/', BOROU~d~PT. c~",
Department of Environmental ~'6~N;~l',~ ..... x.TICN'
"C" St Anchora§e, A]aska 99503 - 27.4-4561
. INDI¥IDUAL SEWER & WATER FAClLI
CMRO VA FHA CONV ~
Property Owner:
Mailing AddresS:
Charles E. Homan and Constance E. Homart
S~A ~ox 174~z Auoh ~9~07
Day Phone 344 4436, "' '
3. Name of Buyer: ..... n/a,.
Mailing Address:
4. Name of Lending Institution:
.... Da~ P. hq~e ,
ALASEA BANK'.OF COMMERCE
Mailing Address: Pouch 7012 ~¢h 9.9510 Phone 2_~641
5. Name of Realtor or Agent:
Mailing Address:
Phone
Legal Description:
Location:
Lot 2~ Homa~, Acres
NHN 112th Avenue
'~chorage~ Al~sk~
.Type of Facility to be inspected: ..
Mater Supply
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
No. Bdrms.
If Individual, depth of well ~
Sewage Disposal. System
Type.of S~stem: Public Utilit~
If Individual, date of installation
Individual (on-site)
,19,73'
x
Page Two
Department of Health and Lnv_~ronment 1 Protection
Request: for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 2 Homan Acres Subdivision
/ '/: /
Affadavit Attached: ( )
Approved: ~
DSsapprov
Department Worksheet:
Letter Attached
Date:
170
163
169 -~(~>' 171
Y
175
Rabbit Creek Area Reference Map-P13
.~.2. ¢]. G1
PROFOSED CONSTRUCTIO~ PLAN
I hereby c~rtify that I have .val-¢eyecl t~e followh~g
~-l~i~- adjacent thereto en~ach on ~e pre~pe~: m
que~U%n%na that there ~e no roadways, ~rans~ssmn