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Home My WebLink AboutHANSEN SAND LAKE LT 11A LEGALZESCRIPTION _ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAl.. PROTECTION ENVIRONMENTAt. ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Tele!)hone 264-4720 ON-SITE SEWAGE DISPOSAl.. SYSTEM AND/OR WELL INSPECTION REPORT Materia Width ~'~ Material Fou ndation~,~ // Nearest lot ~,~ Total leng~/ot l,,l~es I Trench ~, · inches Material beneath tile inches I J Well v /'~ /' Absorptioq area. ., I DISTANCE TO: [[i Man.ract.rer/'--X . E,O*MADE, ,.side,angth ~ Z~ ~ DISTANCE TO: Well Dwelling ~O_~ I Manufacturer -, "'- :~ I No. of lines i~1- Top of tile t~finish grade Lu ILength Width-- Iq Depth ~ ~- ~ Crib diamete~ Crib depth I DISTANCE TO: ~, IClass Depth Driller .~ I Building foundation Sewer line DISTANCE TO: NO. O F~DROOMS No. of com~.ents Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. ~'~(~ /~. D ista rice betw~?4 . Total eff~e~i~.~rption area PERMIT NO. Total effective absorption area Building foundation Nearest lot line Distance to lot line PERMIT NO. Septic tank Absorption area(s) OTHER PIPE MATF;~,R I ALS SOIL TEST RATING APPROV~~ DATE LEGAL PEF.:M I T NO. BPPLICANT LOCBTION LEJ3RL ~-li_INI L] I F""-'~L. I T'~' OF RNC:H~="-RRGE DEPRRTMENT C HERLTH RND ENVIRONMENTBL ~ )TECTION 825 'L' STREET, RNCHORBGE, BK. DD50i 264-4?20 ( 800184 ) BILLIE KIMBRLL ,-4:~_-.. JEWEL LBKE F..D Lt.{R HBNSEN _R ~D LRKE 742_.5: JEHEL LBKE RD LOT .~ I.~E 248-0465 ~:~00 SQUARE FEET TYPE OF SOIL RB_,ORFTION =~_TEM IS: TRENCH I ' :.lJ I L RRTING MA',,'~:IMUM N_IMBER OF BEDROOMS = THE REQUIRED SIZE OF THE SOIL BBSORPTION SYSTEM IS: [)EPTH=, ~.2 t E[-~GTH~= 2~$ ~SRR~EL DEF"TH= 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFBCE OF THE GROUND BND THE BOTTOM OF THE E×CBVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFBLL PIPE BND THE BOTTOM OF THE E×CBVBTION (IN FEET). RF.,;~iJIRED SEPTIC: TR[-~K: SIZE= ~LOOE~ PERMIT BPPLICBNT HBS THE RESPONSIBILITY TO INFORM THIS DEPRRTHENT DURING THE INSTBLLRTION INSPECTIONS OF RNY HELLS RDJBCENT TO THIS PROPERTY BND THE NUMBER OF RESIDENCES THBT THE WELL HILL SERVE. Tb~C, (2) I [4SF'ECTI,][-~S RRE REQLIIREC, BRCKFILLING OF RN9 SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL B9 THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DiSTRNCE BETWEEN R WELL RND RN9 ON-SITE SEWRGE DISPOSRL · 88 FEET FOR R PRIVRTE WELL OR ~58 TO 288 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MR9 RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'ER~-4 I T E>~-:F' I F-:ES DE~]E~-IBEF-: _~t.. i-q-80 I CERTIFY THRT t: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDBNCE WITH THE CODES. ~: I UNDERSTBND THBT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. RF'PL I CRNT I .... UE[: BY_ V4. 0 PERFORMED FOR: LEGAL DESCRIPTION: 2 3 4 8 10 .~.~2 ~3 14 17 18 2O COMMENTS MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST /o Pouch 6-650, Anchorage, Alaska 99502 276-222~' SOILS LOG -- PERCOLATION TEST ~ J,,,"~ DATE PERFORMED: SLOPE WAS GROUND WATER E.OOU.TERED? IF YES, AT WHAT Gross Net Depth to Net Reading Date Time Time Water Drop --- PERCOLATION RATE . TEST RUN BETWEEN 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) Lot ll-A Hansen Sand Lake Subdivision Location (address or directions) 7423 Jewel Lake Road (b) Applicant Name Jack Bedient Telephone: Home 243-8371 Business Applicant Address 7423 Jewel Lake Road (c) Applicant is (check one): Lending Institution 1'1; Owner/builder [~; Buyer []; Other [] (explain); (d) Lending Institution Bank of the North Address Telephone (e) Real Estate Company and Agent Address Telephone Mail the HAA to the following address: . \ Jack Bedient ~\' 7423 Jewel Lake Road .,' .~'/' Anchorage. Alaska 99502 /~/I (f) TYPE OF RESIDENCE Single-Family ~: Multi-Family [] Number of Bedrooms three (3) Other WATER SUPPLY individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ~: 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 (11/84) Page 1 of 2 ENGINEERING FIRM PROVIDINL~ INSPECTIONS, TESTS, FILE SEARCH, DA ~A 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 This department has received written confirmation from the engineer, OceanTech, regarding the conditional of February 7, 1985. This property is now fully approved. Engineer's Seal DHEP APPROVAL '~" 'I Approved forl three(3)':'bedrooms by Approved xxx~x , D sapproved Terms of Conditional ~p'pro~l /il:~\\\ ,' ~ Date September 30,1985 Conditional CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health 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 September 24, 1985 Municipality of Anchorage Division of Environmental Health Department of Health and Environmental Protection ATTN: Mr. Keith Bandt RE: Pit Well - Lot 11-A Hanson Lake Subdivision OceanTech Mr. Bandt: In reference to Ocean Technology, Ltd.'s letter dated January 28, 1985, the pit well located on the property was in violation of the MOA guidelines for Health Authority Approvals in that there was no pit drain to daylight. The violation has been corrected by eliminating the pit and by raising the casing and pitless adapter to above ground level. If you have any questions, please contact me at our new number, 563-2060. Sincerely, OCEAN TECHNOLOGY, LTD. Duane E. Carson, P.E. Civil Engineer DEC:ma 5333 Fairbanks Street, Suite 11 /Anchorage, Alaska 99518/Telephone (907) 563-2060 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date 1/25/85 (a) Legal Description (include lot, block, subdivision, section, township, range) Lot ll-A Hansen Sand. Lake Subdivision Location (address or directions) 7423 Jewel Lake Road 243-8371 (b) Applicants Name Jack Bedient Telephone - Home Business 276-2797 Applicants Address 7423 Jewel Lake Road (c) Applicant ~s (check one) Lending Institution ~--~ ; Owner/builder~--~ ; Buyer ~ ; Other~--~. (explain); (d) Lending Institution Bank of the North Telephone Address "C" Street (e) Real Estate Co. & Agen~ N/A Address (f) Telephone Mail the HAA to the following address: Jack Bedient 7423 Jewel Lake Road Anchorage. Ala~Pm qqSN? 2. Type of Residence Single-Family~ Number of Bedrooms 3. Water Supply Individual Well.~. Multi-Family~ 3 Other (describe) Community ~-~ 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 On ite Pu iic Co m nity ank Note: If community well system, must have writte~ confirmation from the State Department of Environmental ¢onsei-vation attesting to the legality and status. [Page 1 of 2] 5. Engineering Firm Providing Inspections, Tests~ Fil~ 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 regula- tions in effect on the date of this inspection. Name of Firm Address Date Note: Ocean Technology Ltd. 2502 West Northern Lights Blvd. 1/24/85 Approval conditional to resolving pitwell inadequacies; see attached letter° ~ 6. DHEP Approval Approved for //~/bedrooms · A~p~v~d ~ Disapproved (ENGINEER SEAL) Conditional Telephone 248-3888 ~ ~,'-. CE - 3995 Date CAUTION THE I~dNICIPALITY OF ANCHORAGE DEPARTMENT OF' H~ALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS 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 ~ND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. 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. RR4/ejID18 [Page Z of 2] (DHEP SEAL) A® WELL DATA Well Classification MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUR~ORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Well Log P~esent (Y/N) No Date Completed .Unknown Total Depth 105' Cased to ~ UnknownF~,~J~pth of C~outing. Static Water Level Unknown ~----~AT~t~ 101' L-11A Hansen Sand Lake Subdivision Private If A, B, c~ C, D.E.C. Approved(Y/N) n/a Yield ~ 6 gpm n/a Casing Height Above Ground 1.5' Electrical Wiring in Conduit (Y/N)~ No ~ ~ Separation Distances f~om Well: To Septic/Holding Tank on Lot 100'+ To Nearest Edge of AbsoI~ption Field on Lot 100'+ To Nearest Public Sewer Line 178' Sanitary Seal on Casing (Y/N)Yes Dei~ession A~ound Wellhead (Y/N)No ; On Adjoining Lots 100'+ ; On Adjoining Lots 100'+ To Nearest Public Sewer Cleanout/Manhole n/a To Nearest Sewer Service Line on Lot Water Sample Collected By M. Hagan ; Date 1-17-85 Water Sample Test Results Cc~ents Pit well 8.5' below ground level w/ pit covered and sides property lined with cement blocks. No floor covering and no drain. 80'+ B. SEPTIC/HOLDING TANK DATA Date Installed 6-9-80 Size 1000 gal. , No. of CQt%>artments 2 Standpipes (Y/N) Yes Air-tight Caps (Y/N)Yes Foundation Cleanout (Y/N) No. __ Depression ove~ Tank (Y/N) No Date Last Pumped ~ //-- ~ ~ ~%~ ~ ~ Pumping/Maintenance Contract on File (Y/N) n/a ; for n/a Holding Tank High-Wate~ Alarm (Y/N) n/a Temporary Holding Tank Permit (Y/N) n/a Separation Distances f~om Septic/Holding Tank: TO Water-Supply Well 100'+ To Property Line 13' To Water Main/Service Line 30'+ Course n/a To Building Foundation 12' To Disposal Field 5' To Stream, Pond, Lake, c~ Major D~ainage Con, rents [Page 1 of 2] 2-15-84 Ce ABSORPTION FIELD DATA 125 sq. ft. Soils Rating in Absorption Strata per bedroom Date Installed 6-9-80 Width of Field 3' Square Feet of Absorption Area 375 Depression over Field (Y/N) No Results of Last Adequacy Test Adeqnate Separation Distance from Absorption Field: To Water-Supply Well 124' To P~operty Line Type of System Design Trench Length of Field 31 ' Depth of Field 12' Gravel Bed Thickness 8' Standpipes P~esent (Y/N) Yes Date of Last Adequacy Test 1-17-85 To Building Foundation 54' Lot 107' ; On Adjoining Lots None located TO Water Main/Service Line 30'+ To Cutbank(if present) To Stream/P0nd/Lake/o~ Major Drainage Co~n~se n/a To Driveway, Parking Area, c~ Vehicle Storage Area 36' Coat,tents To Existing or Abandoned System cn n/a D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~umping Cycles du~ing Adequacy Test. Meets MOA Comments Company Ocean Technolog~Ltd. KB1/d5/s [Page 2 of 2] ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, oF conformed to all MOA HAA Guidelines in effect Signed Date 1/25/85 f~.o° ^ ~i~¢~%. t ~ ~r)% Patrick A. Beau~ffi .' ~ I MOA NO. ST84-034 2-15-84 February 7, 1985 Municipality of Anchorage Department of Health and Environmental Protection 825 "L" Street Anchorage, Alaska 99501 ATTN: Mr. John Kennedy RE: Depth of Well Casing, Lot 11-A, Subdivision OceanTech Hansen Sand Lake Mr. Kennedy: As we discussed on the telephone yesterday~ you required verification of the depth of well casing for the subject property. This morning, our technician, Mr. Mike Hagan, inspected the well and sounded the casing at a depth of 40 feet. We believe this fulfills all the requirements for Mr. Jack Bedient,.the owner of the subject property, to obtain his Health Authority Approval. Sincerely, OCEAN TECHNOLOGY, LTD. Patrick A. Beaugard, P.E. Engineering Manager PAB:ma , . ...... I985 O~riO I/l/~ef Al,',rfh~rn I inht~ tRIvrt I Anr~h~r~n~ Al~.~k~ 9.qBr).c~ I Tg.l~.nhon~. 907/248-3888 / Telex 26-485 NOTE: PLEASE WRITE CLEARLY TO INSURE PROPER WARRANTY REGISTRATION SUBMERSIBLE PUMPS ~ ~ . . - .... ~. c,~ h ~,,- ,.. ,~ ..... ~,.t. ~/L ' . 7 ~ ~ -, - - . .... r . - Pump Setting Well ID . C:" _ ..... Depth / ~'>~ ' _. . Flow {GPH} Puml; for N,~w Well ~ -" Othe~ · Olher Ihtless Adapter m~talled [~ Yes 0 Summer Cottage ~ Sprinkling ~ Commercial ; ; Plumbe, :~ ump Speclahst [~ Ha,dware Deaer L~ Owner · ..'~,,,.-,,, ,,.,-,,p ,,.,,,,,,,,,,-, 1_/,,7 -, - .,~ ' .,, :..~ . . /~ ~,c~ ......... If old pump wo~ lubmerlible: Three Wire ': "~ " ~ '~" ' ~ REEf JACKET -- WARRANTY REGISTRATION Two Wke