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HomeMy WebLinkAboutUS SURVEY 3043 LT 18 S2 T10N R2E SEC 18Onsite File US Survey 3043 • EI 1� I - 2 v-D'Y',on a I MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEAL?H AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, Location (address or directions) (b) Applican~s Name /~g~ ~¢~O~D township, range) Telephone - Nome Business Applicants Address (c) Applicant is (check ong) Lending Institution ~; Ownerf~U!~k~a; Buyer ~--~ ; Other~ (explain); (d) Lending Institution 5 ~c~ ~ ~ ~ ? 7~zu~ ~ ~9~Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. T¥~e of Residence Single-Famfly~ Number of Bedrooms 3o Water.Suppl~ Individual Well~ Multi-Family ~--~ Other (describe) Community~ Publicly] 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 v~itten confirmation from the State Department of Environmental Conservation attesting co the legality and status. [Page 1 of 2] 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, th& 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 Telephone Address Approved for ~ bed e Approved __ Conditional CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVA~ 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 AND 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 DATE: TO: FROM: SUBJECT: Municipality of Anchorage MEMORANDUM March 22, 1985 MOA Department of Health and Environmental Protection Engineering Design, Anchorage Water & Wastewater Utility SNOW VALLEY SANITARY SEWER LID NO. 60-3 This memo is to confirm that the South 1/2 of Lot 18, Section 18, T10N, R2E (also known as Lot 18A, U.S. Survey 3043) in Girdwood is a part of the subject project. AWWU anticipates the project will be advertised for construction bids mid- or late-summer 1985 depending on the outcome of several permit applications: Well/Sewer separation waiver applications US Dept of the Army COE Wetlands Permit Application ~ Gravel Extraction Permits (ADONR) Application Creek Crossing Permits (ADOF&G) Application ADOTPF Utility Permit Application to cross Alyeska Highway If you have further questions, please 786-9755. Anchorage Water & Wastewater Utility DCK/dwJ18 Attachment: AO NO. 84-24 call Don Keefer at ALASKA IFIC. e LIIROllmellTAL COFITROL Sl kuicl $, (~n§ineerinq 6 ~nuironmenl~l $1udies 03/11/85 HARVEY REDMOND P. O. BOX 488 GIRDWOOD AK 99587 SELLER - HARVEY REDMOND BUYER - SUBDIVISION - USS 3042 BLOCK - LOT - 1SA ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A BED WITH AN AREA OF 1600 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 150 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 200 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 4 BEDROOMS. A FLOW TEST WAS PREFORMED ON THE WELL. 600 GALLONS OF WATER WAS PUMPED AT A RATE OF 4 GPM OVER A DURATION OF 2.5 HOURS. THE DRAWDOWN WAS 6.7' WITH A RECOVERY TIME OF 45 MINUTES AND THE STATIC WATER LEVEL WAS 62.83 FEET. THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 250 GALLONS FOR THIS HOUSE OF 4 BEDROOMS. GALLONS IS INADEQUATE BY 1200 UJcst 33r(I Auenue, Suite B ',, Anchoroqe, Ah~sb, 99503 ,{907} 561-5040 Certified Well For ........... f Depth of well ........... Size of casing ........ de ............... Distance to water. Distance to water while of ........ ~ c/ · ' ~(:%: ':'-Y3"~ ~47'.- '-':~¢ :~l"certi£y the above true,and correct. ' ' : ~:' Driller Sw=fford' Drilling 3401 Spena~d Road ,.. .. SD ":~ ' enard, Alaska "~' We advise you to attach this certificate, to your ileed. ~'.v! · :~ ~,~ .... General Contractor P.O. Box 488 Girdwood, Alaska 99587 Phone (907) 783-2373 March q985. ~UBJECT: On - Site Sewer System for Harvey R. and Jean S. Redmond Located in Girwood, Alaska Lot q8a U. S. S. ~000 Gal. Concrete Septic Tank. Drainage Field consists of 200' 4" perforated pipe in area 40' x 40' x 7'. Drainage material consists of coarse, sandy gravel. System has been in operation for ~8 yea~s. Municipal Sewer to the property will be installed this year. '~HEMICAL TELEPHONE (907)562-2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria WATER SYSTEM: LD. NO. ¢' /4Fc Water System Name Phone No. MO. Day Year TO BE COMPLETED BY WATER SUPPLIER Zip Code SAMPLE TYPE: ~¢~outlne heck Sample (for routine sample [] Treated Water with lab ref. no. ) ,,.J;~"Untreated Water [] Special Purpose SAMPLE Time Collected NO. LOCATION Collected By ~ J L-Tt~I~., U~s .~vz. J /4.3o 4 I TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: i~Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received 'L~ ~ ' (~ ~- - Time Received Analytical Method: [] Fermentation Tube .~fqlembrane Filter Lab Ref. No. Result* A~alys, t I I [-~ i F1 I F-F1 06-1220 ('o) BACTERIO/OG ICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Membrane Filler:. Direct Count Verification: LTB Final Membrane Filter Re~,~lt~ BGB Date Time: TNTC-- Too Numerous To Count Coliforrnll00ml MUNICIPALITY OF ANCHORAGE (MOAi HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: M[JNICIPALD-Y OF ANCHORAO,5 DEPT. OF HEALTH & ENVIRONMENTAL PI~O [£CT]ON fvJAR 2 0 1985 RECEIVED Well Classification ~Np Well Log P~esent ~/N) ye> Date Completed Total Depth ~7' ~ Cased to ~f' , Static Water Level ~ ~ ' Pump Set At Casing Height Above Ground ' I, 7' Electrical Wiring in Conduit Q/N) Lie> Separation Distances f~c~ We.ll: ~ ,.. TO Septic~ on Lot ~ '7 ~ 1/ To N~est Edge of Absc~ption Field o~' Lot ~'/-'~ If A, B, c~ C, D,E.C. Approved(Y/N) To Nearest Public Sewer Line Cleancut/Manhole Water Sample Collected By Wate~ Sample Test Results Depth of G~outing R//~ ~ Sanitary Seal on Casing ~/N)~3 Depression A~ound Wellhead (Y~)~O ; On Adjoining Lots ~rloo ' ; On Adjoining Lots TO Nearest Public Sewer TO Nearest Sewe~ Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~. 6$~l~.u~,~ze /~Z)d No. of Stan~i~s~) Ai~-ti~t ~Ds ~) Foun~tion Cleanout ~) ~ession o~ Ta~ (~ ~te ~t ~d ~ '- ~ P~ing~intenan~ ~n~a~ ~ File (Y~)~ ; fo~ Holding Ta~ High-Wate~ ~a~ (Y~) ~ ~ Holdi~ Ta~ ~r~t (Y~) ~p~ation Distan~s ~ ~ptic~olding Ta~: To Watem-Supply W~ll To P~operty Line To Water Main/Service Line Course (rT~oo To Building Foundation ! ~ To Disposal Field I'O ' To Stream, Pond, Lake, c~ Major D~ainage Receipt Date Paid: Amount: [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~i; Width of Field Type of System Design Length of Field ~ £~r Depth of Field ~ ~? Gravel Bed Thickness 7' e"$~ Square Feet of Absorption A~ea /~ O0~L Standpipes P~esent (Y~ Depression over Field (Y~ Date of ~st A~a~ ~st Results of ~st Ade~a~ ~st U~s~7~sF~ Sep~ation Distan~ ~n ~s~ption Field: To ~te~-Supply ~11 ~ ~ ~ ' To ~o~rty Li~ ~r ~ o o ' To Building Foun~tion f%~ /o ' To Existing Lot ~ .. ; ~ ~joining ~ts To Wate~ Main/~rvi~ Line ~ To ~t~(if preenS) /0 To Stre~ond~ke/~ ~jo~ ~aina~ C~se To ~i~way, Parki~ ~ea, ~ Vehicle Stora~ ~ea ~ ' LIFT STATION "Pump On" Level at ~ High Water Alarm Level at Tested fo~ Electrical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Pumpi ng~yc~e s Comments du~~Tevent (Y/N) st. M~ets MOA ** Check Permitted Bedrccm Rating Against HAA P~quest I certify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect Date ~-/!~~ ~ MOA No. ~-OZ~ ~