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HomeMy WebLinkAboutWATERS LT 12B  (~,~/ 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 ~ ~ Manufacturer Material . m ~ ~ Liq. capacity in gallons Inside length Width Liquid depth IF HOME,DE: ~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ Manufacturer Material Liquid capacity in gallons Q Well Foundation Near~st lot ,inzo ,, Mo, of linest Length ~ I~e Total ,ength?~ Trenc~&h inches Distance ~7~bez e lines ~ To. of tilo to finish grade ~ ~ Material beneath tile 7~ ,nc.es . . .7~,on area OTHER -' INSTALLER ~ 72-0 Rev. 3178) ~ ,--.) ~-,~-- .'~ % -1- ~-; P~R. PilT NO. ( 790464 ) FIPPL I CFINT M FI)-:} HFITCH LOCFIT I ON HILLCREST DRIVE LEGFIL LJ.~-B I,.1FITERS SZD T'¢PE OF SOIL FISSORBTION S'¢STEM IS: TREN~H HSXIMUM NLIHBER OF BEDROOHS = 8 SOIL RFITING THE REIZ~LI[RED SIZE OF THE SOIL FIBSOR. PTZON Sk'STEM I5: DEPFtRTMENT O~.:-~d-~EFILTH FIND ENVIRC$1MENTFIL f:'xr~.dTERTIfW I/XL'0~"'"/3- 025 "L'" STREET., FINCFIOR. FIG[, FII<. 9S~50:L ~ ~SJ - . - THE LENGTH DIHENStON IS THE LENGTt4 (IN FEET) OF THE TRENCH OR DRFIINF'IEL.D. THE DEPTFI OF R TRENCFI OR [:'IT IS THE DISTRNCE BETWEEN THE SURFRCE OF' THE GROUND FIND 'THE BOTTOM OF' THE EXCFIVFITION (IN FEET). ]'HERE IS NO SET WIDTH FOR TF.'.ENCHES. THE GR. RVEL DEPTH IS; THE MINIMUM [:,EPTH OF GRFI'¥'Et_ BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF 'THE EXCFIVRTION (IN FEET). F'ERMIT FIPF'LICFINT I Itl.. THE RE_,FON=,IE, ILIT~ TO INFORM ]NI--', DEPFIRTMENT [:,LIRING TFIE ' c .... ': ': ..... ': R[,'.JHCEN7 TO TtqlS FF_FEF] r RN[:' 'THE: IN_ FMLL~TIuN IN_FE.L. FILN.. OF RN'T' IJELLZ;, ' .... NUMBER OF RE_,IEENCE_, THRT THE WELL WII_L _EF. E. E, HL.k. FILLINa OF FINer' ..,¥z, FEM WITHOUT FIHRL IN...,FE_.TION FIND FIPPROVFIL E?¥' THI::, DEF'RRTMENT WILL E,F :,UE,..TEu'[ 'FEi FRu_,EC. UTIuN. MINIMUM DISTRNCE BETWEEN FI WELL FIND RN"r' ON-SITE SEWRGE [:'ISPOSRL S"/STEM IS :t.E~O FEET FOR FI PRI',,"FITE: WELL; OR 2~.5';0 TO 200 FEET FROM FI PUBLIC: WELL DEPENDING UPON THE T'¢PE OF PUBLIC WELL. OTHER REQUIREMENTS MR"r' FIPPL'T'. SPECIFICRTIONS RN[:' CONSTRUCTION DIRGRFIMS FIRE FI",,'RILFIBLE TO INSURE PROPER INSTFIL. LFITION. F'EF.."~'-I ]: -IF' E,--,F ]: F.E_. £:. EL-E. Ir ~IL, EF-. 3:fl .... :l .......... I CERTIF:~ THFtT ~.: I FIM FFIMILI¢IR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH B"r' THE MUNICIPFILIT'¢ OF RNC:HORFIGE. 2: I 1.4ILL INSTFILL THE S"r'STEM IN RCCORDFINCE WITH THE CODES. Z(: I UNDERSTFIND THFIT THE ON-SITE SEI.4ER ~'¢STEM MFI'¢ RE64UIRE ENLFIRGEMENT RE'..~I[)E~~.:]L.E[:, TO INCLUE:E MORE THHN ::: E:E[:ROuM:.:,. RF'F'LICFINT MRs.:, FINT_.H - - , .? . Z_,-,LIEB .......~=~-~ ......... ~.~ ...................... ~*r~r~ ....................... FIND WELLS RS.'; ..,ET IF:' THE G,,~'TER ANCHORAGE AREA BORO" '! k~,~,.~/ HEALTH DEPARTMENT ~ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? 259 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: NUMBER OB [L~i_Q~U COMPARTMENTS INSIDE WIDTH__DEPTH SEEPAGE SYSTE ./k~?~SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL / NEAREST LOT LINE OUTSIDE DIAMETER OR WIDTH , LENGTH , DEPTH DISTANCE FROM WELl J ~L) >~J~( , BUILDINg FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~'~.~//-/~ SQ. FT. TILE DRAIN FIELD: ii~ FOUNDATIO ,NeAR. EST%Ot LINE /~ . OF LINE. S/'~ DISTAN OMWELL /. / ~ /IN. N {[S~ / '~"---~'/ ~'WIDTH T [F~ AJ~SORPTION AREA. SQ. FT. LENGTH OF EACH LINE IN. ABOVE TILE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE WELL: ~l 0 ~6 ~ 4'f/ ~ I,';//~'J ~- .~" (v~, ] t~.~ ~ /I~.~iSTANCE FROM WATER TYPE. DEPTH · BUILDING FOUNDATION. SAMPLE NEAREST SEPTIC SEEPAGE LOT LINE . SEWER LINE .. TANK , SYSTEM , CESSPOOL ., NEAREST OTHER , SOURCES__ DISTANCES: DATE DIAGRAM OF SYSTEM APPROVED HEALTH AUTHORITY GAAB-HD-2 GREATE~ NCHORAGE AREA ,~ )ROU, GH Case No. 327 Eagle St. Anchorage, Alaska 99501 ¢~-'t 679.2511 t~f/? SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY F,N^NCED THROUOH PERCOLATION TEST RESULTS RES,.E" A...ESSDF ,.STALLAT'O" LEGAL DESCRIPTION ~ /~ ~ ~ T~'~ ff~ ~, Xl iR ~ ~ ,SEEPAGE PIT ~ , DRAIN FIELD ., OTHER. TO BE INSTALLED BY. ~ · ~'~?/? ~ ANTICIPATED DATE OF COMPLETION ~'~ ~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ..~zi.,~,.~.¢.~ ~ , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED , SEPTIC TANK SIZE )7,-%-0 TYPE ~%]-e'~( SEEPAGE AREA BI~ TEM DISTANCES: I certify that I am familiar with the requirements of Greater Anchorage Are. a. B. grough Qrdj~nce ,,No.,, 28-68,arl~tl~at~., ./" ~th'eL' above descrloea system IS In accoraance wire SalU uu . /~/ ' ~EATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT '~.~ 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE # Performed For Michael George Legal Descrzpt~on. L t 12B Bloc~ ,,. This Form Reports a: So~-"~'~-Log xx Depth Feet 6~ 12~ Date Performed 10/,5/70 'subd~i~iiion Water ~Percolation Test- ' Soil Characteristics gray sandy gravel (GW) gray gravelly sand (SP) sandy silt with few gravel (ML) Was Ground ;'later ;2 .~ t. ? \'~l n~oun ered _ no _ If Yes, A' ~'a'~ Depth__ . Location Sketch I . . H20 ~'~ Grosset Time Depth To N{ i'_Tii .......... F"oDDbe.:~.n~t '~'l~Seepage Pit xx Draih Field Dep~ Of Inlet Depth To Bottom Of Pl~ Om Tpenc~ COMMENIS: --' - ..... 107 square,feet of drainage surfa~e~rea'is red'ired ~er'bed~oo~=~ 9rib' bottom set ~ 8.,5' depth ,, Test Pe~for~d By~ R. E. Carlis%~, , , ~ese reco~endations are com~ted from visual obse~/vations and based on the unified classification system. Data Certified By: National Testin~ Service Inc Date: MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL P~::OTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 82B L Street- Anchorage, Alaska 0§B01 JUE 2 ? 1979 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES IDIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. I1. PROPERTY OWNER PHONE VIAILING ADDRESS · PROPERTY RESIDENT (If different from above) PH~)NE 2. BUYER /IAI LING ADDR ESS 3. LENDI G INSTITUTION PHONE .~3["~ MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] FOL~' [] Other__ /[] SINGLE FAMILY [~-/Two [] Five E[~ MULTIPLE FAMILY [] Three [] SixL_". '/~",~X~ WATER SU PLY 7. ~J~ iNDiViDUAL~ [] COMMUNITY I~] PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) ~ ~z'~-/' ~ 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE~ **If individual/on-site, give installation date /'//---?" ~'/ If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY ., ~ DATE RECEIVED ' INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I N~PECTO R DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE ~ OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDI VI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTI LITY Connection Verified INSTALLER [~]Septic Tank or [] Holding Tank give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA - MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line ] Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS /A PROVED FOR __F BEDROOMS/3 [~--'~ONDITIONAL APPROVAL (~etter must a~oro~an¥ certificate) LEGAL DESCRIPTION 72-010 (Rev, 3/78) JAY S. HAMMOND, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION SOUTIICE~TRAL RECIO~AL OFFICE September 6, 1979 Max Hatch P.O. Box 833 ~agle River, Alaska 99577 Subject: Lot 12B, Waters Subdivision MUNICI?ALiT¥, 0;- ANCHORAGE RECEIVED Dear Mr. Hatch: We have reviewed your request for a separation distance waiver for the well serving an existing duplex located on the subject lot. Specifically, the waiver would allow the sewage absorption trench to be located no closer than 100 feet from the well. Your request is hereby approved for the features with which this department is concerned. The decision was made based on the fact that there are some rather impe~eable layers between the ground surface and the aquifer and because of the relatively large lot sizes. Please feel free to contact me at 274-5527 if we can be of any further assistance. James O. Starr gnvironmental gngineer cc: DHEP ief 18-06LH DAVID A. SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 August 10, 1979 CIVIL ENGINEER 694-2979 ,MUNIcIPALffy OF ANCHORAGE DRPT, OF b-,~LT/-I & EJ~VtRONMENTAL PROTECTION Mr. Max Hatch Box 833 E~gle t'dver, ~laska 99577 R_ECEIVED Dear Vm, Hatch~ Reference: Lot 12B; Whter Subdivision At your request a sewer system adeau~oy test ~ms preformed on the ~ystem servin~ the four-plex (8 bedroom) apartment located on the referenced property, ~tc test '.~s preformed on August 6 and 7, ~979, The septic tank was pumped snd approximately 15OO g~llons w,~s removed. I.A~W. Municipality records show that a 1500 gallon septic tank ~s installed in October 1979 to serve a (6 bedroom) triplex apartment. I regret to ir~form you theft your septic tank is not adequate for 8 bedrooms. A ndnimtm~ capacity of 2500 g~llons is reOnired. ~ne seepage pit was full of ~,mter and appro~m~te'Iy 1200 g~llons ~ms ren~ved. The pit %.ms then recharged with approximately ].200 gallons of fresh %rater. After a 2/. hour period approximotely 433 &~llons had percolated from the pit. This is only adequate for 2.9 bedrooms. It can be concluded from the above test that your system is not adequate and will require upgrading to add approxi~knte!y 1000 gallons to the septic tsnk capacity and an absorption trench for 5.1 bedroom, A permit for the upgrading of the ~ystem can be obtained from the M~,~nicipality Health and Enviornmental Protection offiee~ 825 L. ~treet~ Anchorage. ii' we can be of further service to you~ ple~se do not hesitate to call. ~~y yours~ ttaslth and F-a~vi~,rnmentsl Protection ggenoy Coast Mortgage Company SRB 196X EAGLE RIVER,ALASKA 9HA Form 2573 ~-: Budget Bureau Ha. 63.R0296 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM INSURING OFFICE Anchorage, Alaska PART i.~TO BE COMPLETED BY FHA MORTGAGEE SERIAL NO, 111:011401 MORTGAGOR OR SPONSOR Michael Goatee SUBDIVISION NAME PROPERTY ADDRESS NItN Htllcrest Drive, Chu~tak TOTAL NUMBER: BASEMENT U1Yes [].No ~'-~New installation 6 WATIR SUPPLY BYz ri Public system [] Community system SEWAGE DISPOSAL BY~ [] Public system [] Community system [] Individual additional bedrooms? (If Yes, how manyF) do. SYSTEM DESIGNED FOR Individual § []Yes []No PART IL--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County [] Local Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State [] County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [] Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily is not likely to create an insanitary condition J TITLE ~eb. 9, 1971 PART III.~FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. ; DATE SIGNATURE ] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 25iZ Rev. July 1958 REPORT OF INSPECTIONwlNDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of [] Septic tank. [] Cesspool. Septic Tank: Distance from well,__feet. Material, Total liquid capacity, Inside length, feet. Inside width,. Celspool~ Distance from: Well feet; foundation, Inside diameter, feet. Depth, gallons. Capacity inlet compartment, ii?et. Liquid depth,__ gallons. feet. feet; nearest lot line at [] front, [] side, [] rear. feet. Liquid capacity. _gallons. Lining material [] Seepage pits, Other _ Depth of filter material over tile, feet; foundation, feet; nearest lot line at [] front, [] side. [] rear, feet. Number of lines, Distance between lines, __inches. Total effective absorption area in bottom of trenches, feet. Depth, top of tile to finish grade, [] Broken stone. Other inches. __ feet. feet. square feet. .inches. inches. Depth, fee(. Lining material feet; nearest lot line at [] front, [] side, [] rear, __ [] Local Health Authority. Inspected by REPORT OF INSPECTIONwlNDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. lmlivklual wells [] are [] are not customary in neighbgrhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water Properties in neighborlu×~d [] are [] are not being developed with both individual water-supply and sewage-disposal systems. D~t size: .feet wide, .feet deep. Dwelling scl back from front property line, feet. Individual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. Distance of we~l from: Building fnundation, seepage pit, feet; tile sewer, .feet; cesspool, feet; nearest lot line at [] front, [] side, [] rear, tbet; septic tank, feet; disposal field, feet; other sources or' possible pollution, ireet. Diameter, inches. Total depth, feet Type of casing, Approximate depth to pumping level of water in well feet. Approximate yield, Sealed watertight to depth of feet. Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill. Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. ~om~= [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity, lx~cated in: [] Basement. [] pumproom off basement. [] Pumphouse above ground. [] Pump pit. pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No. Type of storage: [] Pressure, [] Gravity. Capacity,. gallons. Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date Quality of water [] is [] is not satisfactory for human consumption. Installation [] does [] does not comply with approved exhibits, if any. Inspection made by: [] State, [~ County. [] Loc'al Health Authority. Inspected by Date of inspection , 19 Depth of casing, gallons per minute. gallons per minute. .19 feet; feet. GPO 889-088 4 ~.~GREATERANCHORAGE AREA BOROU6'H HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 279-2Sll RHQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND I~ATER FACILITIES FOR Address Property O~ner Legal Description Type o£ Facility to be Inspected~ ~-~A~ ~,' N~ber of Bedrooms Well Data: ~. Bactorial ~nalya~s Phone 6. Sewage Disposal System: Septic Tank (If homemade, show diagram on back) 2. Age / ~ 7t~. .... .A~proval Request for Se~_~e ~ ,tVater Facilities P, age B. Seepage Pit :~. Size ~'~'7 33'---/ .~7/ //2/ C, Disposal Field 1. Number o£ Lines ~/f~z~ 2. Total Length /~//.~ Required Measurements A. B. C. D. E. F. G. H. Well to Septic Tank Well to Seepage Pit /~.~ Well to Sewer Line ~ Well to Property Line ~/~ Well to Other Possible Contamination Foundation to Septic Tank Foundation to Seepage Pit f~ / Seepage Pit to Property Line~ CO,~4ENTS: APPROVED: ¢/ DISAPPROVED: DATE: APPROVAL VALID FOR ONE YEAR FRO~I DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH HEAL~] DEPARTMENT EDll70