HomeMy WebLinkAboutTERRA LT 10� � U
I
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT
K ENVIRONMENTAL
�l
ENGINEERING DIVISION
82.5 t. Street - Anchorage, Alaska 99501 Telephone 254-4720
ON-SITE SEWAGE I)ISPOSA!_ SYSTEM AND/OR WEI._I_ INSPECTION RE ORLID
T � ��S
NAME
PHONE
� NEW
/)0/(/ %f A A /I/A /f
❑ UPGRADE
MAILING ADDRESS
U '
co
LEGAL DESCRIPTION
PLM
/7 A
LOCATION
4.4 i r. 6 lT. � 4 Ile /fi r^
11.
OF DROOMS
3
DISTANCE TO:
Wel I,
jC?
area
r z e-' .
Dwellin
� `�
PERMIT NO.
I
U
.
I— z
W
Manufacturer
f2 4- e tz_
Material
e - f' C
No. of compartments
FQ-
,
5
w
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
DISTANCE TO:
Well
Dwelling
PERMIT NO.
= z FQ-
Manufacturer
Material
Liquid capacity in gallons
wz
DISTANCE TO:
Well
Foundation
Nearest lot line
PERMIT NO.
J LL z
No. of lines
Length of each line
Total length of lines
Trench width
Distance between lines
zw
H — rc
2
l� �' f`
! e� i
E inches
F
Top of tile to finish grade
Material beneath tile
Total effective absorption area
O
7 5`
PO C1<0
inches
/ Z S'0 S G) f j'
Length
Width
Depth
PERMIT NO. '
LU
(7
Q F-
as
W
Type of crib
Crib diameter
Crib depth
Total effective absorption area
N
DISTANCE TO:
Well
Building foundation
Nearest lot line
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
W
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
.4 i`/7-P.
OTHER
PIPE MATERIALS cf'=�t„�ST/c/✓4'/�,�//t/F/l=Led
SOIL TEST RATING
j Z
INSTALLER
HA A//< PA /7 h L J'/V
REMARKS
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All
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APPROVED 1�1�` t 1"t 1 A_F' LEGAL
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���I U0 "T F::' 4--U 9 1 -F i=<F� 9,-.9 o::-- o --g F;:" �:
DEPARTMENT i HEALTH AND ENVIRONMENTAL ]TECTIONf~
825 'L- STREET, ANCHORAGE, HK. 99L.1
264-4720
~'
lm -A 9=1 PoR !�T KS --- 50 17- E=z EE FQ EE FZ F" EE F? V1 31
PERMIT NO. ( 800174 )
yO0 -3w_
APPLICANT DON HANNAH BOX 10-2028 2 - 9-1724 V"
LOCATION HILLTOP & TIMBERLHNE 16
LEGAL LOT LOT 8 BLk_TIMBERLHNE PAR[-.'. SIZE -38880 SQUARE FEET
j
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 150
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
To F=! K 7- 10 �_���U:3, _r H= E5 7' HM FZ F? "I E= L_ E> E= F� 11 hl=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD
THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCHYHTION(IN FEET). `
F;! E07 to! 00 1 in? Eo E> On E:w F=" -N- 1 10 7- 1=1 Thi 02 15 3" of EE= "d CA CA CA C3 Fi L_�CD PA '"=.
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
___ _r 0-9 �__a ��� T VA'si'"EnCT if T 1�1005 9=TFZE= FTEOCAL3 1 FZEOE>
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
TO H COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
�=77?01 I -T- E=7141" M FZEEAV E>E=CVE0?lE3E=FZ WAL^ AL 02 ED 04
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES
]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODFLED TO INCLUDE MORE THAN I BEDROOMS.
SIGNED:__ __________________
HPPLICHNT DON HANNAH
ISSUED- DHTE ��� Y4 0
7-�--------�----------�,-�---- --��--������--- '
SOILS LOG
UNTRACTINC NCINEE S & ASSOU.
ENGINE��G AND S RVEYING
212 E. INTERhf�'iTIONAL AIRPORT ROAD Q
PERCOLATION
ANCI- G�Q GE, ALAS 99502 TEST
P ONE,�-
• �(� ,{ / ' , o
PERFORMED FOR: �'�/ ✓V j(//(
+V /(A/ DATE PERFORMED:
LEGAL DESCRIPTION:
WAS GROUNDWATER L
ENCOUNTERED?
0
P
IF YES, AT WHAT E
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water , .
Net
Drop
PERCOLATION RATE_ AS min
TEST RUN BETWEEN- Ffp{I3fI3it� °-z f
COMMENTS
9
PERFORMED BY: �/+. �)' �'� L L L1 ;`% CERTIFIED BY: !
1
C1.
(�� - a „
�A � � Cel. L� � b—�'1 ,�
p
x
ILA4,i�vc ck 1 ` - ( f�
✓t uo
v
�°'�Srv� 330
1rU11U Ul.11l l[� LII�IllcclJ lri �a�v.ru w.�
210 fast International Airport Rd.
Suite 204
ANCHORAGE, ALASKA 99502
(907) 278.3773
SOILS LOG — PERCOLATION TEST
1'A SOILS LOG
�� PERCOLATION
TEST
PERFORMED FOR: UO N rt' ti N,4 DATE PERFORMED:
LEGAL DESCRIPTION: CTI'4,A1
n � SLOPE SITE PLAN 1�<
DEPTH "fA " '7
1
2
3
4
5
6
7-
8=
9-
10-
11
12
13
14
15
16
17
18
19
20
COMMENTS
S/ 4. 7' (i") L)
t�
cL
WAS GROUND WATER S
ENCOUNTERED? A/0 L
O
P
,t l IF YES, AT WHAT E
DEPTH?
1
//1 C D/L e"1f
air v ,araocec•�g rh a�
�1 4�� -F Iyi`3'� 0 1ti
y �vno4Cas �+ nna bac cas % L•
�iFc uc an° n
.G �/� NO. 1445 E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
ENRON
/0 60A��I
�
el
l
;r 9
NONE
WAS GROUND WATER S
ENCOUNTERED? A/0 L
O
P
,t l IF YES, AT WHAT E
DEPTH?
1
//1 C D/L e"1f
air v ,araocec•�g rh a�
�1 4�� -F Iyi`3'� 0 1ti
y �vno4Cas �+ nna bac cas % L•
�iFc uc an° n
.G �/� NO. 1445 E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
/0 60A��I
�
el
l
;r 9
�aflGf tri;; PERCOLATION RATE ✓ ((minutes/inch)
TEST RUN BETWEEN FT AND I FT
DATE:
PERFORMED BY: 6 /44Y j /LAG d if CERTIFIED BY:
Anderson Drilling Co
9321 Nickell Circle
Anchorage Alaska
99507
Movin C:n Construction Co. Inc.
Box 10/2028 /
Anchorage Alaska, 99511
61k Z
Drill Log For Lot 8 Block Timber Lane Park Subdivision.
0 to 10 Ft. Sandy Soil.
10 to 20 Ft. Sand & Light Gravel.
20 to 30 Ft. Clay & Some Sand.
30 to 40 Ft. Clay.
40 to 50 Ft. Clay.
50 to 51 Ft. Heaving Sand & water, Could Not Clean Up.
51 to 61 Ft. Light Sand & plater, Could Not Clean Up.
61 to 70 Ft. Coarse Sand & 'dater.
Drill & case to 70 Ft,
Static Level 15 Ft. Below Ground Level.
Draws Down To 30 Ft. Below Ground Level.
Holds Stable & Pumps At. 5 Gallones Per Min.
Thank You
Anderson Drilling Co
Gerald W Anderson Owner
MUNICIPALITY OF ANCHORAGE
DEPT. OF 1-IcALTH &
ENVIRONMENTAL PROTECTION
OCT 3 ! 1980
RE -(E VED
fly
A lhQ
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
October 23, 1980
Don Hannah
Post Office Box 10-2028
Anchorage, Alaska 99511
Subject: Lot 8 Block 2 Timberlane Park Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
i
completed:
A well log submitted to this department for our
review.
The water analysis report be delivered -to this
department from Chem Lab, 5633 B Stre(�_:,t,for
our review.
The sewer system did not received a final approval
for the following reasons:
(a) The line into and out of the septic tank was
not inspected.
(b) A new soils test should have been called for
because the soils were not representative of
the first test and a test hole to eighteen(18)
feet should have been dome to certify no water
at that depth.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
ad: Alaska Statebank
310 East Northern Lights Boulevard 99503
(2)
(3)
A well log submitted to this department for our
review.
The water analysis report be delivered -to this
department from Chem Lab, 5633 B Stre(�_:,t,for
our review.
The sewer system did not received a final approval
for the following reasons:
(a) The line into and out of the septic tank was
not inspected.
(b) A new soils test should have been called for
because the soils were not representative of
the first test and a test hole to eighteen(18)
feet should have been dome to certify no water
at that depth.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
ad: Alaska Statebank
310 East Northern Lights Boulevard 99503
F1
DATE RECEIVED
1 INSPECTION APPOINTMENTS
TIME
TIME
TIME
DATE
DATE
DATE
SINGLE FAMILY
❑ One ❑ . Four ❑ Other
INSPECTOR
INSPECTOR
INSPECTOR((�
7. WATER SUPPLY
X INDIVIDUAL*
* ATTACH WELL LOG. A well log is required for all wells drilled
MUNICIPALITY OF ANCHORAGE
IIJJ
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTMGR &ALITY OF ANCHORAGE
825 L Street - Anchorage, Alaska 99501 DEPT. OF HEALTH &
® ENVIRONMENTAL PP.OTECTION
ENVIRONMENTAL SANITATION DIVISION
_
Telephone 264-4720 OCT 2 0 1980
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SRf(50 ffDS
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNPHONE
❑ PUBLIC UTILITY
F
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
MAILING ADDRESS
_7 _ 0 -1 ff-
PROPERTY RESIDENT (if different from above)
PHONE
6-� i
2. BUYER
PHONE
MAILING ADDRE S
3. LENDING INSTITUTION �/
PHONE
MAILING ADDRESS
__�
i -t Gry
4. R ALTOR/AGENT
PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCA N
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
SINGLE FAMILY
❑ One ❑ . Four ❑ Other
Com, Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
X INDIVIDUAL*
* ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
IX INDIVIDUAL/ON-SITE**
aC) YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
-
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELLTO:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
Z�--APPROVEDFOR J7BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY
72-010 (Rev. 6/79)