The URL can be used to link to this page

Home My WebLink AboutT15N R1W SEC 5 LT 1A OF 10915N RIW SEC 5 Lot 1 A OF 109 E @fAIwftvfflwm OWNER OF LAND 6, DEPTH OF WELL ADDRESS STATIC LEVEL OF WATER FT. LEGAL DESCRIPTION DRAW DOWN FT. DATE - Started Z74 Ended /i- & GALS. PER HR PERMIT NUMBER KIND OF CASING From 0 Ft. to Ft. From Ft. to Ft. rom Ft. to Ft. F J :5 All -q Froni-Ft. to Ft. From Ft. to Ft. 14 eL From Ft. to Ft. From ;21 C', Ft. to Ft. y From Ft. to Ft From 37f Ft. to Ft. 4=4 From Ft. to Ft From Ft. to e roili-Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From -Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft, to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft MISCL. INFORMATION: & D R I L L E R'S NAME DEPARTMENT OF HEALTH AND ENVIRONNENITAL PROTECTION 2510 E. TUDOR RD. , ANCHORAGE, AK. 99507 276-2221 F=E: PERN I T NO. 76202 WPLICANT ROBERT S JOHNc.nN P 0 BOX 177 CHUGIAK -OCATION LI&H;V_�i' _EGAL L109 SEC 5 TISN RIW LOT SIZE 34549 501JJAR-E FEET elINIMUM DISTANCE BETWEEN A WELL AND ANY ON --SITE SEWAGE DISPOSAL SYSTEM IS LOO FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. 4ELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT 141THIN 20 DAYS _-IF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. Fz': R'_ r-1 :E -T- %-P F=1 L_ 3: C-0 F= f--1 R! ID r -A r=- ke E"n F2.' F:- F -'§D r-1 :E I JL=_ I CERTIFY THAT L: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET ::f_fRTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 1 GNED PPLICANT ROB :fir°'. ,/�. �,, GRE�,�R ANCHORAGE AREA BOR,jGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 IN-PECTION REPORT CSN -SITE SEWAGE ®ISPOSA4�/SYSTE NAME _�f=mac%j MAILING ADDRESS' ' / jl `�` -1 PHONE I LOCATION:. " } )r't \; 1); r/ GLEGALi DESCRIPTION 1 SEPTIC TANK: DISTANCE NUMBER OF FROM WELL MANUFACTURER hr MATERIAL � ts� COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY / L GALLONS. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL Y FOUNDATION _NEAREST LOT LINE ✓ OF LINES /—`a E NUMBER OF LINES z — DISTANCE BETWEEN LINES TRENCH WIDTH=' IN. TOTAL EFFECTIVE ABSORPTION AREA 3 SQ. FT. LENGTH OF EACH LINE I DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE CIL MATERIAL BENEATH TILE_ IN. ABOVE TILE ' IN. WELL: TYPE—i— CONSTRUCTION BUILDING ` NEAREST NEAREST FOUNDATION LOT LINE , SEWER LINE CESSPOOL , OTHER SOURCES APPROVED_ DISAPPROVED REMARKS SEPTIC TANK_ DEPTH DISTANCE FROM: SEEPAGE SYSTEM_ DISTANCES: _ DIAGRAM OF SYSTEM INSTALLED BY. J j i SEWER LINE DEPTH: Zy I �2 PIPE MATERIAL: "-T LOT SLOPE: REMARKS: Form EQ -032 j)� i DATE ' APPROVED G.A.A. B. 'IT Din r-lUr-JlC--ll IL-1-ro-e CIF= F:§tlAi__--", DEPARTMENT OF HEALTH AND ENVIRONMENTAL PPOTTI0t_ 2510 E. TUDOR RD. , ANCHORAGE.; 99507`1 276-2221 PERMIT NO. 76201 lzi - fN ��IPPLICANT ROBERT S JOHN P 0 BOX 177 €'; Vit; _OCATION LIGHTEVTP_V_� _EGAL L109 SEC 5 T15N RIW LOT' SIZE _34549 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS,: DRAINFIELD IA.`�IMUrq NUMBER OF BEDROOMS 3.' `3 0 1 L RATING (,SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). TiE TRENCH WIDTH FOR DDA INFIELDS IS 3 FEET. THE GRAVEL DEPTH is THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUIrFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FZEE 119 RLJ I F;; -'F-=- E:*-'- tF. a: F= -r I IC- -r F: I °- ~= '=-. I a'[=- ::L 971171 ID E73 -F7 -o I- L_ @_-� r -J nH� 3ACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS )EPARTMENT WILL BE SUBJECT TO PROSECUTION. IINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL. SYSTEM IS 1.00 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER I NSTALLAT I ON. it I CERTIFY THAT L: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SE14ERS AND WELLS AS SET _ORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. .1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE ZESIDENCE IS REMODELED To INCLUDE MORE THAN _3 BEDROOMS. A��PLICANT ROBER JOHNSON ISSUED DATE_�=L , LL 0 & E GEM -CHNI CAL & DEVELL Russell Oyster 694-2774 Soils Et Foundations Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Earl Ellis 688-2280 Land Development M LojLChLrterisjt Aq___ SL 5- 6 7 8 9 12-- 13 14 A>—) Ground Water Encountered: yes. No— If yes, what depth V North Birchwood Loop Road, about � to 3/4 mile in, blue mailbox with the name Gilmore on it, looks like a birdhouse. Turn right onto the street near there Scenic Drive, about 3 blocks in the house is unpainted and the equipment out front. NV I'V tv, MU',NICIPALITY OF ANCHORAGE ~_/4~{~ /~_z~L~ ~.2 OF~ HEALTH AND ENVIRONMEN- . PROTECTION L 'Street, Anchorage, Alaska 99501~ ~ ~,~ 2'179--25].1,ext. 224 or 225 ~~ /~ Date Received: June 23, 1977 I~3: Time Date Date Insp Insp REQUEST FOR APPROVAl OF INDIVIDUAL SLWLR AND WATER FACILITIES 1. Lending Institution Requ~est: Security Pacific Mortgage Mailing Address: 1011 E~st Tudor Road, Suite 2190 Phone: 276--1933 2. Cynthi~ Property Owner: Mailing Address: Legal Description: Lot Single Family Residence:) (~ Multiple Family Residence: ( M. Brown/Carolyn L. Langdp~one: 1 of ]lot 109 Section !5 Ti5N R1W Number of Bedrooms: two Number of Bedrooms: 5~ Well System: Individual well ~) Co~mmn%ity/Public System ( ) Permit ~t Depth of Well 101 Well Log on File Construction Bacterial Anal ysls ( ) Sewage Disposal System: iOn-site System (~ Public Utiliny ( ) S_pt:,c Tank Size cDcD Distances: Well to Septic Tank to Sewer Line ~ Nearest Lot line Manufacturer --C ~ ~E"5.~?~' Soils Rate_ Material to Absorption Area Absorption Area to Nearest Lot Line Page Two Department of Health and Environmental Protection Request for Approvai of Individual Sewer and Wa~2er Facilities Lo% 1 df Lot 109 Section 5 T35N R1W Legal Description: _ ,Comments: Affadavit Attached: ( ) Letter Attached: ( ) Disapproved: Ds te: De. partment Worksheet: 1 �c. t y' tt l L~I II I~/../ Department of EnVironmental Qu~,t'ity ~'0~ 3330 "C" Stree~,~ A~chorage, ~laska 995a3 274-~5~t: ~ ~y~ Date Received June 14, ].976 ~-~ :~ ~/ ,~ [~~I-~ Date of Inspection ~76 Conv. 1. ~pproval requesged by: s curetz ~ac~f~c Mailing Address: 319 Wes~ 5th Avenue, 99501[ Phone: 272-9501 2. Property Owner: Robert S. & Sharon Johnson Phone: 688-6~.~3 Mailing Address: Post office Box 177, Chugiak 3. Legal Description: T15N iR1W Section ~ Lot 109 4. Location: Scenic DriVe off of North Birchwood Loop Road Type of facility to be insp9cted Single Family No. of bedrooms 2 Well Data: A. Type Individual C. Construction Sewage Disposal System: On-site A. Installed _. C. Septic Tank: D. Seepage Pit: E. Disposal Distances: A. Well to: Septic tank 1. Size 1. AbsorPtion Area Field: Total lOngth of lines ~0 / , Absorption area Nearest lot line ~ i , Other contamination B. Foundation to septic tan~ ., Absorption area C. Absorption area to nearest lot line __ B. Depth D. Bacterial Analysis system. Installer 2. Manufacturer 2. Material 101' / /o~, ., Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re( t!for Approval of Ihdividual .o Legal Description T15N R1W Sect~ion Lot 109 r & Water Facilities Comments Approved. ~/~u-~6~ .'Disapproved Approva! ~Valid for one year from date signed Greater Anchorage A~ea Borough, Department of Environmental Quality DIAGRAM OF SYSTEM Date ~_~Z~__~ certify that the informatio contained in this request for approval to be a true and accurate representation of th6 subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) Type of Inspection: MUNICIPALITY OF ANCHORAGF DEPARTMENT OF HEALTH AND ENVIRONMENTAL. PROTECTION 2510 East l'udor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CMRO VA_ FHA, Property Owner:_Cynthia M. Br~wn and Carolyn T,. Mailing Address: ] Day Phone:_ Name of Buyer: Rodp. cy W. 5 C~ol ,]. M~ Mailing Address:_ 1400 Atktns~. An~hn~? ^l~.k~Day Phone:_535-7'/00 Name of Lending Institution: SECURITY PAC[F[C HORTGAGE CORPORAT[0N Mailing Address: lo1~ EastlTudor Road Suite 190 .Phone:_ Name of Realtor or Agent:_ none Mailing Address: Legal Description: Location: 7. Type of Facility to be Inspected: SJ.n~le ?am±].y CONV ×× 8, Water Supply Phone:_ Lot 1~ of The U. S. Gobernment Lot 109. Sec 5~ TN IS N; R ~W: ~cebuc DriYb off of North Birchwood Loo? Road No. Bdrms. ? Individual XX Type of Supply: Public Utility. If Individual, number of dwe!lings presently served If Individual, depth of well ~ 101/' 9. Sewage Disposal System Public Utility__ Individual (on-site)_ XX Type of System: If Individual, date of installation 72-O03(3/76}