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HomeMy WebLinkAboutSANDY BEACH LT 6Oil 1 I ?.. 1`f 000 MUNICIPALITY OF ANCH013AGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 LStreet -Anchorage, Alaska 99501 Telephone 7.64.0.720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME — PH0N1 EW ❑UPGRADE MAILING ADDRESS c71-1 -7;1 / LEGAL DESCRIPTION //// S�/y� 0�//'�'l/ —Zoo— NO. OF BEDROOMS. LOCATION ( � Y Well Well Absorption area Dwelling PERNIIT10O13/� 7 DISTANCE TO: — VY Manufacturer ,_ Materi � No. of co�pa rtments a 4 w I.- w Liq. cap citrin gallons Inside length Width - Li uid depth q p IF HOMEMADE: ®^ Well Dwelling PERMIT NO. O Y DISTANCE TO: U Z _ `_: Manufacturer Material Liquid capacity in gallons p Well Foundation Nearest lot line PERMIT NO. DISTANCE TO: — LL,-� w_v U. Z No. of lines Length of each line Total length of lines french width inches Distance between lines , / ��/ _ I' '� F To of tile to finis rade r g i Material beneath the / .iflehes - Total effective absorption area 0© 9 z.,�',� n 51 h Length Width — _ Depth PERMIT NO. W Q F. Type of crib Crib diameter Crib depth Total effective absorption area a a w Well Building foundation Nearest lot line DISTANCE TO: Class Depth -- Driller Distance to lot line J =bn J w Building foundation Sewer line Septic tank reals) DISTANCE TO: OTHER PIPE MATERIALS? c s% -f SOIL TEST RATING © Q INSTALLER - _ o �✓�urT N �'>r� REMARKS t � M To c1 I>a� APPROVE[D DATE j LEGAL V 7W - ,tsi/ / p— DEPARTMENT OF HEALTH AND ENVIRONMENTAL. PROTECTION 825 'L_.' STREET, ANCHORAGE, AK. 264.4720 l�r �c'r�C71 PERMIT NO. < 790.316 ) APPLICANT WARD HULBERT 1 340 W. NORTHERN L_TS LOCATION WANDERING & STRAWBERRY LEGAL L6 SANDY BEACH S/D LOT 51-ZE TYPES OF SOIL. ABSORBTION SYSTEM IS: TRENCH 101 Ag C Q:30 ✓�tr31 G�d-�� 277 7825 5.3000 SQUARE FEET MAXIMUM NUMBER OF BEDROOMS, = 4 SOIL. RATING ( 5 0 FT e ESR) = 1.50 THE RECxU I RED SIZE OF THE SOIL ABSORPTION SYSTEM I S : EC's FE. F� -' EI @ —: `L 0 L_ F: rA esi `F t -A 15 �L �i �^ � �'•�' � P__ ia`� �' �a if E THE LENGTH DIMENSION I S THE LENGTH (IN FEET) OF THE TRENCH OR DRA I NE' X EL.D. THE DEPTH OF A TRE14CIA OR FIT Ia THIS DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE:.' 15 NO SET WIDTH FOR TRENCHES, THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE; BOTTOM OF THE EwX::AVATION (IN FEET). "T" fz4 V4 K_ e_:-3 X E -e FT=a. _�I..'Z2 15 E PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DE "PARTMEN T DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCIES THAT THE WELL. WILL. SERVE=. _ _ _r 11.1 < > X P-4 !�3 Imo" Its: C.1- 1 9D"�-5 " V'ti FZ V�71 Fw r`® E�R T F;�, Ems: c=l BACKFILLING OFANY SYSTEM WITHOUT C= I NAL INSPECTION APED APPROVAL_ BY THIS DEPARTMENT WILL BF SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SIT€a SEWAGE DISPOSAL. SYSTEM IS 100 FEET FOR A PRIVATE WELL, OR V-50 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE or PUBLIC.'. WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F�^ Imo: Ery-: N 1EE ! :lL 7as I CERTIFY THAT 1.: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS LS AS SETT FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL. THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE: ON-SITE SEWER SYSTEM MAY RE(ibUIRE ENLARGEMENT IF THE: RESIDENCE 15 REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. 7 �J APDL I C: WARD HE K� BERT ISSUED ICY_ cv "tee; m: - LSAT 7 .�� V3. 2 Df SOILS LOG MUNICIPALITY OF ANCHORAGE MUNICIPAI.ITY c:-,�ICFIOPAGe DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRN ❑;; `rj BROLATION F VViRil�T;\L TEST Pouch 6;650, Anchorage, Alaska 99502 276.2221 SOILS LOG — PERCOLATION TEST w PERFORMED FOR: Iffxz,T— DATE AAR� Ll e �/ee � LEGAL DESCRIPTION: DEPTH ,d SLOPE SITE PLAN A (FEET) C�7 IZ.A/Q���,.if�✓%�-/ 3 �' /r✓J" 4 5- 679 6- 7- 9 10 11 12 13 14 �- Tc;r I;kr7 15 atui? 16 17 W WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE —(minutes/inch) �^/ �-... TEST RUN BETWEEN �s FT AND — FT COMMENTS py i `{- L7 1"dyl�itJ,ca� j-'i�7'P.t :P7JIZ �Z'H i1�'\Vi� �"I�>-�Y%a 170a 'T -L' +,7( 00 12 1 w7g.Q t jAg> L ^55- i"tci T7WL- 4aQNv t iLsl_71?0t�y�'sar"i e__ ` z7 hjie_ l?� 20.61Mrtr"?06 is ice' 1 A LF'r /tel'�Catw.w tieI C%e� PERFORMED BY: \�qi-A �^-/.'�j'✓1S�7j� CDATE: - I� 72-008 (7/76) WELL CONSTRUCTION LOG i Du l nna Co.- Vern t s 1)ri l l i np & �nterDri ea UseCats we. Driller Vern Nowell —Type of rig cable tool _Dace well aosplat+e- 7-14=79 well owner Ward Hulbert N west c+eaunity Anchorage fell location: (address S legal detorlptlon) Lot 6. 'Sandy Reach Location sbleh or remarks Sub. Depth of well 202 It. coming: depth 202 ft. dlam. 6 jr. Static miter level 1121 ft. (sYd9K-below) land surface. bate R-R—IA— 9 Finish of well: (open-end, 4g{rXy{i}()Gyl±K3t1AZxm(r} kvAvXg<jw) oescribo Intervals and silo: fell Yield tested by (pumping, balling, air) et_7 gal/Rin, for. 72 IfDors with 1 It, of drawdown from static level. DRILLER'S MATERIAL LOS ffe below or land coffee urle eI 1n flat , Sive description of strata penetrated (sl:a of material, Color, hardness of drilling and wstar content) to 619 _ silty 68 to 8 ra - ar le silty sand 85 to 705 . gray silt 105 to 120 gray clay 120 to 160 gray silt 160 to J67 Pray silt with sand'& traces of coal. 167 toi 68 168 to 191 sand & gra ve]_____little H2O -^ silt with gravel, tight 191 to 197 heavy silt .& sand 197 to 201 cemented clay -silt -gravel 20.]_ta 202 sand & gravel H2O to to 1Pp submersible pump @ 180, to —to to .oto !o —to-- -to- So to -to- to -to ��" I C'l- I ��I -F 1-e 173 r= �" 9--- U-'`�"' 1-3 E -E DEPHRTMEMT Ur HEALTH AND ENVIRONMENTAL /.�OTECTION 825 'L' STREET, ANCHORAGE, Al-:'. 99501 264-4720 PERMIT NO. ( 8000Z5 ) APPLICANT WARD A HULBERT 6926 TOWN �� COUNTRY DR. 243-6]12 A. �� LOCATION ,�� ~" / LEGAL L6 B1 SANDY BEACH S/D LOT SIZE ~'riOOO SQUHRE FEET MINIMUM DISTANCE BETWEEN H WELL FIND ANY ON --SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. OTHER REQUIQEMENT5 MAY APPLY. SPECIFICATIONS HND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. �FE FZ M T _F ��F=I* 31 FR 1-= 0-=- ��t--; E� Irl 00 EE F< 2�:::L , ���KER I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENT'S FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. APPLICANT WARD A. HULBERT �f ISSUED 8Y�_4_ 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE - NUMBER OF,BEDROOMS SINGLE FAMILY O One 01 Four E7 Other _ 1::7 Two ❑ Five O MULTIPLE: FAMILY E7 Three 0 Six 7. WATER SUPPLY - M INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled E7 COMMUNITY since June 1975. For wells drilled prior to that date, give well 0 PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - s- INDIVIDUAL/ON-SITE** IfN YEAR ON-SITE SYSTEM WAS INSTALLED. O PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECT/\O INSPECTOR INSPECTOR DEPT. OF 1 -ALTi @' MUNICIPALITY OF ANCHORAGE ENVIRONivIEPJI;.- ,;;. ii-CTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street- Anchorage, Alaska 99501 r F- E s t i 1980 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE MAILINGADDRESS J eel PROPERTY RESIDENT (If different from above) PHONE '_a -) — G� Z? 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION �j-�j/� - /] � ( PHONE MAILING ADDRESS 4. REALTOR/AGENT- PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE - NUMBER OF,BEDROOMS SINGLE FAMILY O One 01 Four E7 Other _ 1::7 Two ❑ Five O MULTIPLE: FAMILY E7 Three 0 Six 7. WATER SUPPLY - M INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled E7 COMMUNITY since June 1975. For wells drilled prior to that date, give well 0 PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - s- INDIVIDUAL/ON-SITE** IfN YEAR ON-SITE SYSTEM WAS INSTALLED. O 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 �o �o 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 rn - 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified ___ PERMIT NUMBER �® DATE INSTALLED -- INSTALLER ❑Septic Tank or ❑ Holding Tank Size:_<<_ -60 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ,rte n _ h. DISTANCES Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line WELL T0: ='� Absorption Area to nearest Lot Line ---L�� 'i. COMMENTS &I- A -P -DROVED FOR 4- BEDROOMS ' ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY .. 72-010 (Rev. 6/79) �t S9 , 1 a,�r� o e �.���la�i?��, €fit. �,.., � . II -1J 325 "L_" STRIE:T 'I(P � , ANCHORAGE, ALASKA 9950T' (90?) 264-4111 GEORGE %1. SULLIVAN, MAYOR DEPAHIMI9 :i OF IlEALTI-I AND ENVIRONMAE i% FAL PROT ECTION February 29, 19£30 Ward A. Hulbert 6926 Town and Country Drive Anchorage, Alaska 99502 Subject: Lot 6 San6y Beach Subdivision P, J21 cv"A� Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (1) The water analysis report be delivered to this h0l office from Chem :Lab, 5633 B Street, for our .review. (2) Expose the well for our inspection to determine proper construction, also to insure the minimum distance requirements are met between your we L]_ and sewer system. (3) Expose the standpipes on the on-site sewer system. Please notify this department for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: National Bank of Alaska - - Pouch 7-025 99510 �) .1 o)