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Home My WebLink AboutSAND LAKE #2 BLK 4 LT 165and LaV4 511) *a o(l � 135,,,.3 1 w- 0 p - lb a 9 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 NAME PHONE NEW E]UPGRADE MAI LI NG ADDR ESS r A kici I LEGAL DESCRIPTION (G_) R K SA K F - LOCATION NO.OFBEDROOMS DISTANCE TO: Well Absorption area Dwelling I Q_ PERMIT NO. 0 o &) Cie, PZ Manufacturer Material No. of compartments LLI I.- �F tV1 C) to Lic. capacit in gallons IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well I Dwelling I PERMIT NO. _j a z 0 —Z <K X �_ Manufacturer Material Liquid capacity in gallons a _j DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. C� Lu x 1110 �3 a 0 0 Lu _— z No. of lines Length of each line Total length of lines Trench width Distance between lines _jE PzW /-/0 CD inches < x cc I.- Top of tile to finish grade Material beneath tile Total effective absorption area inches Length Width Depth PERMIT NO. LU 0 < Type of crib Crib diameter Crib depth Total effective absorption area Lu to Well Building foundation Nearest lot line DISTANCE TO: class Depth Driller Distance to lot line PERMIT NO. Lu Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: L OTHER PIPE MATERIALS SOIL TEST RATING LL. INSTALLER f,j A/ llr— IV 1 41 REMARKS 31� O'C' Lz 0 947 4 97H % *1e. _'.1 JUNE 25o 19U z — --e 2�1 N , A0F _JN 4r - APPROVED DATE LEGT\L (94 F� V, q """&e z "'Z' 72-013 (Rev. 3178) VIU" II::- I aF= nNO , DEPARTMENT [ "HEALTH AND ENVIRONMENTAL DTECTI8N ^. 825 'L STREET/ ANCHORAGE, HK. 99501 264-4720 /(V/, Lu�_, � 111 IfJF=L-L- PERMIT NO. ( 830098 > APPLICANT JIM SPERN8K 8231 SAND LAKE RD 99502 LOCATION SINGLE FAMILY DWELLING ONLY LEGAL L16B4 SAND LAKE #2 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRHINFIELD MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: -�t ��V-J9:3_T_"= ��FiavffE:L_ C-xE:lFl`lF"� jL THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIB-D. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). F"F= Lljj_[E_s_r" I _�_- IS. ��E], C-:1 F=F= E=_ -r, THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). �U I F;- FEC -9 ��1 0::-- ��" F-1- "—:=. l ;E E:� �:R!Tu 109 �F::l L_ I ED P -4!S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE . INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -rLqcd < � _-_a I I Cl"_�-. �F=C-!U I F3_wE"C-A —~_ 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. ��T -r F:�m I 1:;;-m E: a_::� 0- E: ol� F:- lr-1 E. F:- F2- �� I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR 8N -SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE 8N -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. � SIGNED� ISSUED B9 ----DHTE__��_Z�_~ V4.0 xSOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: aj -(�rpe & 1z' DATE PERFORMED: LEGAL DESCRIPTION: 13 v S&R 1) V-Ak E I SLOPE SITE PLAN Reading E ER I I S, Net Drop 15 7 *.:49-rm 16 A 222 17 00. NE 254 1971 Aw 2- - ONAL P1 L— I — . 1 1 3 G kz/ I C A N 5 .elf Q—A V L� L_ 6- 'C N 1 1 7 - d, 8 0 �-k 0 9 - 10— 11 WAS GROUND WATER S ENCOUNTERED? L 0 P 12 - E IF YES, AT WHAT 40ja�DEPTH? 2, 13- Reading Date OF Aj IkA, �4- Depth to Water Net Drop 15 7 *.:49-rm 16 222 17 00. NE 254 1971 Aw 18 - ONAL 191 20 Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE �CQ� 011KI PrT%A/P:P:Kl PERFORMED BY: -y' -� CERTIFIED BY: 72-008 (6/79) �� A hl� (minutes/inch) 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 S 0 1 L I N F 0 R M A T 1 0 N LOT 16, BLOCK 4 SAND LAKE # 2 Soil is well graded gravel to 14 feet. No ground water was observed. OF A! -%X -'49TH W see 060 qf� 0 o. 2 25-E JUNE 1971, CONSULTING ENGINEER Jim SDernak 8231 Sand Lake Road Arichorage,Alaska 99502 LEGAL: SEPTIC SYSTEM -SAN-ITARY—CAP SURFACF GRADING: CASING ABOVE GROUND T Y -P E - 0 F -W E L L : F ' �S*A( �225-E 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 November 9,1983 WELL INSPECT10N Lot 16, Block 4, Sand Lake #2 Distances ok. Caps in place Yes Yes - 1 36 Inches CT—as s C �11 A I nchorage Well' / Pump Service 0 a - C (1) E TEST PUMP REPORT C 0 Jim Sniernak Lot 16 Block 4 FL Sandlake Subdivision #2 248-1564 U Well DeDth 294 Ft. DATE TIME RATE 66 C a) 0 6901 Tanaina Drive 9 Anchorage, AJaska Static Level 121 Ft. DRAWDOWN 130 138 147 165 171 175 177 179 180 181 182 183 183 183 183 183 10 10 0 0 10 0 0 Lel E 0 1. C 0 E I Domestic and Industrial Pump Sales and Service a Water Well Service, Water Treatment and Conditioning . 0 8/15/83 3:00 P.M. 16 G.P.M. U 3:05 P.M. 16 G.P.M 3:10 P.M. 16 G.P.m. E 3:15 P.M. 16 G.P.m -a 3:20 P.M. 16 G.P.M C 3:25 P.M. 16 G.P.M C -D 3:30 P.M. 16 G.P.M 3:35 P.M. 15 G.P.M 3:4o P.m. 15 G.P.M 3:45 P.M. 15 G. P. M 3:50 P.M. 15 G.P.M. (D 6 (D 3:55 P.M. 15 G -P -m 4:oo P.m. 15 G.P.M. 4:05 P.M. 15 G.P.M. CL E 4:lo P.m. 15 G.P. M - 8/16/83 8:30 A.M. 15 G.P.M. 3:45 Shut Down a) C a) 0 6901 Tanaina Drive 9 Anchorage, AJaska Static Level 121 Ft. DRAWDOWN 130 138 147 165 171 175 177 179 180 181 182 183 183 183 183 183 10 10 0 0 10 0 0 Lel E 0 1. C 0 E I Domestic and Industrial Pump Sales and Service a Water Well Service, Water Treatment and Conditioning . 0 Time -APPLK NIT FILLS OUT UPPER HAI� '�,)NLY P rclIP3 e ri7y� 0 w n �er Phone Date Date Date Date Inspector Buyer Inspector Address Zip Code Lending Institution PUIT. or ENVIRONNI,-miAL Address Zip Code :Phone -7 Realty Co. & Agent 14 t) APPROVED BEDROOMS *CONDITIONS OF APPROVAL Phone Address CONDITIONAL APPROVAL' Zip Code DATE I I ( C-> 7�' Legal Description C -- BY: — Soils Rating Street Location Well To Absorption Area Well Log Received Septic Tank Size Type of Residence 0 Single Family O�Multiple Family No. of Bedrooms— [-] Other Water Supply 11 Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. 13 --Community For wells drilled prior to that date, give well depth (attach log if available). 0 Public Utility Sewer Disposal P�Indlvldual Year Individual Installed: L1 Public Utility When Connected to Public Utility: 0 Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: PUIT. or ENVIRONNI,-miAL -RECEIV ED 14 t) APPROVED BEDROOMS *CONDITIONS OF APPROVAL DISAPPROVED CONDITIONAL APPROVAL' DATE I I ( C-> 7�' C -- BY: — Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72 023 (31a2) CONSTRUCTION AND.OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM - APPROVAL TO CONSTR Plans for the construction of Z 0 T 16 1 IV C t Cq) V 0 1 .9 1 a Q ( 4S's public water system I ocated in I7j/ICkQVCkrC Alaska, submitted in accordance with 18 AAC 80.100 by �_Tl �'VILA r -e -y- b1l a have been reviewed.a,nd 'are X approved. conditionally ap pro ed (see attached conditions). v 2 hl ; — / — �-/3 C e ig BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. .APPROVED CHANGE ORDERS Change (contract order no. Approved by. Date or descriptive reference) 10au-e t�e IS-(:) toell -6o �,cp4ic 01 I�f Q VAC -e / I r� 4+ '4�,/ . _", '�� , _141114 — --,2 — I — The "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of the public water system was completed on (date). The system is hereby granted interim approval to operate for 90 days following the completion date. BY T DATE As -built plans submitted during the interim approval period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted final approval to operate. 0 ite By TITLE DATE