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Home My WebLink AboutSAND LAKE #2 BLK 4 LT 17Sand La SID #a Oil —i 35=n 3(,o vow- 000 LpE 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 V HIVI C PHONE EW ❑ UPGRADE MAILIN ADDRESS (S LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS Y DISTANCE TO: Well I GO�—. Absorption area Dwelling PERMIT N °� a Yeo F Z a Q rn Manufacturer Liq. capacity in ga Ions IF HOMEMADE: Inside length Materi I Width No. of compartments Liquid depth G Y 2 DISTANCE TO: Well Dwelling PERMIT NO. = Z F Manufacturer Material Liquid capacity in gallons 0= w DISTANCE TO: Well l Foundation `Q f Nearest lot line PERMIT N0. jC7y�(O J LL Z Lu No. of lines Length of each line '7 Total Total length of lines �{,s. Trench width inches Distance between lines Q H 0 Lu Q Top of tile to finish grade Length Width Material beneath the Depth � I> Total effective absor tion area PERMIT NO. U aF- wa LU Type of crib Crib diameter Crib depth Total effective absorption area en DISTANCE TO: Well Building foundation Nearest lot line J Lu Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER i PIPE MATERIALS 501 L TEST RATING INSTALLER l y c� REMARKS APPROV 79M_1 (P.,, W7Q1 DATE LEGAL r°-! LJ t--1 I C- I F=" Fzg L_ T -!- a.�®� e 1! r -j C !--! DEPARTMENT C' ^ `HEAL.TFi AND ENVIRONMENTAL F lfE� T:f.i_�td�l 25 ''L STREET, ANCHORAGE: 1=it:. 995,.:,j- 1 PERMIT NO. :aye 440 i c . APPLICANT PAUL RO ELL=iND BOX 4_1324 243 L4fcl. 15]. 7°I LOCATION 82ND .45 SAND LK RD LA A LEGAL. L17 E:4 AND LK S/D #k: LCAT SINE 67C°i0 'S;LL-IARE. FEET ..I_,i,F"'E OF SOIL, ABSORBTION SYSTEM IS.: TRENCH MAXIMUM NUMBER OF BEDROOMS = _ SOIL RATING (SO FT;--'P-F)= 120 THE REQUIRED SIZE OF THE SOIL. ABSORPTION s'T,s—fEr9 IS.: !C a: !�-° ! ! = ®=b !_ FE !" A= ! B ! -= =_ #:3 F4=: Imo' IL_ THE LENGTH DIMENSION IS THE LENGTH (IN FEET:) OF THE TRENCH OR DRAINFIELD. THE DEPTH CSF' A TRENCH OR PIT IS. THE DISTANCE BETWEEN THE SURFACE=' OF THE GF:CllltdD AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF 13RA',IEL BETWEEN THE ClUTFFILL. PIPE AND THE BOTTOM OF THE EXCAVATION ATION (IN FEET). do-. E-= A -fie u :I e 8 u� r-° _-!_. T: w =.- i n !"••°1 Yr=-: w 1 -= &.;;- _.= ::L a:A rD- A 3 A_% Q=A !_-_ !.._- co p-°! 0`3 - PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS: DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF At'd'i WELLS ADJACENT TO THIS. PROPERTY AND THIN NUMBER OF RESIDENCE_ THAT THE WELL MILL -SERVE. _M __• -`_ 8 W Cl 0- °.-_ > 19''a! =a F::"F- 0•:- -1F I Ca !"..°!'__..• F-1 p" z L1= LR --" E-: CA ki I F-111 C__- E-"__— BACk:FILLItdG OFF ANY SYSTEM WITHOUT FINAL. INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. r'1l't•d I MUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE: DISPOSAL S'r TEM IS . 100 FEET FOR H PRIVATE WELL, OR 1.50 TO 200 FEET FROM H PUBLIC: WELL DEPENDING UPON THE TYPE_' OF PUBI...IC: WELL.. WELL LAGS ARE REQUIRED hit'D MUST BE RETURNED TO THE DEPARTMENT WITHIN -:0 DAYS OF THE WELL COMPLETION. DTHER REQUIREMENT_' MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE FiVAILABLE TO i Itdw;LWLRE PROPER INSTALLATION. I CERTIFY THAT L: I AM FAMILIAR WITH 'THE:. REQUIREMENT'S FOR ON --SITE S EbdERS AND WELLS AS SET ORTH BY THE MUNICIPALITY OF ANCHORAGE. ?: I WILL INSTALL THE. SYSTEM IN ACCORDANCE WITH THE C:ODES.. - : I UNDERSTAND D THAT THE ON -'SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF' THE) "ESIDENCE IS REMODELED TO INCLUDE MORE THAN - BEDROOMS. � � ,4�,G('C lY ✓r -c-h IGNED : APPLICANT PAUL. ROSEL AND "SUED (� _ i,C: E.•r._.__..________W._._.___.____._______.-•---_GAPE_. .._'�__L.._-____ ,. V: _. �_. '-� C� December 29, 1978 ;780921 Paul Roseland Box 4-1324 Anchorage, Alaska 99509 Subjects Lot 17 Block 4 Sand Lake Subdivision #2 A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Specialist LNB/1 j w encs copy of permit Re- .,ss.v .�» 14'� 9 ryur -DEPARTMENT OF HEALTH ANDENVIRONMENTAL PROTECTION �v�.cxw�Gl R 825 L STREET, ANCHORAGE: AK. 59501 264-4720 W E L t_ F:711`406 e=r ttil -- •_,ITE :S E W Er -Z F• E F: M I T PERMIT NO. C 780921 9 APPLICANT PAUL ROSELAND BOX 4-1324 24-2—.315.2, LOCATION 82ND/SAND LAKE RD LEGAL L17 B4 =AND LAKE S/D #2 LOT SIZE 6750 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = _ SOIL RATING (50 FT/BR)= :120 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C:-aEE:Fz T"- :L&3 LECA13T" = :&--1 13FZt=i'•.•'FEE L G•F-7Fz TVl= o THE LENGTH DIMENSION IW THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT I5 THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION rIN 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 EXCAVATION (IN FEET). F -,E1 -A1 1 I FRECA SSEF•T I C_ TF=l t-41-< S; I r E= ::L10I t1 13HB_L"t-4 PERMIT APPLICANT HAS THE RESPONSIBILIT,' 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_ "•= F• E 1 : T I C1 UJ S; F1 F:'_ E Imo`. E 1� LJ I F: E -a - r _ BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON -'=ITE SEWAGE DISPOSAL SYSTEM IS. LOO FEET FOR A PRIVATE WELL: OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. 4ELL LCIGS 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 3VRILABLE TO INSURE PROPEL: INSTALLATION. F•EF;,7PM I T EXF• I FR.mE•a• =::IL_ :1.01=+ € CERTIFY THAT L: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET 7ORTH BY THE MUNICIPALITY OF ANCHORAGE. ?: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. -: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE ?ESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. APPLICANT PAUL ROSELAND S SED By ----- ------._------------------DATE---------------- V3. 2 SOILS LOG MUNICIPALITY OF ANCHORAGE • ac DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION Pouch 6650, Anchorage, Alaska 99502 276.2221 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: �i,(„_, i`��,L�j�D DATE PERFORMED: 9//:Z7/78 LEGAL DESCRIPTION: Lo,"r" 17 4 L-.&wt=<ompO r DEPTH V �'�.�\ SLOPE SITE PLAN 2 p2Y — -t - 3 r3Q45'°" 4 q, �d -4 7 ty> 8 11 12 13 14 15 16 17 18 19 20 COMMENTS 4<1 �Qawy �ND CSP X154•' /s"d ✓ f � C3Rowe,4 Mw -- Z04s4-(67 P) Z/ 617 ew, OWJr'wy T440 (SPS WAS GROUNDWATER S m1ar 'M � sem• ENCOUNTERED? L P IF YES, AT WHAT E V DEPTH? aaruct. �Tt P x-11- e Y �'14L_ �PnJ t eJlf Reading Date Gross Time Net Time Depth to Water Net Drop �L a I Reading Date Gross Time Net Time Depth to Water Net Drop �L PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) — FT PERFORMED BY: %.Lj CAVA L._..f:51.4CERTIFIED BYB. .��r/ DATE: 72-008 (7/76) .- WATER WELLS 665 W. 87th Avenue Anchorage, Alaska 99502 WELL CONSTRUCTION LOG HOWARD TEAL 344-0498 Drilling Co. 1� C� USGS no. Driller �f `�G`'� Type of rig ltf- Date well completed Well owner Nearest community 5; G Well location:ddress & legal description Location sketch or remarks 1-1 (-�- uL"-+4a. p a--�A Depth of well 4 ft. Casing: depth ft. diam. in. I�� Static water 'evel_ft. (above, below) land surface. Date Finish of well: (open-end, screen, perforated, open -hole, other) Describe intervals and size; Well yield tested by (pumping, bailing, air) at ,i t� gal/min. for hours with ft. of drawdown from static level. DRILLER'S MATERIAL LOG Depth below surface in land feet Give description of strata penetrated (size of material, color, hardness of drilling, and water content) tlQ C t �C t o � •U'�-� to e 4=0—to100/ Q ✓v l!1 /Jow t0 77Q /�to y 4GC' C hi & t o 2% ;1 0t0 -9,e3 f to -to -t 0 to -t 0 to -t o to to to t0 5. LEGAL DESCRIPTION 1 4 DATE RECEIVED s INSPECTION APPOINTMENTS NUMBER OF,BEDROOMS TIME'. - - ❑ One ❑ Four ❑ Other TIME TIME ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY DATE * ATTACH WELL LOG. A well log is required for all wells drilled DATE DATE ❑ PUBLIC UTILITY depth (attach log if available.) 5 - G - - ref INSPECTOR v J / YEAR ON-SITE SYSTEM WAS INSTALLED. INSPECT j INSPECTOR 2L, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. CL l'1 M01 IUVAL11Y F ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF I' -,`'LTi i & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECO&VONMILE AITAL ?J.::TECTION 825 L Street - Anchorage, Alaska 99501 11 -AY 51980 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 OWNE PHONE MAILING AD ESS , / 2 (V" "�1 �. W 324 PROPERTY RESIDENT (I�f different fr above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTIQN- _ PHON/IE'',��,, MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS - - 5. LEGAL DESCRIPTION 1 4 STREET CATION vli 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS '111 SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY '17 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 ❑ INDIVIDUAL/ON-SITE** J / 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) %�-j(/I�l � I.T V��7 yN�,�j�(i '- I��1 "�ji- �(�'jr"''✓-Lx — \li`^�1(�� JlX ` 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_LOG PERMIT NUMBER DEPTH OF WELL DATE DRILLED RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED g'� INSTALLER - ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING 1 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 CJ--�APPROVED FOR j BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE _�- 3 - go - BY 72-010 (Rev. 6/79)