The URL can be used to link to this page

Home My WebLink AboutSAND LAKE #2 BLK 5 LT 16�. r �' 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 �KN EW 'D (-_'7Aj_LAN T— 156 i —I/& UPGRADE MAI LI NG ADDRESS LI -1111 A R c A K_ of q LEGAL DESCRIPTION L -'o T- L., tLAV-a LOCATION NO. OF BEDROOMS TO: We] I I Absorption area 1 Dwelling PERMIT NO. �e DISTANCE I C) (__' 3 1 q R 3 0 2 Manufacturer Material No. of co ents TK�T < I.- ARL11 r IN KNI S-7_tE E L_ Liq. cap = allons IF HOMEMADE: Inside length Width Liquid depth 6 le DISTANCE TO: Well Dwelling PERMIT NO. _j 02 0 Material Liquid Manufacturer capacity in gallons DISTANCE TO: Well 1 Foundation Nearest lot line PERMIT NO. ?_03_3 LU S i.A; LU _� _j iL No. of lines Length of each line Total length of lines Trench width Distance between lines Z Lu inches < Top to finish Material beneath tile Total effective absorption area cc of tile grade 0 -5 inches Length Width Depth MI I NU. 7 Lu (D 4 Ir- Type of crib Crib diameter Crib depth Total effective absorption area 0. E: Uj LU W Well Building foundation Nearest lot line DISTANCE TO: _j Class Depth Driller Distance to lot lin IT NO. W 3: Building foundation Sewer line Septic tank I Absorption area(s) DISTANCE TO : I I I OTHER PIPE MATERIALS C407 SOIL TEST RATING INSTALLER REMARKS < NXI, 0 F At 76 49LU-1 PA ...... 0 ....... NjA INE 25 1971 -N APPROVED DATE LEGAL 31 RZ 72-013 (Rev. 3/78) TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH ' MAXIMUM NUMBER OF BEDROOMS ] SOIL RATING (SQ FT/BR)= 85 THE REQUIRE[:, SIZE OF THE SOIL ABSORPTION SYSTEM IS ��FA =; �4 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIEL[> 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 EXCAVATION (IN FEET). ��Q U I F --"F= C -o ��-IF I N=- "-=. I =F= �C- I CA C-1 1:3i F::� I I CK " �_=- � PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE i INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE | NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. �~� �� EE E 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 8 PUBLIC WELL DEPENDING .PON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRE[) AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F__ F= F;pl 1-1 11 _r ��F=4 1 P-4 F= -I=. E_ -u 9= I::. 1= 11.1 RE. 9= P-1 � �=__ I CERTIFY THAT 1: I HH FAMILIAR WITH THE REQUIREMENTS 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. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TQ INCLUDERE THAN ] BEDROOMS. SIGNED: ---~- _~ ~~_----.--~~_ UEF'HRTMENT Or HEHLTH HND ENVIRONMENTAL r"QTECTION - ~ ' 825'L, .,STREET, ^ ANCHORAGE/ HK. 99�.1 264-4720 [/ I.-YFER .0 ��TE -FF:' PERMIT NO. ( 837 -'03]5 ) APPLICANT DOUG GALLANT BOX 4 -LL 99509 | 561~1165 LOCATION LEGAL L16 B5 SAND LAKE #2 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH ' MAXIMUM NUMBER OF BEDROOMS ] SOIL RATING (SQ FT/BR)= 85 THE REQUIRE[:, SIZE OF THE SOIL ABSORPTION SYSTEM IS ��FA =; �4 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIEL[> 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 EXCAVATION (IN FEET). ��Q U I F --"F= C -o ��-IF I N=- "-=. I =F= �C- I CA C-1 1:3i F::� I I CK " �_=- � PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE i INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE | NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. �~� �� EE E 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 8 PUBLIC WELL DEPENDING .PON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRE[) AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F__ F= F;pl 1-1 11 _r ��F=4 1 P-4 F= -I=. E_ -u 9= I::. 1= 11.1 RE. 9= P-1 � �=__ I CERTIFY THAT 1: I HH FAMILIAR WITH THE REQUIREMENTS 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. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TQ INCLUDERE THAN ] BEDROOMS. SIGNED: ---~- _~ ~~_----.--~~_ V SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION L1 PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: "Dc)v!% G at-114LKOL DATE PERFORMED: .a c> -T 1 (0, p K 5 0 LEGAL DESCRIPTION: SLOPE SITE PILAN S -T 2 3 4 C-4 PA D M D 6- 0 P SANb L 4 PA Va 1� 0 0 D 0 c 40 10 0 r Ac: op WAS GROUND WATER S ENCOUNTERED? hi D 0 P 12 (00 IFYES, AT WHAT E DEPTH? 13" 1 1 14 15 - Date OF At X�jli 16- Depth to Water Net Drop — TH*17 4 9 a 18 2225-E 4.- " At 19 5. ig;j E 25,4971 20 kt" A Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE �minuteshnch) TEST RUN BETWEEN FT AND FT COMMENTS IRVINE fix(A 1*1b/6 PERFORMED BY: CERTIFIED BY: DATE: 72-008 (6/79) APPLIC, _,NT FILLS OUT UPPER HAL. ;ONLY Property Owner Time Phone Date Date Mailing Address Zip Code Inspector Buyer Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE Address Zip Code ENViRO,'�,',4ENTAL PROTECTION Lending Institution 0 �01 Phone RECEIVED 7) APPROVED BEDROOMS 27/ Address 4z, Zip Code CONDITIONAL APPROVAL' Realty Co. & Agent / I — 0 '�' Phone Address Zip Code C� Legal Description BY: Street Location 0-.-3 1,/ Date Sewer Installed Well To Absorption Area W so'p [Well Type of Residence Septic Tank Size Single Family 11 to T We ank to Tank Multiple Family No. of Bedrooms 0 Other Water Supply "A/ell El Individual ATTACH WELL LO . log is required for all,'wells drilled since June 1975. ll For wells drilled prior to that date, give -well depth (attach log if available). ACommunity Public Utility Sewer Disposal LXindividual Year Individual Installed: f 1171 Public Utility -When Connected to Public Utility: El 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: MUNICIPALITY OF ANCHORAGE DEPT. OF Hci.I.Ti I �� ENViRO,'�,',4ENTAL PROTECTION 0 �01 RECEIVED 7) APPROVED BEDROOMS *CONDITIONS OF APPROVAL DISAPPROVED CONDITIONAL APPROVAL' / I — 0 '�' DATE — C� BY: Soils Rating ____ Date Sewer Installed Well To Absorption Area W so'p [Well Well Log Received Septic Tank Size 11 to T We ank to Tank TOMMM CONSULTING ENGINEER Doug Gallanmt Box 4 -LL Anchorage, Alaska 99509 LEGAL SEPTIC SYSTEM SANITARY CAP 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 October- 31, 1983 WELL INSPECTION LOTS 8,9,16, BLOCK 5, SAND LAKJE NO 5 DISTANCES OK YES SURFACE GRADING YES CASING ABOVE GROUND 36 inches - - - - -wk1k X4 4 9 1 h ... ......... 11 o.,,2225-�,rz v�- UNE 25, 1971 11 1 i�ii 017,01'IRIFE02 InOMEN �PWMTW' ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM - APPROVAL TO CONSTRUCT Plans for the construction of S, CAK6 5,1D *2. _6 qP 14,;%- 0 a L AS r public water system located in—RV CR 0 %Q A(z G Alaska, submitted in accorclan . ce with 18 AAC 80. 100 by pok <x rs- a L A ARTr have been reviewed.and are xapproved. 0 conditionally approved (see attached conditions). 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 QRDERS Change (contract orderno. or descriptive reference) Approved by Date The "APPROVAL TO OPERATE,"'Section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of the fro public water system was completed on /=� A'�> — 6 _> (date). The system is hereby granted interim approval to operate for 90 days following the completion date. BY TITLE IDATE 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 hereb., grant3d fin pproval to operate. TITLE DATE