HomeMy WebLinkAboutSOLAR ESTATES LT 9MUNICIPALITY 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 ;1 t
Ly�wq '
PHONE
J�— /��
SEW
❑ UPGRADE
MAILING ADDRESS�j]/A� ll/^��� //'�{�
(rc"k(1 C
LEGAL DESCRIPTION
i
LOCATION
XAP'No Q 12
NO. OF BEDROOMS
L i
Uy
DISTANCE TO:
Well
Absorption area
Dwelling I
Q
PERMIT NO.
P Q
Manufacturer _
hsaT
Mat rial
No. of compartments
to
Liq. capacity in gallons
I�
IF HOMEMADE:
Inside length
Width
Liquid depth
OJ Z
DISTANCE TO:
WeII
Dwelling
e
PERMIT NO.
_ F
Manufacturer
Material
Liquid capacity in gallons
D
Lu =
DISTANCE TO:
Well
Foundation,
1fa.� I
Nearest lot line
PERMIT NO.
-7 To N)
J LL Z
Z w
No. of lines
Length of each line
3 t71
Total length of lines
Trench width
inches
Distance between lines
p
Top of tile to finish grade f
Material beneath tile t
iacbps
Total effectiv�abbsssorrption area
w
c7
Length
Width
Depth
PERMIT NO.
Q H
w 1
Type of crib
Crib diameter
Crib depth
Total effective absorption area
m
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
w
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
l
PIPE MATERIALS
C rt%
SOIL TEST RATING
SJr
INSTALLER
C�4UCKS ��1C.K���r
tl I
L_
(
IM!
REMARKS
N t4 [T
n
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
^� ~ DEPHRT���T'OB .�����/A�bCGN����NMENT��gBL JECTION
PERMIT NO. C.
HPPLICHNT 601� E
�
LOCATION JHRVI C)rL_')L^u/
LEGHL L9 SOLHR�S/D
4.4~�8Q�.
LOT SIZE 10807 SQUHRE FEET
TYPE OF SOIL RBSORBTION SYSTEM IS� TRENCH
MHXIMUM NUMBER OF BEDROOMS � 4 SOIL RHTING (SQ FT/8R)� 85
THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS�
����11- - R� �� �������� �� ������
. THE LENGTH DIMENSION IS THE LENGTH (lN FEET) OF THE TRENCH OR DRHINFIELD
THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE
GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES
THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRH\�L BETWEEN THE OUTFHLL PIPE
HND THE BOTTOM OF THE EXCHVHTION (IN FEET).
�F-,:d INNII F.", -0 'IE�
PERMIT HPPLICHNT HHS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE
INSTHLLHTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
EE 3- ��� �������� ~��
�
BHCKFILLING OF HNY SYSTEM WITHOUT FINAL INSPECTION HND HPPROVHL BY THIS
DEPHRTMENT WILL BE SUBJECT TO PROSECUTION
� MINIMUM DISTHNCE BETWEEN H WELL HND HNY QN�SITE SEWHGE DISPOSHL SYSTEM IS
� 100 FEET FOR H PRIVHTE WELL/ OR
150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
OTHER REQUIREMENTS MHY HPPL\! SPECIFICHTIONS AND CONSTRUCTION DIHGRHMS HRE
HVHILHBLE TO INSURE PROPER INSTAL LHTION
I CERTIFY THHT
A. I HM FHMILIHR WITH THE REQUIREMENTS FOR ON. SITE SEWERS
FORTH BY THE MUNICIPHLITY OF ANCHORAGE
2: I WILL INSTHLL THE SYSTEM IN HCCORDH@CE WITH THE CODES.
]� I SEWER SYSTEM MHY REQUIRE
RESID ED TO DE MORE THHN 4 BEDROOMS.
~.... ..... .... _..... .... .... _
—�
�PPLICHNT LHRRY HOBBS
f
HND WELLS HS SET
ENLHRGEMENT IF THE
"ARY PLAYER VENTURES
CONSULTING GEOLOGIST
BOX 476-M, STAR ROUTE A • ANCHORAGE, ALASKA 99507 • PHONE 344-7071
SOILS LOG
Performed for �" `�� "���5 Date 4 -
Location so o C �'�/4�3 �y� 3 5 S
r
Sola ( CSA -MA' S
u
2
4
6
Q) 8
v
w
q 30
a
12
Q 14
16
18
20
Soil Type dater Level Remarks
:Total Depth of Excavation Mr Material at Total Depth
�l
Groundwater Bedrock
Not Reached t�Not Reached
Depth, if Reached Depth, if Reached
Classification Method
isua o
( ) Sieve Analysis=^'
( ) Gary F. Player, Consulting Geologist
\�` ' 0 ._iL.-ran
V— V S / v" I S t I. ' W) 0fVT. &'w'c S
J
:Total Depth of Excavation Mr Material at Total Depth
�l
Groundwater Bedrock
Not Reached t�Not Reached
Depth, if Reached Depth, if Reached
Classification Method
isua o
( ) Sieve Analysis=^'
( ) Gary F. Player, Consulting Geologist
e �
` W - E
y, 6
N
06 �6 0
oN ..,,, 2r &,CIL 0
2a'
N 8
30' i0
¢eoOeaeTsao aje�aeos:.*.O
Xt Is the responsibility o? the m,-ner or ,
builder, Prig: to ccl st. ,Cticm. to verity v�• a e • • • • 0
r ' ;O ed beil;il: f':cde r:lative to fin- f� - ALLA W. LkHNUNi :ate
,:, °�• No. 1108•S • -�"�
.cd gr?i'.c nrd �ntill;v ccmlr.�:ioas and �@ ,�� •,
dW CBWiI'IIal;; t P e%l.',tcr.ce of ally vase- ,ylf'r'
VIC!3 Ln, COti'^..) RtJ, oJrt. xe6tr.tcilcz f which Q � •' • • .•.� "�
CIO ''.lot C'pj>f-w OU tbsQ $£TIaLd44 pabdAyl• '�� ':'; • . _. t�
ttkm P
LOT SURVEY CERTIFICATION LEGEND:
® Brass Cap Monument
o Iron Pipe
Lot fq—� , Block Area Sq. Ft. ® Steel Pin
o Survey Hub & Tack
Plat Fife No. Zoning District
Anchorage Recording District, Alaska REvlsio vs DATE I BY
DIC►CMONC)SWPLD ALGA -LEC Residence of:
CSN E(E'RS� ANCHORAGE,
STREET
HCHOP.AGE, ALASKA -
DOM.'o f=7 By Sco%: ��� X o..#
9 rn- D
��''` °-'' t 1 P -z"
5. LEGAL DESCRIPTION
LO 9
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME
TIME
TIME
NUMBER OF,BEDROOMS -
lid
R
i 7\., rt
DATE
DATE
DATE
❑ Three ❑ Six
7. WATER SUPPLY
C- - .. ) nen
INSPECTOR
INSPECTOR
INSPECTOR)
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPT. OF Hc &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT IRONMENTAL P -O
825 L Street - Anchorage, Alaska 99501;;CieCTION
•
ENVIRONMENTAL SANITATION DIVISION APR 2 9 1981
Telephone 264-4720
RR�rr ����
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER�7 ANI
DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER
PHONE
i
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
MAILING ADDRESS /� 7
PROPERTY RESIDENT (If different from above)
PHONE
CC C) Ei Yz
2. BUYER
E
PHONE
MAILING ADDRESS
3. LENDING INSTITUTION
00
PHONE
MAILING ADDRS
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
'�A 4 /S�`��Gy
5. LEGAL DESCRIPTION
LO 9
STREET LOCATION
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS -
lid
R
E:1One Four ❑ Other
Q' SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
-
❑ 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
Cj/'�-PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
❑ INDIVIDUAL/ON-SITE**YEAR
ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
i
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) CSE?�M�c �'/�
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
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED -
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
-`Z U
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: IJ -50 If Tank is homemade
give dimensions:
SOILS RATING
r
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL rte,
4. DISTANCES
WELL T0:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
APPROVED FORBEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY
72-010 (Rev. 6/79)
5. LEGAL DESCRIPTION
rcrPqurr
OF °'Ai`1CHpRq
ENV/RpNrr;
Lo t-
DEPARTMENT OFICIPHEALTH &ENV ENVILITY
RONMENTAL PROTECTION
v),
STREET LOCATION ,
825 L Street - Anchorage, Alaska 99501
CTip
�
DIVISION 2
6. TYPE OF RESIDENCE
ENVIRONMENTAL ENGINEERING sr -
�8
,®
Telephone 264-4720 RErr
II
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILIE�
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER
❑ Three ❑ Six
PHONE
&
c
*.ATTACH WELL LOG. A well log is required for all wells drilled
MAILING ADDRESS
since June 1975. For wells drilled prior to that date, give well
PROPERTY RESIDENT (If different from above) HONE
NoN
8. SEWAGE DISPOSAL SYSTEM
2. BUYER
PHONE
-N
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
i E!%��
MAILING ADDRESS
(00 1 UCc
rose
3. LENDING INSTITUTION
PHONE
L
MAILING ADDRESS
4. REALTOR/AGENT
-
PHONE
MAI LING ADDRESS
5. LEGAL DESCRIPTION
Lo t-
STREET LOCATION ,
135()1 k
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
El One Four El Other
`'% SINGLE FAMILY
❑ Two Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
❑ 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
y
'�:"�O
INDIVIDUAL/ON-SITE**
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTO
INSPECTOR
INSPECTOR
DIRECTI NS:
1. TYPE OF RESIDENCE
SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO `y FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
COMMUNITY
❑
Q PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3.SAGE DISPOSAL SYSTEM
d31`NDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER D/
DATE INSTALLED /
S �!
INSTALLER
Z
�eptic Tank or ❑ Holding Tank
Size: j&`37_0_ If Tank is homemade
give dimensions:
SOILS RATING
4�S
TYPE OF TAN
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL T0:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY (Title) j
LEGAL DESCRIPTION
72-UIU (Rev. 3/76)
May 5, 1951
8? STR ..T
G 99501
(90 ) 26,1-4 1 "1
I H
f3rP %�.� +M14ti-iT OF H -:_i ALTA AND F,14V f R0N.kgr_idl AL PROTECTION
David W. Hines
8650 Kushtaka Circle
9
Anchorage, Alaska )�504
Subject: Cot 9 Solar Estal: S Su.bdivi.si-on
Approval for: HIC-' i_rdividu.al sewer andwater faci_lit _es
cannot be granted unttil the following item has been
completed:
(1) The .r.ecei.pt for the pumping of the septic tank
delivered to this office.
�
f there are any further questions, please call this
office at 264 4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Spec : tea_ list
p ...
RCP/1jW
cc: Peoples Bank and Trust
Pouch 7-007 9951.0
Linda Hiner
Totem Realty
72.4 Salt 15th Avenue
99501