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Home My WebLink AboutTHUNDERBIRD HEIGHTS #1 BLK 4 LT 4LAnt�2�;�.� 051 LOT 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 O PHONE NPGRADEEW 17 -Z ,3 ❑U MAILING ADD 1E S �% f/ LEGAL DESCRIPTI / LOCATION 1 h/ NO. OF BEDROOMS an ele DISTANCE TO: Absorption ar a (� Dwelling / PERMIj,+O z to H Manufacturer M n (IFMater' i / No. of com ar ents 2 Liq. capacity in allllonns G g IF HOMEMADE: Inside length Width Liquid depth x J t7Z DISTANCE TO: Well D Ilan PERMIT NO. 2?~ Manufacturer Material Liquid capacity in gallons W = DISTANCE T0: �' /r�-If FOnndatl0 ry`rtJ J t— (L Nearest �t lyn / L CJ PERICT N Z J z Z Z W ~ No. of lines / Length o P I' ie ( / t' Total le h f lines Trenc idth [ Distance t er-q li s Q f� Top of the tgtjn�h ge �� Ma erial ben thj5�e +� /(inches LJ&406 k 3Q inches fV Total effective ab orption area Length 9th Width epth OF PERMIT NO. t7 a F w° W Type of crib Crib diameter Crib depth Total effective absorption area CAP DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W 3 DISTANCE TO: Building fou do 7. Sewer line Septic tank Absorption area(s) OTHER 4L PIPE MATERIALS vc T) SOIL TEST RATING /�16q)Z7 INSTALLER ca,vf REMARKS t ya V4 • �,-��ert-A� eo .., APPRO D DATE LEGAL 7L ��O - .S& S Engiacering 72-M3 IRI,v_ 3/781 pF Atti1CF;RAGE DEPARTMENT,' HEALTH AND ENVIRONMENTAL ;OTECTION r 825 '.. STREET, ANCHORAGE, AK. 9S. 11 264-4720 �t�l—� / /f •' Or -4-S: TE :S IJER F=`ERt� I T � PERMIT NO. C 800582 ) APPLICANT K'LEIN CONST. P.O. BOX 2524 PALMER AK. 745-2731 LOCATION THUNDERBIRD DRIVE LEGAL (LOT4 BL'k:.4:THUNDERBIRD,:•HTS. LOT SIZE 21000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (50 FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: L-EF=`TH= 15 LE"C3—r"= 777' 13 F;' EL L>EF="TH= 2_ THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DP.RINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE'SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THE TREr-40H W I D>TH I E; Z3. C3C=ilCH1 FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). REr-_�U I REC? �:3EF='T I (D, -rnN K S} I =E= 22!SCD GAt-L_C) n3 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER, OF RESIDENCES THAT THE WELL 14ILL SERVE. TW0 C 2 ] I ".6S F=> a(:GT I Cattily ARE Ra0U I REC> --- 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-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. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SE14ER LINE IS 25 FEET AND TO A COMMUNITY SEWER, LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=`ERM I T aXF~ I REE~ E>Er=EMEDER 31s 1<,=:I �"C3 I CERTIFY THAT 1: I AM 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 14ITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SE14ER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED T I _ UDE MORE THAN 4 BEDROOMS. ---- -- ICANT KL NS COT. G� ISSUED BY __�r_�� __DATE_l,�,��e _ V4.0 M.DGO" -ENGINEERING SOILS LOG ERC:TEST. Q lolls loq'. percolation t% performed for: T�oy�� T ,fi,L�,✓ : dates Lanni Ammo% /�_f�; ' /� o�G I Oce'-'aM io 7 r tib �� L. IJ7c. •L %%�/v 'SP-- S61J 7H/�v Sa^fS �T' Z5 f;IW '"AA16ZT- ' 'F3Tl� TVA A7 Ground water depth v h Aim • W -M W�� perc. rate' ' Min./ in. between _...�— f f. f t. mformed by: b9, r Test hole #1:,IIndicated bedrock at approximately-6 feet.." No apparent ground water. Test hole #2: Indicated bedrock at 10 feet and standing :_water at 9.5 feet. Test hole #3: ''Indicated: bedrock at 10 feet. No apparent.,-,, ground water. Test holes 4;; Indicated I bedrock between.2-4. feet'. No 5 and,6:-'- apparent ground water. ..Test, hole #7: Indicated bedrock at 10 feet. Slight weeping 'of 'su'rfate* water''- at .5-�C66t-liiyei; 146-- c standing water apparent in bottom.of test hole. RECOMMENDATIONS: 17 .1. 150 sq. ft..per bedroom f6r computation of trench/system size. 2. The moist and firm layer (noted in test hole' "#7)*should be disturbed during the trench installation (if installed in the vicinity of test hole #7). ��.. 5.1 •� r �r•� M11. • fes''. V r �.. �� APPLK NT FILLS OUT UPPER HAL `ONLY Property Owner ; I I I o— Time Phone Mailing Address Zip Code Buyer (J ` Date OV Address - Zip Code Lending Institution IV CA—l Inspector Phone Address Zip Code Ec�o�� a Realty Co. 3 Agent G�� N1CU�G Phone�y-Yz Address 0 Zip Code 'rI"unici;atity of Legal Description'—/rI Street ! Y1 U ►Ad r� r b '+ id k ► I, S �� y I� Location V ept. of Hea; tl Type of Residence �ngle Family ❑Multiple Family No. of Bedrooms- edrooms❑ ( APPROVED BEDROOMS 0Other Water Supply ❑ Individual ommunity ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. Public Utility For wells drilled prior to that dater give well depth (attach log If available). Sewer Disposal Individual Date Sewer Installed ❑ Public Utility Year Individual Installed: When Connected to Public Utility: O Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date OV Inspector Inspector Inspector Inspector Field Notes: p Ec�o�� a J U L 011983 'rI"unici;atity of V ept. of Hea; tl ( APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL A P,R VA L' DATE U1/2r BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received G Well to Tank Septic Tank Size Municipality of Anchorage r�1 P.O. BOX 754 EAGLE RIVER, ALASKA 99577 (907) 694-2131 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 'TaWitAi.mLBI,ep /,ft. leTy alkyr _ Upon your application for Health Authority Certificate approval for the individual sewer and water facilities cannot be granted until the following circled items have been completed: 1. A well log submitted to this office for our files and review. 2. The top of the well casing should be sealed so that it is water tight. 3• The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from -the well casing. 4. The well casing needs to be extended twelve (12) inches above ground level. 5. Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit. 6. The water facilities were not turned on at the time of the scheduled inspection. Please call this office for another appointment. 7. The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. 8. Expose the well for our inspection to determine proper construction, also to insure minimum distance requirements are met between the well and sewer system. 9. The septic tank pumped with a receipt submitted to this department. 10. The septic tank pumped with a receipt submitted to this department. The total number of gallons pumped needs to be on the receipt and verified by a registered engineer as to the actual number of gallons pumped. This is to verify the size of the septic tank. 11. Expose the septic tank manhole to verifty its existence. r� 12. Locate and expose the cleanout to the seepage pit and/or leaching area for our inspection. This is to insure the minimum distance requirements are met between the well and sewer system. 13• A four (4) inch cleanout needs to be installed to the septic tank. 13a. A four (4) inch cleanout needs to be installed to the leaching area. 14. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. 15• A maintenance contract for the Jet unit serving the sewer system needs to be obtained from Consteel Company, 376-5919, and a copy submitted to this office for our review and our files. 16. The permit for the installation of the on-site sewer system will expire December 31,198 . We have not received the as-builts of the installation in this office. If a private engineer inspected the system, please send us the report for our files and review. 17. The application shows the number of bedrooms exceeds the number the on-site sewer system was originally designed for. An upgrade will be required. Prior to any upgrade, a permit needs to be issued from this department. 18. An outside water tap was not available. Please call this office to make arrangements to have an inspector to meet you at the site. 19. The depression over the sewer systems will need to be filled so that surface water drains away from the sewer system. 20. The standpipe to the sewer system need caps on them. 21. The water sample could not be taken due to silt content (turbidity). The well should be flushed clear by turning on a garden hose until clear water is evident over an extended period of time. Please contact this department for a resampling appointment. 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE ❑ Two ❑ Five DATE DATE INSPECTOR INSPECTOR INSPECTOR K COMMUNITY MUNICIPALITY OF ANCHORAGE ❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & B. SEWAGE DISPOSAL SYSTEM DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT ECIROX RONMENTAL P: OTECTION k INDIVIDUAL/ON-SITE"' 825 L Street - Anchorage, Alaska 99501 1 JUIN 1981[ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ENVIRONMENTAL SANITATION DIVISION % (� Telephone 264-4720 R E C E 11� V REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACII 1 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPYOWNERPHONE ®R OSI 7�UG770� -�?3/ MAILING ADDRESS ox As �.e PROPERTY RESIDENT (If different from above) PHONE 2. BUYE PHONE n� to 13111&8 MAILING DRESS t k 3. LENDIINS�i WTION PHONE��! J v C N / MAILINGADDRESS 4. REALTOR/AGE PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS 1:1 One � Four ❑ 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 K COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM k INDIVIDUAL/ON-SITE"' �,)e4-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) 72-010 (Rev. 6/79) 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 INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 0 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL D 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line 773�t Line Absorption Area to nearest Lot Line - 5. COMMENTS ts- APPROVED FOR _BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE g^g, BY 72-010 (Rev. 6/79)