HomeMy WebLinkAboutDEBORA BLK C LT 8V, I f, I �,
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GREA , ER ANCHORAGE AREA BOR.. jGH
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Department of Environmental Quality
P Y
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME-� MAILING ADDRESS -- A'S'E �. n99s7y _ PHONE
p"� /C5S
LOCATION �2 LEGAL DESCRIPTION. /7 L ASL GAJ
SEPTIC TANK:
DISTANCE%`f / n, NUMBER L
FROM WELL �MANUFACTURER � Rei MATERIAL COMPARTMENTS
INSIDE LENGTH 8y / INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY LeGALLONS.
TILE DRAIN FIELD:
/ /
TOTAL LENGTH -,
DISTANCE FROM WELL /CS FOUNDATION NEAREST LOT LINE /A OF LINES `� /
NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDTH 3 IN. TOTAL EFFECTIVE
ABSORPTION AREA 3/n SQ. FT. LENGTH OF EACH LINE
S,/ DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
DISTANCES: _
CONSTRUCTION
NEAREST / NEAREST
LOT LINE, SEWER LINE
OTHER SOURCES
DISAPPROVED REMARKS
INSTALLED BY: /11_�
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form EQ -032
DEPTH DISTANCE FROM:
SEPTIC ��jj[[JJ/ SEEPAGE /
TANK, SYSTEM /n'r
f'Ie7el � V DIAGRAM OF SYSTEM
DATE "Y %//U APPROVED
G.A.A.B.
a rlur4 ICI nL_ I T',' CAF= f=lrj .H 11F?HGE X/"DEPARTMEFIT �HEALTH AND ENVIRONMENTAL?OTECTION 122516 E. TUDOR P.D., ANCHORAGE, AK. 90507276-2221 /,Dvo&
CA PERMIT PUJ. ( 76526 rJ—ITE cEWEFt' F'EF=:r�1 I TI•10 /r:'
APPLICANT JIM WFATHERBY GEN DELIVERY E. P,. 99577 4-9551
LOCATION MERCY DRIVE
LEGAL LS BC DEBORAH SUE LOT SIZE 10275 SQUARE FEET
TYPE OF SOIL ABSOR:BTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SO FT/ER)= 100
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
C•EF•TH= 12 LEr4G1FF-1= ZEAL GFS'fA% EL GEF•TH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A 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).
F=:E�11_1 I F= EC• QEF T I C TFIrdFC S; I LE= 1 y y i GRLL0r+i55
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 200 FEET FOR A PUBLIC WELL.
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
INSTALLATION.
F'EF:M I T 'ti�Y-IL I Lti F-L1F: OrJE "r'ERF' F= Ft:0r-1 I E:SL.1E
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 IH ACCORDANCE WITH THE CODES.
_. I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INPLUDE MORE THAN 3 BEDROOMS.
SI
IS
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VVV ✓�� ,
0 & E GEO , CHNI CAL & DEVEL� MENT CO.
Boz 90, Davis St., Eagle River, Alaska 99577
694-2774 or 686-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Soils & Foundations Land Development
Performed for: Name:_C��. ��.M ��p.�c-�-4�SLy5Y Tel. No.
Mailing Address:
Legal Description: T1%i84aa'A
Depth (feet) Soil Characteristics
0-
1
2
3
4
5
6
7
8
0
10
\41
(y` o ,moo �v.2 �1r� Se•vs.
11 G� - c7q.t�Y c6cUv.L�� W,rh Cac3Bt�c5 A.Jfl
r�� . ��Duy,pSJLS 'fid 'z LA
a[Lj'+ti 0�1gv.
13
1L
15
16
Ground Water Encountered: Yes No If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments: %V
Performed by: -1-"
Date' 1a1'7r
h.7� p/sem
� u4�FSl�
hlVNIICWAUTY OF PD,CHORAGE
cert: OF HcALTIi r. M -W DRILLING, Inc. _.
EM'IBCN!:'.:vTAI P^JTEaICN P.O. Box 4-1224 - 1310C International Airport Road
(907) 274-4611
FEAR 15 ANCHORAGE, ALASKA 99509
RECEIVED DRILLING LOG
Well Owner Jim b;eatherbv Use of Well Dor?
Location (address of: Township, Range, Section, if known; or distance main roars
LII. B1k C. Deborah Subdiv., Fa River
Size of casing---6---Depth of Hole 75 feet Cased to 75 feet
Static water level 63 ft. ' ('a'bove) (below) land surface. Finish of well (check one) open end ( );
Screen ( ); Perforated ( ).
Describe screen or perforation None
Well pumping test at 5 gallons per (Wi)' (minute) for----I--hours with - 100L ft:
of drawdown from static level.
Date of completion 24 Feb 76
WELL LOG
Depth in feet from
ground surface
Give details of formations penetrated, size of material, color and hardness
TO .2
Casina STickun
TO 4
Organics
g TO 10
Clayey Gravel
101 TO 11
Silty Grsvel
11 TO 16
C1;\1?Py Gr Ayol
1r TO 1B
RoulAer
1 FITO 97
c�hblar
TO ao
Silty gAn•1
Fn TO A5
S�e9�• C r,wrt e ... t
�� TO T1 rr^...,lir f t,�•
TO
-TO-
O
0-
O
0-
O
C..; NE"S. 81-i L 3
2
2 —STATE
MIJt�F I iC I C�iL I TY OF RNCHG�RRGE
DEPARTMENT ( HEALTH AND ENVIRONMENTAL )TECTION
2510 E. TUDOR. RD., ANCHORAGE, AK. 99507
276-2221
LJELLL F"EFZM I T
PERMIT N0.C76022)
TIM WERTHERBY GEN
LOCH11ON MERCY DP,
LEGAL L8 BC DEBORAH
LOT SIZE 10000 SOFT
MINIMUM DISTANCE FROM WELL TO ANY
SYSTEM IS 100 FT FOR A PRIVRTEWELL
WELL LOGS MUST BE RETURNED TO THE
COMPLETION.
DEL E. R.
6949551
SEPTIC TANK./PACKRGE PLANT OR SOIL ABSORPTION
AND 200 FT FOR R PUBLIC WELL.
DEPARTMENT WITHIN 30 DRYS OF THE WELL
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS
AS SETFORTH BY THE MUNICIPALITY OF ANCHORAGE AND WILL INSTALL IN ACCORDANCE
WITH THE CODE. /I ) A n
SI
I
1
DATE. °Z/ T,��
A 1
4
M
5. LEGAL DESCRIPTION
DATE RECEIVED
STREET LOCATION
INSPECTION APPOINTMENTS
4
6. TYPE OF RESIDENCE
n
SINGLE FAMILY
TIME
TIMEn'
TIME
❑ MULTIPLE FAMILYTwo
on LID
rt'N
1'.�n- lY1ff 14(190
ItL INDIVIDUAL-
DATE
DATE L7Z
DATE
❑ PUBLIC UTILITY
INSPECTOR
INbI`LUIUH
INSPECTOFj�
XINDIVIDUAL/ON-SITE"
/_ /) EAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
''11
n T -i
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
- CcLLS retia rn� yaatLMUNICIPALITYOFANCHORAGE
'ICIPALITY OF ANCHORAGE
DEPT.
OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOWNVIRONMENTAL F;,OTECTION
1 `
825 L Street . Anchorage, Alaska 99501
JUL 1 1981
L.L o ENVIRONMENTAL SANITATION DIVISION
1Ge 01-t-12—Lk
to Telephone 264-4720
Sl
APPROV
R C
DREU
FOR L Ob%1WUAL WATER AND
SEWER FC
DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing.
1. PROPERTY OWNER
PHONE
MAILING ADDRESS /1 / l7
fdifferent
PROPERTY RESIDENT (if from above) V
PHONE
no..
2. BUYER
Fi
/A
VIP`D
MAILING ADDRESS //ll rr
�V ' C
3. LENDING INSTITUTIONPHON
MAILING ADDRESS ,f
e. REALTOR/AGENT
PHONE,
MAILING ADDRESS
M
5. LEGAL DESCRIPTION
STREET LOCATION
4
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
SINGLE FAMILY
❑ One ❑ Four ❑ Other
1:1Five
❑ MULTIPLE FAMILYTwo
❑ Three ❑ Six
7. WATER SUPPLY
ItL 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
XINDIVIDUAL/ON-SITE"
/_ /) EAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72010 (Rev. 6/79)
w
U
72010 (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
❑ PUBLICUTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON-SITE
❑PUBLICUTILITY
Connection Verified
PERMIT NUMBER
DATEINSTALLED
1(� —�(o
INSTALLER
❑Septic Tank or ❑Holding Tank
Size: I 00o If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
v�
4. DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
r
EVAPPROVED FOR Z/ BEDROOMS
LT CONDITIONAL APPROVAL (letter must company certificate)
❑ DISAPPROVED
DATE
--)9C
BY
y1^/,
` C Z�fi
72010 (Rev. 6/79)
CHEMICAL & GL_LOGICAL LABORATORIES ILPF ALASKA, INC.
TELEPHONE 19071-2794014 ANCHORAGE INDUSTRIAL CENTER
. � 274-3364 SW3 9 Street
Drinking Water Analysis Report for Total Coliform Bacteria '" a
TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY
WATER SYSTEM:
I.D. NO.
Water SyaNm Name ( t It No.
Meiling Address •�
City j
State Zip Code
=
SAMPLE DATE:
,
Mo. Day
Year
SAMPLE TYPE:
❑ Routine
❑ Check Sample (for routine sample
with lab ref. no.
t ❑ Treated Water
❑ Special Purpose
❑ Untreated Water
SAMPLE Time Collected
No. LOCATION - Colleetad By
3
4I
S
Analysis shows this Water SAMPLE to be:
❑ Satisfactory
❑ Unsatisfactory
❑ Sample too long in transit: sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
❑ Fermentation Tube
❑ Membrane Filter
Lab Ref. No. Result' Analyst
l I �
i m
J m
•No or C010 r5/100 W a No. or Pe4ere W1,om
06-1220(b) BACTERIOLOGICAL WATER ANALYSIS RECORD
- aae. 1979
Dale CoNaelad Source
READ INSTRUCTIONS ' A.M.
tale RecMrM Tlme ReoNeed P.m. Lao. No.
Preturrrott" 1 10M 1 10.1 1 10.1 1 10.1 1 10.1 1 ..ad O.ImI
BEFORE
EMO arot. 24 heura, wroth 49 hours,
COLLECTING SAMPLE Mwaple Tlea R.O.", 10mi Tub" PwtNwrrow 19rrd Parttar
Membrane raw, Direct Count CWlrermnppnl
Verification, LTO BOB
Final MamNana Filter Raal ltz / " Ca117orrn/18"1
Bewailed NY �.• Dale
t
TN.e•
P.m.
r r-41
Beatrice ribby
Box 187 Mercy Drive
Eagle !Uver, Alaska 99577
MUNICIPALITY OFANCHORAGE
DEPT. OF H`_ -.LTH &
DAVID A. SLENKAMPENVIRONMENTAL i.,CTCCTION
MECHANICAL694-9055 ENGINEER JUL n 198
July 5, 1981 RECEIVED
Dear Mrs. Ilihby,
Reference: Lot 8C: Debra Subdivision
NUUUu :.i,,i U,
CIVIL I Nt IN, LIt
694 2979
A sewer system adequacy test was performed on the system lbCaL,•.1
on the referenced property as you requested. The septic tank w.,,s
pumped and verified to have a capacity in excess of 1100 gallol::.
The absorption trench was tested by a continuous flow of 311
gallons of water over a 24 hour period without any rise in tho
water level in the sump at the end of the trench.
It can be concluded from this test that the waste water dispo;;,!
system s(�rvinq the two bedroom residence located on this propc7:v
is currently functioning adequately. however it cannot be guaranteed
against subsequent failure.
If we c.l.. I..• of I art hor assistance, please do not hesitate to c, l : .
Sincor,. I ,•,
10
I'Wl' A. :711A171•:I:, I .I:.
Municipality of Anchorage
Department of Health and Environmental Protection
Chugiak :::,,lle Itivljt Realty
ATTENTILII:: hell t:il>b::
SR6 196X EAGLE RIVER, ALASKA
Department of Health and
Environmental Protection
2510 East Tudor Road
Anchorage, Alaska 99507
276-2221
March 1, 1976
Mr. and lira. James Weatherby
General Delivery
Eagle River, Alaska 99577
Dear lir. and Mrs. Weatherby:
It has come to our attention that your sewage disposal system on
Lot 8 Block C Deborah Subdivision_does not contain a septic tank.
It is now requ zed by law that you install a septic tank and we
feel that it is reasonable to request that you do so by June 30,
1976.
Also, since you mentioned that the cesspool is approximately ten
(10) years old we would request that we test its percolation rate
at the time of septic tank.installation. If you should decide
to sell, this operation would have to be done before the sale of
the home.
Thank you for your co-operation and if you have any questions,
please contact us at 276-2221, extension 283.
Since,
rhlb>�aL4�//�/
Robert P. Neale lam`
Principal Environmental Control officer
�f
RPN/ljh ,
C/
`��Z);Jt`'
Department of health:and
Environmental Protection
2510 East ?"or Road
Anchorage, Alaska 99507
276-2221
I:arch 1, 1976
1:r. and Hrs. James Weatherby
Cenral Delivery
Eagle River, Alaska 99577
Dear Fir. and Mrs. Weatherbys
4.1
It has come to our attention that yo-jr sewage disposal system on
Lot 0 Block C Deborah Subdivision does not contain a septic tank.
It is now requ ne y lWv that you install a septic tank ani we
feel that it is reasonable to request that you do so by June 30,
1976.
Also, since you nentioned that the cesspool is approximately tan
(10) years old we mould request that we test its percolation rate
at the time of septic tank installation. If you should decide
to sell, this operation would have to be done before the sale of
the, bo ----e.
Thakl: you for your co-operation and if you have ary questions,
please contact us at 276-2221, extension 203.
Sincerily,
Robert P. dleale
Principal environmental Control officer
TPa/ljh