HomeMy WebLinkAboutDEBORA #2 BLK D LT 107CI,
NAME
LOCATION
SEPTIC TANK:
eo UNICIPALITY OF ANCHOKAL,E
Hea . and Environmental Prote, 5n
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS
PHONE
LEGAL DESCRIPTION /42 ¢11 16�� ny� -1
DISTANCE �— NUMBER Z
FROM WCLL � MANUFACTURER MATERIAL � COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY //!�GALLONS.
TILE DRAIN FIELD:
TOTAL LENGTH /
DISTANCE FROM WELL ./f_/ � FOUNDATION /71W NEAREST LO LINE 060 OF LINE 'S/
# of Lines J /A -- DISTANCE BETWEEN LINES-Jl /)7 TRENCH WIDThV! IN. TOTAL EFFECTIVE
ABSORPTION AREA d SQ. FT. LENGTH OF EACH LINE 3/1
/ DEPTH OF FILTER /
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILEABOVE TILE ___Y__IN.
SEEPAGE PIT:
_ DIAMETER OR WIDTH_ LENGTH, DEPTH
Log Crib _Rings_ Crib Size:f DIAMETER _DEPTH_DISTANCE FROM: WELL
�- TOTAL EFFECTIVE
BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT.
Well
Class:_JA/D Depth:
Well Distance To: Lot Line
Bldg: Sewer -Line: i
Pipe Materials: c.T {-0/, V,
# of Bedrooms: !�
Installer: A& L�i+nAS
Remarks:
DATE
OEM
DATE
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSO FT/BR)= 140
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
tUcl='7'H=
::L:2 l_LrJGTI-1= :9:1 r
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 CIN 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 CIN FEET).
t<_ct�tJ I ft cC7 �c1='TIC Tt=1r-.11< =• I .Gc= 24=14=1L=1 r1 iLLCtrJ
fJt�C1�HGc I�LI1rJT CF'"i- I t�ttil
A PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE
FOLLOWING CONDIIIONS:
1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED.
2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
---1-L4cj C ^c ] 111Rc
BACY.FILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE
100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC W
OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONS
AVAILABLE TO INSURE PROPER INSTALLATION.
1-� t-= C-1 u 11<_ E P -
APPROVAL BY THIS
DISPOSAL SYSTEM IS
SLL.
TRUCTION DIAGRAMS ARE
IJcF�:M I T cXf=' I f�cS= [�cCcr•1C-pct-� x:1.1
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
100=0401
SIGNED: -
APPLICANT PATRICIA
ISSUED BY
lvl�_
1. S+ lr
AND WELLS AS SET
ENLARGEMENT IF THE
V3. 0
r'-Itir-a 11::: I 1n t7=1 L_ I I -ti- CA r= t=tr-acl-u--ArRI=1C3c
DEPARTMENT /w1-IEALTH AND ENVIRONMENTAL TECTION
IO:CaUA,vL
825 'L- STREET,
ANCHORAGE, AY.. 99501
3:3U
279-2511
tI:UU
•
t_ V4 -:o I I-E7-.cWclZ_
PERMIT
NO. ( 77867 )
APPLICANT
PATRICIA VALAOEME
GEN. DEL. E.R.
277 4571
LOCATION
ELHNUhH
LEGAL
L 1=11 B D DEBORA 02
LOT SIZE 20400
SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSO FT/BR)= 140
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
tUcl='7'H=
::L:2 l_LrJGTI-1= :9:1 r
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 CIN 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 CIN FEET).
t<_ct�tJ I ft cC7 �c1='TIC Tt=1r-.11< =• I .Gc= 24=14=1L=1 r1 iLLCtrJ
fJt�C1�HGc I�LI1rJT CF'"i- I t�ttil
A PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE
FOLLOWING CONDIIIONS:
1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED.
2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
---1-L4cj C ^c ] 111Rc
BACY.FILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE
100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC W
OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONS
AVAILABLE TO INSURE PROPER INSTALLATION.
1-� t-= C-1 u 11<_ E P -
APPROVAL BY THIS
DISPOSAL SYSTEM IS
SLL.
TRUCTION DIAGRAMS ARE
IJcF�:M I T cXf=' I f�cS= [�cCcr•1C-pct-� x:1.1
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
100=0401
SIGNED: -
APPLICANT PATRICIA
ISSUED BY
lvl�_
1. S+ lr
AND WELLS AS SET
ENLARGEMENT IF THE
V3. 0
Cc CL1uc?y
�AG,CE 2ivE2l pc,.OSk••O 5IS77
m
L a T' 10 •%•
fjLoc K DT/p7t�
De6o.zn Su/3D.3
14 7s
A, 75
�< Lea nota Sr2cE r
7-zs•-7s'
37-S
EASE1+eJL!
XSOILS LOG
O PERCOLATION
TEST
PERFORMED FOR: PATj 1r14 A, /%(, 1141-4erE N C= DATE PERFORMED: 9 —I6 — 77
P.O,8o,c p77/77q-, F,gae7t_a Rtva✓, AK. 99577 f9'/ -•AGOG
LEGAL DESCRIPTION: LOT �// BLK • P/ PEBalst/q SUB. "d2 SEC. 2, T/fIN, ,�,z V✓, 5,/11,
DEPTH SLOPE SITE PLAN
(FEET) SILT 7TPS0/L {;J/1QC07-5
1 A'L ¢ O/..cA.V/Cs 775-41,9,e.
z
SAN4}/ 6IZAVEC, V✓/r,',t
3 60861CS To 121", L.9yry
4- qr aosqesE
A1HTFQ/AILS a/'ro
6 y//' /n/
v/H/t1ETE/�
Pis sQ.rT,�B,2,
6
SANDY GAVEL, - FA/.ELY
Ln/9,QSE i19g7-E,E/i- is
Eogr'EO V✓/r/-/ CE/41EA1Tf17'/O/1S
S/Lrs / /q S4>AcL
09 00
47 -
OF S/LT3 /A/ WAS GROUNDWATER
ENCOUNTERED?
124 1 T//E 414re-/u,
13 1 ell"'444 aU?E
/Cons E
14 NO OQ. FT, B„d,
16
16
17
18
19
20
IF YES, AT WHAT
DEPTH?
u�tm�tnsstna�tt��arar�arar��arara�
■■■■■■■■■■
Reading
n �Ln
\�
L
MUNICIPALITY OF ANCHORAGE
Net
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
�
825 L. Street, Anchorage, Alaska 99501 2644720
Time
SOILS LOG — PERCOLATION TEST
XSOILS LOG
O PERCOLATION
TEST
PERFORMED FOR: PATj 1r14 A, /%(, 1141-4erE N C= DATE PERFORMED: 9 —I6 — 77
P.O,8o,c p77/77q-, F,gae7t_a Rtva✓, AK. 99577 f9'/ -•AGOG
LEGAL DESCRIPTION: LOT �// BLK • P/ PEBalst/q SUB. "d2 SEC. 2, T/fIN, ,�,z V✓, 5,/11,
DEPTH SLOPE SITE PLAN
(FEET) SILT 7TPS0/L {;J/1QC07-5
1 A'L ¢ O/..cA.V/Cs 775-41,9,e.
z
SAN4}/ 6IZAVEC, V✓/r,',t
3 60861CS To 121", L.9yry
4- qr aosqesE
A1HTFQ/AILS a/'ro
6 y//' /n/
v/H/t1ETE/�
Pis sQ.rT,�B,2,
6
SANDY GAVEL, - FA/.ELY
Ln/9,QSE i19g7-E,E/i- is
Eogr'EO V✓/r/-/ CE/41EA1Tf17'/O/1S
S/Lrs / /q S4>AcL
09 00
47 -
OF S/LT3 /A/ WAS GROUNDWATER
ENCOUNTERED?
124 1 T//E 414re-/u,
13 1 ell"'444 aU?E
/Cons E
14 NO OQ. FT, B„d,
16
16
17
18
19
20
IF YES, AT WHAT
DEPTH?
u�tm�tnsstna�tt��arar�arar��arara�
■■■■■■■■■■
Reading
Date
Gross
Net Depth to
Net
Time
Time
Drop
........4
r
��
tt
II ,P i• N 1745-E
r
1�>°PR FESSIO�P�
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS 'S LOGE KiR 7',/Q, _ %n A/o jj',ED.Cnc/� 6.VCoyAr7_—e cP0 f5XfAVATc2 K/onoa V
PERFORMED BY: Jet/5S C/ f'$TE,2 CERTIFIED BY:
72-008 (6/79)
DATE: I /I 7
A 0 & E GEO. -CHNICAL & DEVEL�.'MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688.2280
Russe// Oyster Earl dlis
6942774 SOIL LOG 688-2280
Soils Er Foundations Land Development
Performed for: Name:- f Tel. No.
Mailing Address: C,tJ!^a� �:.���><rr •t\r�z. r\�_ ��`��?'
Legal Description: nL�L C7 r' ��rav, �n 7.• .
Depth (feet) Soil Characteristics
0
2
Cotes S+.s S -Tn \ -2�.
o� �l'zJ-Y L-aq��s4- ����v�•�
�%gt. "-c ur-
7
4 c'c£-
7
8
9
to yGYL>v�L-- - ;� a•.;�y Cna���
1401
14
r 1
15 _
16 --�J
Ground Water Encountered: Yes No y If yes, what depth
r _
Proposed Installation:! Seepage Pit Drain Field
[� t I
Comments: _7'. zc,4.�'�v?t 4'7 !\C(' n:\v a�
-�;_��� - Via•.,
Performed by: ��,_ i�, t. --r Date:
1
7/5-
3'11
/J
3'11
TO _
R
O �..
M
SUBJECT (/> / / / ���c I �/' hn/� r� �4 fDATE
MESSAGE
0
i'
i� > >
v '
SIGNED d1 .nom OlsC�li
REPLY
3
SIGNED DATE
04S 472 Sew PARTS i AND S INTACT - • POLY PAK (SO SETS14P472
PART 3 WILL BE RETURNED WITH REPLY.
DETACH AND FILE FOR FOLLOW-UP
January 5•'1977
lis. Patricia A./:. Valagene
cereral Delivery
Eagle river, Alaska 99577
Subjects Lot 10 Dlock D Debora 62 subdivision
on July 22, 1975 you took out a wail permit from this:
department. Sinco then, this office has been unable
to contact you by telephone and has received no infor-
mation fror. you in the form of a well log to indicate
the well was drilled.
It is this department's policy that wall remits are
active for a one (1) year period, waking this permit
invalid. Until further information in received from
you or the well driller, the well, if drilled, can not
be approved.
If there are any further questions, please contact this
office at 279-2511, or comc into our offices at 825
L Street, Fourth Floor west.
Sincerely,
William Dizaon
Principal Environmental Control Officer
TXB/WD/ljh
V
September 23, 1977
476651
Patricia Valagene
General Delivery
Eagle River, Alaska 99577
Subject: Permit Expiration
Dear Ms. Valagene:
A permit issued by this department for well and/or on-site
sewer installation on Lot 10 Block D Debra Subdivision 42
has expired since the issue date exceeds one (1) year.
In the event you still plan to install the well and/or on-site
sewer system, a new permit is required: The original soil
test may be used to obtain a current permit.
If the well has been drilled, a well log should be sent to
this department to document the installation date.
If you have any questions regarding the above matter, please
do not hesitate to contact this office immediately at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Sanitarian
rcp/ljh
P 11 L I T c) F- f=i r -.F ��,t-� _� r;_ n 13 f=
• DEPARTMENI - HEALTH AND ENVIRONMENT& `F:OTECTION
2516 E.' TUDOR RD., ANCHORAGE, AK DY50;
• 276-2221 /
IJr=LFL F'EF='r•7 I T
PERMIT NO. ( 76651 )
APPLICANT PATPTOTA = Riif- GEN DEL E. R. 644-2186
LOCATION ELEONORO ST
LEGAL L10 BD DEBRA SUED 02 LOT SIZE 10335 SQUARE FEET
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE S_WA-4 DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PU 11C '=LL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO T E DEF' RTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS AF•.' AVRI ABLE INSURE F'R,dF'EP,
INSTALLATION.
f 'Eft'r 1 I T '•:'r1L I Ff=if- nt fE 'r' - =1 F--: FF ,_�r l I =•'= 1_IE
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS 'OR 'I -SI E SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF AFS ORAGE.
2: I WILL INSTALL THE SYSTEM IN AC_ORDAF 'E WI H THL_ CODES.
SIGNED:----- - ----------- ----- ---
AP-'LICANT PATRI'IA VALAGENE
ISSUED E:YI�'=--11/-� -` -- a-- --------
GREs :R ANCHORAGE AREA BOI, NJGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
'TELEPHONE 274-4561 Vi
Gf
,w:14
SEWAGE—DISPOSAL—SYSTEM — APPLICATION AND PI
NAME OF APPLICANT 41'e -le Atf AN 4. 1< A16 MAILING ADDRESS
INSTALLATION LOCATION
LEGAL DESCRIPTION � / (( i , M i`^"' --
INSTALLATION OF: SEPTIC TANK -x SEEPAGE PIT
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
TO BE INSTALLED BY
DRAIN FIELD
J
NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK 612E TYPESEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK
.r
FOUNDATION TO SEEPAGE PIT DRAIN FIELD'S
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK /i SEEPAGE PIT
DRAIN FIELD 7M ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK �� / SEEPAGE PIT In
DRAIN FIELD "'y
SEPTIC TANK, /" SEEPAGE PIT DRAIN FIELD JDt'
TO RIVER. LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIS CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
�I�tiy(i(j /ice//✓J[.rQ�✓
OR
LICENSED DESIGNER
N `k 7s -St
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. _ n
DATE ` APPLICANT'S SIGNATURE �� ���•� �/k%y A^fJ�"~` -
FORM NO.[O-OIS� //G�
`tcl
by ,
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 89577 • TELEPHONE 694-2588
Pl
OWNER OF LAND /'Q TQC 1 GI,2 !JAI-zlCe JE
ADDRESS
LEGAL DESCRIPTION < Jo 6D /1f/SP�I�/.^S/JQa� DRAW DOWN FT.
DATE - Started Ended _ GALS. PER HR CEE�l1GE
PERMIT NUMBER -7[ 6 SY / ' KIND OF CASING D D
DEPTH OF WELL a D
STATIC LEVEL OF WATER FT. 4
KIND OF FORMATION:
FromFt. to__r2_Ft.
From
Ft. to
Ft.
From rFt. tO ID Ft.
! 6-00 dIQAJ'S'
From
Ft. to
Ft.
From 10 Ft. to_2.E__Ft.
92 ,Q 4eig.�6t -If
/,6cP-"Frm
Ft. to
Ft.
From ✓ LFt. toss—Ft.
(4-64f 4442EG 'l"
QD j[ 4SA4rom
Ft.to
Ft
From 12�r Ft. to-7Ft.
.S'#� 0 S 70 my E
From
Ft. to
Ft
From Ft. to--LO—Ft.
SN446
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft
NtISCL. INFORMATION:
4/ / 7 " To T44
�i9Si.0 C
(`
DRILLER'SNAME ''l—J