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Home My WebLink AboutDEBORA #2 BLK D LT 126,c+� ��c� .�*z �� O50 O4-( O!Q OOU �� I �•`1 O50 O4-( O!Q OOU I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264.4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME - / �EV �� PHONE 411 f %I- 411PZ NEW ❑UPGRADE MAILING ADDRESS P. /J fJ L� LAX J �i LEGAL DESCRIPTION Er�vr� 94uc LOCATION rLc—Ncr fa ST NO.OF BEDROOMS .7 DISTANCE T0: Well 'f. r ��C Absorption rea �C Dwelling 9. /�� PERMIT NO e U se QManufacturer / ee: I/' MateriaSJl {� eC / No. of compartments � N Liq• ap city in gallons IF HOMEMADE: Inside length Width Liquid depth 13 s[ DISTANCE TO: Well Dwelling - - - PERMIT NO. Jaz Manufacturer Manufacturer Material Liquid capacity in gallons m= DISTANCE TO: Well / / "f"' Foundation •fL �'f" Nearest lot Np .WA -2 No. of lines Length o h lips 4 Total len trypl Ynas P The h i�,thh Distance bet n Ines F. ? W % L inches 0I_ Top of tile to finish gradeMaterial 1721- th file ��`•� Total efffeyc w a orption area tithes Length Width Depth PERMIT NO. W d f W� Type of crib Crib diameterAZ� Crib depth Total effective absorption area N DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot hne PERMIT NO. J Wy DISTANCE T0: Building foundation Sewer line Septic tank Absorption area (s) OTHER PIPE MATERIALS SOIL TEST RATING _p ILL ` r� C INSTALLER �L•f r REMARKS 1 piC .r •• �4��r 1:.: 3 ••F.abert•A.I'vS ar ......... • / .. e� V DATE LEGAL G% 171 imev. strut I ' ril_Ir-4 I r I F•nL_ I T•a CAF r�t�CHnI :F1r E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L` STREET, ANCHORAGE, AK. 44501 264-4720 CAry-c I TE =tJEF= F'Er:rl I T PERMIT NO. C 740556. ) APPLICANT JOE SENTER CONTRACTORS PO BOX 1535 EAGLE RIVER, ALASK 644-DD82 LOCATION ELENORA ST LEGAL LOT 12 ELK D DEBORA SUE #2 LOT SIZE 476: SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER. OF BEDROOMS fl;y SOIL RATING (SQ FT/DR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C=•EF'TH= 12: L_Et4GTH= 1 L+ 1 iRFiti. EL C•EF'TF-1= THE LENGTH DIMENSION IS THE LENGTH CIN 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 F'IF'E AND THE BOTTOM OF THE EXCAVATION CIN FEET). F:E��_� I f<:EC• EF'T I C IFF -Ur -Au : PERMIT AP'P'LICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER: OF RESIDENCES THAT THE WELL WILL SERVE. --- T[JCA < 20 "N I t-a=.F•ECT I C r4 lo Fir:E FQE"ClIJ I r:EC> --- 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 159 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER: REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS, ARE AVAILABLE TO IN=URE PROPER: INSTALLATION. F'EF= r-1 I T E}:F• I Fzi-=_ C�ECEr•76'Er: - 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. _. I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE RE_IDENCE IS REMODELED TO INCLUDE MORE THAN Z BEDROOM,. SIGNED:_ �- ".l--------------- APPLICAF T JOE SENTER.' CONTRACTORS ISSUED IED B' 1�_ r :7 - AND AND WELLS AS SET ENLARGEMENT IF THE V4. 0 O & E ENLdNEERING & DEVELIG 'MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performedfor. Name:- Jdt= S'="J7'C5-, Tel. No. eo9cl- '727-Sr— Mailing 9BZMailing Address: `� n Via" /c/7 ?9S"77 Legal Description: L-07- Q�,60eda rr Z SNg.O Depth (fest) 0 1 2 3 Solt Characteristics IM- fir`., 4 SP- S.4,J4 5 ML - S i �-s- E 7 Id -10 8 9- 10 10 11 x,.12 _ `�sr�T » 7cf PLOT PLAN 13 _ PERC. TEST 1 14 15_ 16 Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit_ Drain Field i� Comments: Performed by: Gt use �a>c�L Date:_ ae� /,0 /979 NIC PORAGE Irk DOC Co. dba JUN q 1979 SULLIVAN WATER WELLS RECEIVED P.O. BOX 272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.2759 OWNER OF LAND ADDRESS LEGAL DESCRIPTION DATE. • Started -/)//7 2 Ended T.'/Z 7 c PERMIT NUMBER ; U KIND OF FORMATION: From `�' Ft. to FL Ft. to Ft. From Ft. to From -f Ft. to Ft. (_A I Y c,,_ k'r From � ' FL to -� • ti Ft. -fir' •• � d (- �!'�'�,.r., , From - ! Ft. to -L' <t Ft. �� c I- % Fl. to Ft. From Ft. to Ft. From Ft. to From From Ft. to.L—Ft. Ft. From Ft. to Ft. ti' Wim/ E From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. Fran Ft. to Ft. From Ft. to Ft. From Ft. to Ft. Front Ft. to Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: DEPTH OF WELL q / .S STATIC LEVEL OF WATER FT.� DRAW DOWN FT. GALS. PER HR �� a KIND OF CASING0 �1 From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Fl. to Ft Front 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 Fl. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. r- DRILLER'SNAME %-} •>� t'lUV i I C I PRL I T•,r Ci F-- Fir-a�.GE DEPARTMENT OP""EALTH AND ENVIRONMENTAL P''—TECTION 825 'L' STREET, ANCHORAGE, AK. 995&. - 204-4720 LJELL F'EF:rl I T PERMIT NO. C 750147 ) APPLICANT JOE SENTER PO BOX 272 CHUGAIK 688 2759 LOCATION JUANITA LEGAL LOT 12 B D DEBORA SUB LOT SIZE 8000 SQUARE FEET 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. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION, OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'EF:r•7 I T E:XF' I F:ESti E'Er_E=r-lE3EFR = 1s 15 1 _? 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 WITH THE CODES. SIGNED: ISSUED ICANT JOE V3. 2 .. . �Cnzu� Time APPLICANT FILLS OUT UPPER Hk =ONLY Property Owner Time Phone 4 Mailing Address Zlp Code Date Buyer Date Date a Address Zip Code Inspector Lending Institution a Phone Address Zip Code Realty Co. d Agent- YQ9V Address �� p Zip Code p V a Legal Description Street Location �/f t . t�a _. i.T `l/ (moi'✓.^ 4 � ��1�iC ��) Type ofjtesldence ( L, -) APPROVED BEDROOMS lkl�lngla Family ❑ Multiple Family No. of Bedrooms 3 ❑ Other Q_ 1 F��Cvf�vt^'1' DATE DATE qAlw•- ?A Water ply Soils Rating s Indlvldual Well To Absorption Area ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. ❑ Community J J` For wells drilled prior to that date, give well depth (attach log 11 available). ❑ Public Utility Sewer 9osal Wlndividual O Year Individual Installed: ri ` ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. . �Cnzu� Time Time Tints, Tine Time 4 Date Date Date Date Inspector Inspector Inspectorsn ,1 Inspector �S. YQ9V Field Notes: Al' ��I,✓K— �Vr�"'r �Glw-art _ �i♦-•,�7� �/f t . t�a _. i.T `l/ (moi'✓.^ 4 � ��1�iC ��) ( L, -) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( L rDISAPPROVED CONDITIONAL –r— . 1£ // -,)3 - Q_ 1 F��Cvf�vt^'1' DATE DATE qAlw•- ?A ^ n / /%�t� rt'`- lsyr5lltt' ^BY: Soils Rating s Date Sewer Installed Well To Absorption Area Well Log Received S Septic Tank Size /Q Q J J` Well to Tank / / tj 720 (> CHEMICAL d GFA" )OGICAL LABORATORIES''~ ALASKA, INC. - TELEPHONE (907)-4783014 ANCHORAGE INDUSTRIAL CENTER - 474.3364 6633 B Street . �— Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. &4-cv-sa Water 6Ystom me" 49 49PlMna No. Mailing Address COY Sate Zip code SAMPLE DATE:M] TT L� Mo. ay Yew SAMPLE TYPE: tine O RouCheck Sample (for routine sample t O Treated Water with lab ref. no ❑ Special Purpose ❑ Untreated Water SAMPLE LOCATION _ Time Collected NO Collected By 4 �� I 3 1 5l I TO BE COMPLETED BY LABORATORY flysis shows this Water SAMPLE to be: tisfactory satisfactory ❑ 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 /0 Time Received '0 Analytical Method: O Fermentation Tube Membrane Filter Lab Ret. No. Result' lAnalyst ltd-Lj ® !!� I I m l I m I I m I I m .no NC., /100.e rMe Nsosa...eroen 09.1220 (b), BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1979 Date CNledw SOY•p READ INSTRUCTIONS •'" —1. Recelve0 Time RecNvW Y1n. F. ,notM 1 20nw 1 3"1 1 20.4 1 1 BEFORE EMs Drotn 24 boons Droth 44 beans COLLECTING SAMPLE watdpda Tube Reports land Tub" ►osnlw/T.tN 30mt PpRuea Membrane nun DY.ct Count Coll/0rns/10tbN VMtkatioes LTD sas .IMI Men brene rater Resune d CNllomm/100ret Repartee eyate 1?3- Tane• 16C�' ..e• s, DATE RECEIVED INSPECTION APPOINTMENTS O TIME TIME TIME DATE DATE DATE SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY INSPECTOR INSPECTOR INSPECTO �1 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIDHT. OF : "-T I u T-CTION 1 825 L Street • Anchorage, Alaska 98501 • - • ENVIRONMENTAL SANITATION DIVISION 11AY 2 0 1980 Telephone 264.4720 pp�rr CC'' CC nn REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SLWYFRF�trCLTlLS DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER e,C PHONE tio,v� _ MAILING ADDRES �. ,&--/ sus' n! l/� ,c• �.� s 7 7 PROPERTY RESIDENT (If different from above) PHONE NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 2. BUYER % H UNL fls- MAILNGA DRESS , 3. LENDING INSTITUTION /7' 4N�� C� PHONE MAI LI NP ADDRESS V d-st ll - / e -1 0. REALTOR/AGENT PHONE MAILING ADDRESS 25 5. LEGAL DESCRIPTION STREET LOCATION SY. G� 6. TYPE OF RESIDENCE NUMBER OFsBEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY 12L Three ❑ Six 7. WATER SUPPLY 1:5— 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.) S. SEWAGE DISPOSAL SYSTEM 1r i� INDIVIDUAL/ON-SITE" _YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 IRw. 6/79) -I.- 72 010 I.-. 72010 )Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATE INSTALLED 3 INSTALLER SOILS RATING ❑SepticTankor ❑Holding Tank Size: UUP If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 1 4. DISTANCES WELL TO: SepUo/Holomg Tank t1 Absorppt_ionn A+r_eea Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line S. COMMENTS (VAPPROVEDFOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter mus ccompany certificate) tlY DISAPPROVED DATE( _ _� ^ V7Q—c' �Z . Y 6si 72010 )Rev. 6/79) Nlay 20, 1980 �'O: Whom It May Concern Subject: Lot 12 Block D Debora Subdivision Joe Senter Property Public sower and water facilities are not available to the above subject property,making it unfeasible to connect to these facilities. This property is maintained by an individual wall and on -cite sewer system at this tine. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate specialist rcP/ljw cc: rile