HomeMy WebLinkAboutDEBORA BLK E LT 81�[
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r 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
t
NAME
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PHONE
❑NEW
RUPGRADE
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MAILING AD iESSPo�e�j
/t99,53
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LEGAL DESCRIPTION
LOCATION
NO. OF BEDROOMS
v rr 2�vf2 k
Well/+
Absorption area
Dwellmg�
PERMIT NO.
v
DISTANCE TO:
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�J
��O 999
Y
2
Q
Manufacturer�/J
Mat .a e
No. of compartpn7tts
!�
N~
f
Al cn eO ons IF HOMEMADE: Inside length
Width
Liquid depth
Y
DIS ANCE TO:
Well
Dwelling
PERMIT NO.
Jaz
Oz
FQ-
Manufacturer 7
�
Material
Liquid capacity in gallons
0
DISTANCE TO:
Well i
Foundatic //__
Tl
Nearest lot line /
t
PERMIT NO.
B 20 B
W=
� W Z
Z
No. of lines
Length of each lin /
Total length of Jives
Trenchw div
CJ
Distance between I s
W
F
(�
InCheS
Top of the to finishrade
g
Material beneath the
Total effective ab rptio rea
~
p
inches
SS
Length
Width
Depth
PERMIT NO.
W
40-.
Type of crib
Crib diameter
Crib depth
Total effective absorption area
o.JVW
W
Well
Building foundation
Nearest lot line
DISTANCE TO:
Cl ss
Depth
Driller
Distance to lot line
PERMIT NO.
.j
tris SNCr
W
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
Uptv
19
PIPE MATERIALS
G
SOIL TEST RATING
8s �l�R
INSTALLER
REMARKS
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N, :• No. 1/57
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P OFESS}C} �4
APPROVED-
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72013 IRev.31781 PH. 14'.2979
ALIT Y O F A N C H O R A G E AJJ
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STREET, ANCHORAGE. AK. 99501
264-4720
O N -SITE SEWER U K C3K A O E P E R M I T
PERMIT NO. C 820989 )
APPLICANT PETER JARRETT SRA 196X EAGLE RIVER 99577 694-2979
LOCATION
LEGAL L8 BE DEBRA S/D LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSQ FTIBP.)= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
pEF}TH= S LEtJGTH= 35 GRAVEL DEPTH= 2
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).
THE TRENCH W I [>TH I S S. 0,010 FEET.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
REGU I REE: E> SEPT I C TAtJK S I ME= 1.000 GALLONS
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 WILL SERVE.
--- T W O C 2 5 I N S P E C T I ONS ARE R E Q U I R E E> ---
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 SEWER 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.
PERM I T EXP I RES OECEME3ER 31.. 1.'402
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.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED:
ISSUED
APPLICANT PETER JARRETT
V4. 0
•
�I
n
X SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street. Anchwage, Alaska 89501 264-4720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: �g%F/C 1/7/1/1 �/ / DATE PERFORMED:��013 �7IJ�
LEGAL
1
./
2
7 SANOK SILT + CLAY
3-
4 -
Go
4Go SS d161z
9'
6 b.
� � e
7 �
c SlIth 9r(WfL UCobbles
4 o
..
10 wnrt4 5;�� SANo+- CLAY
.:
11 �•'!• WAS GROUND WATER
ENCOUNTERED?
12
IF YES, AT WHAT
13 DEPTH?
to
Date
\\\
F..a; 111
15
Depth to
Water
•' r, 'f del
10
e
16-
8
17-
it
it art A.19-
OFES
SLOPE
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
20
PERCOLATION RATE / ' (minutes/inch)
TEST RUN BETWEEN FT AND FT
PERFORMED
CERTIFIED
wswaaPlJaI.7 $ .xj £i a/
72-00e (6/79) V
DA
lR Y C7 2/,4 et. -
Time
APPLf'"aT FILLS OUT UPPER HA''ONLY
Propsr;y Ownar
Phone
Date
Date
Malling Address,2-71
ASc _ r Zip Code
��.
Buyer
5c,�at�
Inspector
Address
" Zip Code acy )-O
Inspector
A)ps
Lending Institution1
A C-0. tEaicy Wc3a—
Phone
Address d yk LIA
-rt? £5� Zip Code
65 f a3
oy
Realty Co. S Agent C_,;L1
4\E.Cr TA4c AoT..CS -4 1NVCS^ jrtcN-75 rpu,( 2
�AfRAI
Phone
I
Address 2,7 r_
, ,— Aw Zip Code
—
Legal Description 1 p4
1`
•Glt E • ETo f P 5 a)- ,
Street Location
( ].,APPRO D BEDROOM975
'CONDITIONS OF APPROVAL
Type of Residence
DATE A €Z
Z Single Family
BY:
❑ Multiple Family
No. of Bedrooms_��
Date Sewer Installed
❑ Other
Well Log Received
Water Supply
f g
Well to Tank N o
Septic Tank Size pu,0
Individual
ATTACH WELL LOG. A well " Is required for all wells drilled since June 1915.
Community
_
For wells drilled prior to that date. give well depth (attach log
If available).
❑ Public Utility
Sewer Disposal
Individual
Year Individual Installed:
(y
❑ Public Utility
When Connected to Public Utility:
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RECUEST BEFORE PROCESSING CAN BE INITIATED.
lR Y C7 2/,4 et. -
Time
Time
Time
Time
Ct
Date
Date
Date^
,nS
Date
Inspector
Inspector
Inspector
Inspector
A)ps
UOL-143—s.
Field Notes:
L-usAr,lLDc1 all y �n��n-
"'�
:A n Yv CiAt(sy�
L L
t\� R C�vLuJ
Ct cP¢
( ].,APPRO D BEDROOM975
'CONDITIONS OF APPROVAL
( ) CONDITIONAL APPROVAL' l('`J ll JQ'''p`(^/�'/—Q�-. �l•C•C/
DATE A €Z
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area /V
1
Well Log Received
f g
Well to Tank N o
Septic Tank Size pu,0
no»cw
617
5. LEGAL DESCRIPTION
e"oora.gv -
DATE RECEIVED
+.' INSPECTION APPOINTMENTS
, „ ,�, ` ��
�1
TIME
TIME
TIME
DATE ^^
DATE
DATE
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
INSPECTOR
INSPECTOR
INSPECTOR -
MUNICIPALITY OF ANCHORAGE
T. OF HEALTH OpAGE
DEP&
H
""ENTAL
\ DEPARTMENT OF HEALTH ENVIRONMENTAL PR
PROTECriON
n
\\II 825 L Street • Anchorage, Alaska 1601
-YEAR ON-SITE SYSTEM WAS INSTALLED.
•
NOV 2 61979
ENVIRONMENTAL SANITATION DIVISION
Telephone 2644720
RECEIVE
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PR_ QPERTY WNE� �
%
L b
MAILING ADDRESS �,/x
„ v NRR( \6dIII
PROPERTY RESIDENT (If\\difff—feren from above)
PHONE
2. BUYER
(
PHONE
MAILING ADDRESS
3. LENDING INSTITUTION
tlh
PHONE
C4,� 1 5
MAILING ADDRESS
4. REALTOR/AGENT•C\ _ [�.Q/Jv `,�
dPHKO,NE
/../ s� 'ro.J
MAILING ADDRESS
� X01 �A 3 `t `� 'i�� •
5. LEGAL DESCRIPTION
e"oora.gv -
ko`t % ` kJoQv F
STREET LOCATION a
, „ ,�, ` ��
�1
6. TYPE OF RESIDENCE—^�
NUMBER OF•BEDROOMS
<S1, SINGLE FAMILY
❑ One ❑ Four ❑ Other
Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
-
JR- 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
XINDIVIDUAL/ON-SITE"
-YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLICUTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATEDQ
72-010 (Rev. 6/79) v �� , J 14
Cd*u``'i C.T. G.0
_ 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
PERMITNUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON-SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATEINSTALLED
INSTALLER
❑SepticTankor ❑Holding Tank
Size: If Tank is homemade
give dimensions•
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELLTO:
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
72010 (Rev. 6/79)
ALASF-a+DEPARTMENT OF HEALTH AND SOCIAL VICES
DIVISION OF PUBLIC HEALTH
Lab. No. _
Date
BACTERIOLOGICAL WATER ANALYSIS
PLEASE MAIL RESULTS TO:
/
NAME
ADDRESS ����� E'4
_Llt---
0I��(�51_R
CITYr
ZIPCODE
Sample collected by
Phone No.
Date Collected % 7, -1 ici
Time_-� l�
Sampling Address
Specific place of collection
REASON FOR SAMPLE SUBMISSION:
❑ Illness suspected
❑ Ilealth Regulated Establishment
❑ Other c= (L
WATER SAMPLE SOURCE
❑ Well Type of casing
❑ Improved (Enclosed, Covered) Spring
❑ Surface (Reservoir, stream, lake)
❑ Holding Tank
P Other
READ INSTRUCTIONS
Office
Analysis shows this WATER SAMPLE to be:
❑ Satisfactory
❑ Unsatisfactory
❑ Questionable ❑ submit other sample
❑ Sample too long in transit to indicate reliable results.
Sample should not be over 48 houis old at time of
examination.
❑ Bottle broken or leaked in transit.
❑ Other
SANITARIAN'S REMARKS
Sanitarian's Signature: -
%.\)
06.1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1978
Date Colledted I& Source
a.m,
Date Recelved ��?!>�On Time Reoelved P.M� Lab. No. Is 29
Presumptive - - 10.1 10.1 IOmI 20.1 20.1 1.0.1 0.1m1
24 Hours 7�
48 Hours
EC FORE Confirmatory
24 Hours
48 Hours - -
EMB Broth 24 hours: Broth 48 hours:
Multiple Tube Report: ^ �� �' 10ml Tubes Posltive/Total 10ml Portions
COLLECTING SAMPLE Membrane Filter: Direct Count Colllorm/100ml
Verification: LTB BGB
Final Membrane Filter Results Colllorm/100mi
Reported By s f Date
I Time: a.m.
p.m.
June 22, 1977 Lot 8 Block E
Debora Subdivision
Kenneth Boggs
Box 273
Eagle River, Alaska 99577
Subjects Debora Subdivision - Contaminated Wells
A recent survey of water wells in Debora Subdivision
has revealed numerous instances of contamination.
conversations with local well drillers and the failure
of corrective disinfection techniques indicates some
water aquifers are contaminated.
Use of the contaminated wells for washing, bathing, or
drinking purposes should be prohibited regardless of
disinfection. Drinking and bathing water should be hauled
in.
The possibility of an alternate water supply (community
system) should be explored by affected homeowners. In
the interim, health inspections requested by lending
institutions can not be approved on the affected wells.
If there are any further questions, please contact this
office at 279-2511, extension 220, 224 or 225.
Sincerely,
Joseph S. Blair, R.S.
Environmehtal Services Manager
JSB/ljh
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER. FACILITIES
(Fill out in Triplicate)
I.. IIame of person re
2, ttamp of property
3
4.
Legal descriptior. L-01 X +lSIUCk Wt
AIM .)llb �J_1A 11111 # } 1ecl,
Number'of bedrooms in house 2 ,--F(gM)-RzW)SR, ALASKA
S. Water Analysis:
a. Bacterial
b. Detergent,
6. Well data: C
a. Type
b. Depth
c. Casing Size.
Lona rJ 1JrilleY,S
d. Distance from well to closest existing or proposed:
1. Sewer line
i
2. Septic tank
3, Seepage I ea
4, Cesspool, � q 0 r
5. Property Line 10
6. Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, drainaZe ditch, etc.
7. Sewage disposal system.
a. Age of system
b. Septic tank caps -ty in gallons ILTV0
c. Name of septic tank manufactur@r
1. If "home made" show diagram on reverse side of this form.
d: Disposal field or seeps a pit size and type
1. (Distance to property line'7� to house foundation 9
e. Percolation, Test results
f. Percolation Test perforn
A
-4. Use the reverse side of this form to show diagram. Diagram should include
the fogylowing information: property lines; -well location, house location,
septic tank location, disposal area location, location of percolation test,
and direction of ground slope.
9. The infor:ration on this f rm 's true/ajnd correct to the best of my knowledge.
S gnatur of App cant Date Sig ed
TO BE FILLED OUT BY HEALTH DFPARTIIENT PERSONNEL
he above described sanitary facilities are hereby approved, subject to the
-Mllowing conditions:
Conditions:
0
The above described sanitary facilities are disapproved for the following
reasons:
_ g_ &
Date . J -p : s :._,
is valid for one year followinE the date of approval.
t/
it,
EXCAVATION
WORK
century 21, Heritage Homes
ATTENTION: Peter Jarrett
207 East Northern Lights Boulevard
Anchorage, Alaska 99503
Dear Mr. Jarrett,
ROBERT A.SHAFER
CIVIL ENGINEER
qq
pp 6947979
September 18'MUlNUMITY OF ANCHORAGE
[•''T C" 1"".-I "•
ENVG .. B .I.•A.:.0
StF u C 1982
RECEIVED
Reference: Lot S; Block E; Debra Subdivision
A sewer system adequacy test was performed on the system located
on the referenced property. The septic tank wasr•pumped and
could only be verified to have a capacity of 500 gallons. The
seepage pit was full of water and approximately 1000 gallons
-:wSs removed. The system was then charged with 1000 gallons
of fresh water and after a period of 24 hours approximately
126 gallons had percolated out of the crib.
can _be_concluded _from. this. test -that the _waste water_disposal__._._ _
system serving the two bedroom residence located on this property
is not currently functioning adequately. it is recommended
that'the following action be taken:
(a) Excavate the septic tank to verify it's capacity. If the
capacity equals 750 gallons or more the tank should be
cl6aned and new clean-out pipes installed and the depression
over the top%of the existing tank filled. If the tank
does not meA minimum requirements, the tank should be
inspected and either replaced with a tank of 1000 gallon.
capacity or if the existing tank is serviceable an additional
500 gallon tank should be added between the existing tank
and the seepage pit.
(b) The crib in the existing seepage pit needs to be excavated
and an appropriate clean-out needs to be installed. In
addition a soil test needs to be performed to determine
requirements for an additional absorption area to upgrade
the system for three bedrooms. Permits from the Municipality
will be required for this work.
SRO 196X EAGLE RIVER, ALASKA
page two
if we may be of further service please do not hesitate to call.
Si ce ejLy,
RPMRT A. Sff1 ER, P. E.
PS/ss
cc: Lomas and Nettleton
Municipality of Anchorage
Department of Health and Environmental Protection
i \ .
ADAMS • COF TY.ELL . LEE • WINCE
& ASSOCIAT S
CONSULTING ENGINEERS
Ai/tLL^TC6 WITH
AU^S" TCST{.A9
1940 POST ROAD - ANCHORAGE. ALASKA. 60501
TEL. OR 7-3773 BR 5-2403 13R 7.0745 '
April 24, 1907
W.O. 7901
14r. William Petersen I
c/o Zmuda Realty
P. 0. Pox 443'
Eagle River, Alaska
SUBJECT: Percolation Test - Lot 8, Block E, Debora Subdivision,L
I Eagle Paver, Alaska
Dear Sir:
A test to determine the rate of disposal through the existing sewage
disposal system was performed in lieu of a standard percolation test.
The liquid depth in the seepage pit was measured to be 2-3/4 inches
initially. House taps were opened to discharge the full capacity of the
well pump for a period of 30 minutes, The liquid depth in the seepage ,pit
was then measured to be 6-3/4 inches. The liquid depth was measured at
10 -minute intervals for 30 minutes and the liquid level dropped at a steady
rate of 1/4 inch per 10 minutes.
Not knoring the conformation of the seepage pit, we carrot compare this
test with the s`anaard percolation rate. Assuming the pit to be approxinately
A 400+ 1- 4
Y
• 37' - � 511.
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.. - �� .Gi oar. N '.b w,[•l�(itn '9 ZC'1i N \ •
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�f Y~�•..�'' �f • •Gl l.i j 1 � 1
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I hereby certify that I have vu-rveyed tho following deacrSbed property;
LOT 2, Lloc.. E, Ik^.ara ubdiv_sicn,Ni:-,, ,'.,,, Sa:. 19 T14 y R..4, ,,:., 1.7.as;:a, ..;
Lncheragc.Recordinz Precinct, and that the improvements situated thereon
arc within the property lines and do not overlap or encroach on the
property lying a.:10cent thereto, that no Lipraverentn on property lying.
tdje--ent thereto encroach on tho Lit; in gaeotion, and that there .•re no
roadways, trlr.b? 13AM linos, or other visible 'easements on said LOT
except as :rsicated horaon.'.: ;
gated at :aglo River, Alaska this 11tho day of lay, 1967.: "
Regiotered Iz,' urveyor To. ECO -:S