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Home My WebLink AboutDEBORA #2 BLK E LT 35lD Oct itDSa 041 Zo r' 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 PHONE EW 3❑UPGRADE MAILING DDRE O LEGAL DESCRIPTION G LOCATION NO.0 BEDROOMS Oy DISTANCE TO: Well / Absorption area r Dwelling PERM( NO. Q Manufacturer �(,/ , Material No. f compartments W rn Liq, caps ity in allons Inside length IF HOMEMADE: Width Liquid depth _ d Z DISTANCE TO: Well Dwelling PERMIT NO. D O Z Fa- Manufactur Liquid capacity in gallons 0 W= DISTANCE TO: Welln t "1 FoundationCR f Nearest lot hnIo r PERMIT NO. ///� —1 w Z No. of I fes Length of each line Total length of lines / Trench width Distance between ipes 1= Z W �'- inches 1� F¢. Top of tile to finish grade r Material beneath ide Total el i rption area O hes Length Width Depth PERMIT NO. W (7 n H W° Type of crib ib diameter Crib depth Total effective absorpti ---6i5STANCE TO: -ecrIing foundation Ne of line J s Depth Driller Distance to lot line PERMIT NO. J Building foundation DISTANCE TO: Sewer line Septic tank Absorption steals) OTHER PIPE MATERIALS SOIL TEST RATING 10 1 t t • INSTALLER _ 0 REMARKS Q � r APPHOVED DATE LEGAL /0110 1 3 r"-�c-(ytitA mots trte.r/jim EPA rh U ra I c I f';! F -i L_ I T o F= FI r -a I�1 F: Ft C- E zj DEPARTME:4T HEALTH AND ENVIRONMENTAL• '\TECTIOrJ L (, , /��/ 825 STREET, ANCHORAGE, AK. 9 .,,..i 264-4720 'A Or -J-5= I TE '-F=WEF? F•EF?rl I T PERMIT NO. C 811192c�_ �r3o l APPLICANT STEVEN L. SKAGGS CONST PO BOX D CHUGIAK 99567 635-2131 LOCATION ELEONORA ST LEGAL L3 BLOCK E DEBORA N2 LOT SIZE 20000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING (50 FT/BR)= 260 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: CEPTH= 1- LEraGTH= GIP;nVEL C+EPTH= E;. THE LENGTH DIMENSION IS THE LENGTH (IFJ FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT I5 THE DISTAFJCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IFJ FEET). THERE IS NO SET WIDTH FOP' TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIFJ FEET). F?EE: G?U I F�'EL'• SEF=*T I C -FF=l " K S I =E= :JL r=1ID; D G1-1LLor•4_ PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUR..ING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TwFJ C 2 ] I r t F ECT I or J= FIRE REnE� I F;'" --- BACKFILLING OF AFJY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTAFJCE BETWEEN A I -JELL 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 DISTAFJCE 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. F'EF_* M I T EXP I FZE�- C�ECEMBEFR - 1s 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 RESIDENCE IS REP10DELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED APPLICANTA STEVEN L. (A\HGGS CONST ISSUED ---s2a------DATE---1 _2_-t-3= 1E��1 AND WELLS AS SET ENLARGEMENT IF THE 7'0 fzz")-lL, r' n O & E ENC.NEERING & DEVELOt .`-SENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performed for. Name: STE//E/(/ ,L . Tel. No. 46 Mailing Address:/'• - el, ee x %�- C /�t�(y//{ /G� 44 , el -9 % Legal Description: Depth (feet) Soli Characteristics 0 1 QL, iNL./3/!/� .91 �4 5 7 —N 0,e2c% BS T 6 7 141L, 51i1, S P L AYE2s sb 8 Z4o0VS,6S OF :55716 7, 511,7- )r> 10 11 12 13 14 Su lick., 4-O ��•17' 0 I I �C.60rt/O,eR $7; PLOT PLAN PERC.TEST 1S14 /A/ 47 -sr 30 4111/ 15 — 4"-/- [3ut.co�12 y, C`or3�3GY 32141,vy,A, =26o ✓111461.e 16 tl /7 E35/B..G. BoTToM or- /�T' oF•A�QS 1t Ground Water Encountered: Yes -If yes, what depth x' ••';�9�1� m r......� .....�...J/�.�... pp:.- • it Proposed Installation: Seepage Pit_ Drain Field �.. c7dha~.:Gf:..S' Comments: 9, s: Earl P. Ellie -"W"400 wii Q Y N Q � J <1 Y M Q Es O D x U E.., Ci V• � Q► 0 a � ♦ V g 0 V Q a to J � U Y W � a h m Q W ; V 0 O wii Q Y N Q � J <1 Y M Q Es O D x U E.., Ci V• c C; z oL"e i O O O 0 3 "Ci ce V to 3 A W V U Y C c O H at G Cl 0 H viz H O LU < C w z oL"e i O O O o e 3 o c t t i O O O O O O O O OO w w w w w t t s.: s g c): Oi c : c CE R: 'u!: r": G' rL r; r: CA Cl: vi rt N: N' 7: ri ri vi O O O O O O Z F- i c 'rl r'i C,. NE 0 C c4 a cc s+. = c. ce. IL cd IL ix a z u t t I F'FiL I TR -r' 4F Fl t-4 (-JFt:FiGE DEPARTMENT "' HEALTH AND ENVIRONMENTAL%" OTECTION 825 STREET, ANCHORAGE, AK. 5_ .+1 264-4720 l4EnL_L_ FEZFQ M I IF PERMIT NO. C 8111Q4 ) V APPLICANT PRECISION BUILDERS PO BOX 4-2071 g ci5OCA 694-3836 LOCATION ELANOR ST. LEGAL LOT 3 ELY. E DEBORA SUB LOT SIZE 4550 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. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. 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'EFZM I T EXP' I F?EE: G�E(--EMEaFZ = 1r 1 51 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:.II�.> B� (�r_._�1}fi'(l� ------ APPLI - JT PRECISION BUILDERS ISSUED BY __ __4 ��?_DATE_100) 015_oto1 V4. 0 r _ . DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE %--SINGLE FAMILY ❑ One ❑ Four ❑ Other INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE \ DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTION 1 825 L Street • Anchorage, Alaska 88501 • ENVIRONMENTAL SANITATION DIVISION Telephone 2844720 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 110) days for processing. 1. PROP TYOWNER PHONE to 73 vlll)Qac. s s — S/iC MAILIN ADDRESS " O e -�O?/ 41 o;�!1 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER H N /s `` fC IVQ is C F `/'a U O tn - MAILING ADDRESS 3. LENDING INSTITUTION .� / �• fA—`Mtf 1-- A 77o NA L /-r4—/- PHONE AILING ADDRESS MAILING jF_ 0e. 0 jrxG If 0. REALTOR/AGENTPHONE .1�4e_ . i «v A- ' Z414 ( 6,9 /!c) MAILING ADDRESS 3zO/ W ,rr7_ Alaoel j 'f_, 4 //T 5. LEGAL DESCRIPTION j Z07-6//,- STREET LOCATION XOt 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS %--SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY JZ- Three ❑ Six 7. WATER SUPPLY 1�- 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 9�- INDIVIDUAL/ON-SITE" YEAR ONSITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rev. 6/79) Wal 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 PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 12Q� If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS O�-APPROVED FOR _ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE 72010 (Rev. 6/79) '.CHEMICAL & Gl OGICAL LABORATORIES -.-ALASKA, INC. TELEPHONE (907)-270.4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 0 Street Y e-- Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM:—� 1 I I I.D. NO., Water System Name C• _ n / 7 Ph/o'ne No. a-0 0A Mailing Address r� ❑ Routine ❑ Check Sample (for routine sample City - .. '. j - ... .. _State . - - Zip Code = SAMPLE NO. LOCATION k I SAMPLE DATE: /C) 7 Mo. Dey .. Yea - ... . SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. 1 ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE NO. LOCATION Tlme Collected --0011ected B I � 3 �c' F /C) 7 toy. 2 1 3l 4 5 READ INSTRUCTIONS BEFORE Analysis shows this Water SAMPLE to be: t5,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 42 " Time Received Analytical Method: ❑ Fermentation Tube P'Membrane Filter Lab Ref. No. Result' Analyst 5-41 m rte, l I [1 l I m U m � I m •NO OI Colones/ 100 ml. ONO of PomI mmp 06.1220181 BACTERIOLOGICAL WATER ANALYSIS RECORD R.Y. 1978 Date Colo"" a.m. cM■ Broth 24 h0urtl Broth 46 hoursr COLLECTING SAMPLE MYltlple Tub. Report, 10ml Tubes Podttwrrotal 10ml Portlone Membr.n. Feted Direct Count Collform/looml Verification, LTB BOB Flnal Membrane Filter Results collform/100m1 Rworted By Data Tints, r .— a.m. ,.. e.m.