HomeMy WebLinkAboutDEBORA #2 BLK E LT 114DZ
L.A \ . DS
Municipality of Anchorage -
Department of Health and Human Services
Tom Fink. 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
September 20, 1990
Ms. Joyice Wallbaum
PO Box 72539
Fairbanks, AK 99707
CERTIFIED MAIL
Dear Ms. Wallbaum:
a
It has come to our attention that the wastewater disposal system
located on Lot 11, Blk E, Debora #2 has not been properly
abandoned. The house located on the subject lot is connected to
public sewer. Proper abandonment procedures require that the
septic tank be pumped, excavated and either removed from the
site or crushed in place and backfilled.
A representative from this office must be present during the
abandonment procedure. Please advise our office as to when the
abandonment will occur.
If you have any questions you may contact me at 343-4744.
Sincerely, ' 'l/�2� "•
Daniel N. Bolles
On-site Services
cc:
John Smiths
Virginia Kol
Susan Cool,i
i
i
db/131
MUNICIPALITY OF ANCHORAGE
1 \1/
DEPARTMENT\
OF HEALTH & ENVIRONMENTAL
PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
$25 L Street - Anchorage, Alaska 99501 Telephone 264.4720
/
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR
WELL INSPECTION
REPORT
NAME
J E SEN TF,�
PHONE
�J Z
EW
❑ UPGRADE
MAILINGADDRESS
�j
S•T /� r B OV Z!!Z 7 4 re
LEGAL DESCRIPTION
Bbl•
LT / TIP d�
S �Z
LOCATION
LEAJ0•CA
NO. OF BEDROOMS
1-7
DISTANCE T0:
Well
�Q �
Absorptwn area
2 L.
Dwelling /�
�Z
PERMIT
9��3 9
U Y
-�
E Q
Manufacturer /T�
Materi
/
Na. of eompart s Z
W F
(J� �E�
,
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
tj 5e
DISTANCE TO:
Well
Dwelling
PERMIT NO.
J t7Z
SManufacturer
Material
Liquid capacity in gallons
O
DISTANCETO:
Well / 1 4-
Foundation q� If
Nearest lot X i • -
PERMIT NO. 9 ?
W=
✓
�
/ .7
LL Z
No. of lines /
Length ofeachI�r1e�
Total le�lr t�of7lin�a
Tran wide
Distance bet I..
li s
F i W
L
Inches
/V
Top file to finish
Material beneath ble
rtH
of grade
7 7y h
/
Totel eflectivep rption area
;s
O
S'• 6✓
GI' �� inches
Length
Width
Depth
PEHMII NO.
W
V
Q F-
Type of crib
Crib diameter
Crib depth
Total effective absorption area
Wd
W
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
ass -
Depth
Driller
Distance to lot line
PERMIT NO.
JAll
0
DISTANCE TO:
F
Building fou d r on
Sewer line
Septic tank
Absorption area(s)
OTHER
0
ik
PIPE MATERIALS
;.0
e = c
SOIL TEST RATI NG nc On
INSTALLER
E
REMARKS
g /b
,., hl
►'std :.N
Cuberr A. 5 o e'•.�
s•y'�
•d, •, No. 1457-
457tL
t U�BQc%�ccta '
k•.
APPHVVU/DATE LEGAL
, W/A
el 4
72-013 yttev. 3/78) /
MUNI I Cl I F&F L_ I TY CAF= F1 NJC hi CA FQFiC;EEE
• DEPARTMENT O-IEALTH AND ENVIRONMENTAL F—yTECTION
225 'L TREET, ANCHORAGE, AK. 99t --
264-4720
9t_264-4720
CDIV—SITE SEWER F='EZMrl l T
'PERMIT NO. C 790039 )
APPLICANT JOE SENTER ST. RT. BOX147-A E. P.. 694-9922
LOCATION ELENORA
LEGAL LT.= BK.E DEBORA S/D#2 LOT SIZE 9762 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 25
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
F>EF"IFhi= n9 LEPJGTH= 215 G0FINNEL- DEF"TH=
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 PIPE
AND THE BOTTOM OF THE EXCAVATION CIH FEET).
REQIJ I REI7 SEPTIC TF N4K S I 2"E= ZCACyCy C3FILLCIF4S
PERMIT APPLICANT 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.
--- TWCA C 2? I fJSPEC IF I CirJS FIRE FZEnCALJ I REFS ---
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.
OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERMIT EXP I RE'S [.7ECEMF3ER 31s
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR OM -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 REMaDELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED
ICANT
1 S4?o
AND WELLS AS SET
ENLARGEMENT IF THE
ISSUED BY- .r_�!�_ W_/�1 a __L------DATEZAAt! - _y" Z V3. 2
• 0 Et E GEO#'`CHNI CAL Et DEVEL:,'MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 6882280
Russel/ Oyster fad E!/is
694.2774 SOIL LOG 688-2200
Soils Er Foundations Land Development
Performed for: Name: JmE SENTER Tel. No. o0V-9982
Mailing Address: So K IV -7,4 , Ef7c4E ,QdE,e, /jk Q,qr7%
Legal Description: Zor //, 8cit. E', j%ESo,eA Saeo. ,2
Depth (feet) Soil Characteristics
0 IZ6
�
1 t�
2
3 5/4Ti fiN� S,�/�D o7✓-O/�
4
5
6
7
8
9 GP
10
11
54,vo3,' 6,c4i,,ri,
0 &ULGE.eS
W/TH �oB�L�S
Ta
12
13 BoTTor/ O F Y'/T
14
15
16
Ground Water Encountered: Yes No kf� If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
E47,vo,e st 57 -
PLOT PLAAf
Are
Performed by: lr� r- /!;�/�a/ Date �%%1• �. �1r%9
.......
• • (� MUNICIPALITY Cr ANCHORAGE ;: N t`T-IT CTION
b
A & L DRILLING COMPANY
MAY 31 19719
BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 6942588 RECEIVED
OWNER OF LAND h)r
ADDRESS
LEGAL DESCRIPTIOy L /3<� F Or%t'i4 S✓/�
DATE • Started f,/.] 9_--.?`� Ended
PERMIT NUN113ER ZU D 10
KIND OF FORMATION:
DEPTH OF WELL' `: / s /
STATIC LEVEL OF WATER FT. 2L
DRAW DOWN FT.
GALS. PER HR r O o
KIND OF CASING L 1 0,0
From �'
Ft. to / Ft.
0 ✓r R ✓<Qr'^/
From
Ft. to
Ft.
From
Ft. to Ft.
T� r" N % %d w it
From
Ft. to
Ft.
�-
��
Ft. to_L_Ft. C
L P+( t- 46" f lo`r E 4
From
Ft. to
Ft.
From
4 /'g C
S n L-• C�✓ pec r
.,�
From
Ft. to
Ft
From �_Ft.
to�Ft.
eq -•
-
From
Ft. to Ft.
From
Ft. to
Ft
From
Ft. to Ft.
From
Fl. to
Ft.
From
Ft. to Ft.
From
Ft. to
FI.
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 Fl.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to '
Ft
MISCL. INFORMATION:
DRILLER'S NAME
MUr4I C I F='FiL I TY OF= t:zirJCI IQ RFiGEE:
_ DEPARTME14T Ce' iEALTH AND ENVIRONMENTAL 1 ITECTION
825 'L• STREET. ANCHORAGE. AK. 995x1
264-4720
WE=L-L F=EFZM I T
PERMIT NO. C 790010 >
APPLICANT SULLIVAN LEE' BOX 197 EAGLE RIVER
LOCATION ELENNOR ST
LEGAL L 11 B E DEBRA SUB LOT SIZE
6882543
8901 SQUARE FEET
MINIMUM 'DISTANCE BETWEEN A WELL AND ANY OM -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='EF2M I T EXP I F:ZE4--- E>ECEMBEF2 1 . 1SO?9
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 IN$TALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
SIGNED
ICANT
ISSUED
LEE'
rl
V3. 2
S
y^ r75rst e.rn
7�1
5. LEGAL DESCRIPTION res p
MUNICIPALITY OF ANCHORAGE DEPT. G; L U, G
F;.o;CCTION / )
'
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONROf:,V.:;.TAL
•
525 L Street - Anchorage, Alaska 95501
•
JUN 2
G DIVISION —a
ENVIRONMENTAL ENGINEERING
GINE
� y,f
RECEI_V_ED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete request; will not be procaspatl. ROM allow tan (10) days for processing.
1. PROPERTY OWNER—
❑ One E3 Four ❑ Other
PHONE
❑ Two ❑ Five
❑ MULTIPLE FAMILY
y
MAILING ADDRESS
PROPERTY RESIDENT (If ifferent from above)
PHONE
2. BUYER
since June 1975. For wells drilled prior to that date, give well
PHONE
depth (attach log if available.)
L L eflL
/�.
MAILING ADDRESS
give installation date
3. LENDING INSTITUTION
Aer
If system is over two (2) years old an adequacy test is required
It
PHONE
MAILING ADORES
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
S
4. REALTOR/AGENT
PHONE
y,�s
/
Z- Bim/
M N ADD SS
b
v�
5. LEGAL DESCRIPTION res p
67'//731
4
STREET LOCATION
S. TYPE OF RESIDENCENU
B F BED OMS
❑ One E3 Four ❑ Other
SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
Three ❑ Six
7. WATER SUPPLY
�j 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
/�.
)!!3 INDIVIDUAL/ON-SITE"
give installation date
If system is over two (2) years old an adequacy test is required
It
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72410(3/78)
Vt
THIS SIDE FOR OFFICIAL lISE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
t. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLEFAMILY
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
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: If Tank is homerlade
give dimensions:
SOILS RATING
FS
TYPE OF TANK
MANUFACTURER
J
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 �_ BEDROOM
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
13 DISAPPROVED
GATE ��f
"?/
BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
r
CIPIE GALA GEOLOGICAL LABORATOREB OF ALA8KA.INC• (90;) 279-4014
P.O. BOX 4.1276 ANCHORAGE, ALASKA 99509 4649 BUSINESS PARK BLVD.
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
PUBLIC WATER SYSTEM:
/ynn-ff I.D. NO.
luDllc WftwSystem N
gallin,g) 'rose'
SAMPLE DATE:
Mo. Day Year
SAMPLE TYPE:
❑ Routine
❑ Check Sample (for routine sample ❑Treated Water
with lab ref. no. ) ❑
❑ S ectal Purpose Untreated Water
P
Collected
SAMPLENO.
/I 7
OCJITI
49I/
i SKF-
I
I
v Q,TrI.�
5�d lI
2
3
4
5
06.1220 (D)
Rev. 1918
Date cal«tw
READ INSTRUCTIONS
Dal• RK•IveO
BEFORE
COLLECTING SAMPLE
Form No. 18310 (3.78)
Hours
Time
Collected
Collected
By
Y
f 1
TO BE COMPLETED BY LABORATORY
LABORATORY:
Date Received to ) 5 _ 7y
Time Received O cF�A,0
Analytical Method:
❑ Fermentation Tube
X Membrane Filter
Lab Ref. No. Result' Analyst
j�j CD
1
I I m
I I -FR
'xe.el eolWs1100 eu.«xe. 0l resllh•p•rtie•a •.'•
BACTERIOLOGICAL WATER ANALYSIS RECORD
aecHved PJn, Lab.
10.1 1 10.1 1 loml
0.lml
EMB Broth 24 hours: Broth ae hours:
Multiple TYD• Report: 10"1 Tubes Posltlw/Total 10ml/`05/1001
Membra" Filter: Direct Count Coliform/100m1
VHllkath ---
Final Men
Rsoolte,l
P.m.
CHEMICAL GEOLOGICAL LABORAT yRIES OF ALASKA, INC.
♦ .r
' P.O. BOX 4.1276 TELEPHONE (907)-2794014 ANCHORAGE INDUSTRIAL qENTER
•w -•q-•• Anchorage, Alaska 99509 274.3364 5633 B Street :9,
'i c�
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY
I
PUBLIC WATER SYSTEM: ;Analysis shows this Water SAMPLE to be:
_ I.D. NO. �I Satisfactory
�r S IUnsatisfactory
Public Water Spam Name )
❑ Sample too long in transit: sample should
not be over 49 hours old at examination
Mailing Add u I to indicate reliable results. Please send
� new sample.
l State Zip CO& cc
CityIT�Q
® ISI ,�J r- r� G1 • Date Received - S
SAMPLE DATE: J 300 �t�
Mo. Day
l` Year gS �d�• Time Received
SAMPLE TYPE: 4 ? Analytical Method:
❑ Routine1 /
I t `) ❑Fermentation Tube
❑ Check Sample (for routine sanple Treated Water
with lab ref. no. t ntre a er I Membrane Filter
❑ Special Purpose I .�
I •
SAMPLE Time `Collected , !Lab Ref. No. Result' Analyst
NO. LOCATION Collectedy
I � �� ��/��, ,n�.jL�♦ �.. M;t,�
3 I m
a
_. :1 m
5 �_J m
1 rap n1 M101w.r/IQp p rb LIM aplglll
�7 c� "Y�.�t._„i r' (' t...f I : r�...�.., � J�•Li. , I...�C `,t, ' _ �yr:4' vF�.LL�t..., _-..1�<�/ / o
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220(b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1971
�J
Date Collected "(Source
, P.M.
pate ReeeleW Time Recall W Pm. Lab. NO.
PrewmPllve lOml IOme 10nm0 lonl 2Oml IAm1 0.1.1
2e "ours
as Noun
EMs Brom 2e hours: 910tH O hours,
MuhlPle Tube Report, _1"1 Tub" Po011ee/TotN 10ml Portions
rMmbnM Filter: plrect Count calltorm/IOOMI
Verification. LTB sGa
Final Membrane Fill Conform/100m1
Reported
i
II
P.M.