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HomeMy WebLinkAboutDEBORA #2 BLK E LT 130) k ))IvL*d\* 4(f)So 04130 000 C \ i MUNICIPALITY OF ANCHORAGE • 1 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-0720 � r ONSITE SEWAGE DISPOSAL SYSTEM T NAME PHONE ❑NEW ^`' Wiy 7- O• '%W��y � LFWPGRADE MAILI DDRESS eq e�ox LEGAL DESCRIPTION lam'!- LOCATION NO. OF BEDRe O Y' DISTANCE TO: Well VolAb �- sor t ➢dryn� C Dwellin ✓ PERM .7 75 E< Manufacturer Mater' I No, of comp ants Wl Liq, capacit in g n Inside length IF HOMEMADE: Width Liquid depth 6Y JV2 DISTANCE TO: Dwelling p, _?s- Manufacturer it Liqui yin gel o O w= DISTANCE TO: Well Foundati Nearest I I S par PER j LL Z No, of lines / Length t � Total lengthir� Trench ylth Distance betwee I' /�/y H Z W Inches /T Q D Top of of tile to finish grade A Material beneath the / Total elf a oraotion area inches •L W en Width Depth PERMIT NO. t7 s H W� Type of crib Crib diameter Total effective abs 'Well Building foundation D O: Nearest lot line J Depth n Oulance to 1 NO. W Buil tion Sewer line DI O: Sept Absarptio s OTHER r gIPEF ATER IALS �� �.'V S Y/ r _ _ SOILTESTRATING �2 S V INS ALLER /sem REMARKS QW eZ1,1AJ6 ©N GoIf 7 I T F- LA�LrETJ /PE H!lrl� Ell I R! O.c1 CO.VIVB fiMAIV ND e-edt/R/C %1& AJR4S 42 i SD P(:;A DATE LEGAL LOT 1"5 72-013 (Rev. 3178) GAAB.HD.I Gi FUER ANCHORAGE AREA BOROUGH A✓ HEALTH DEPARTMENT 327 EAGLj ST. ANCHORAGE, ALASKA 99501 27)-:511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 5L X 1 F Z 044D ADDRESS ADDRESS C R37 �•t� �d vee �// PHONE LOCATION -�C L! �/C �7 '17ol6 "LEGAL DESCRIPTION 'eC57T SEPTIC TANK: �-NUMBER OF DISTANCE FROM WELL / o MATERIAL CtiL 1 I COMPARTMENTS cva L-J-d6e .el� LIQUID LIQUID CAPACITY `�GALLONS. INSIDE LENGTH INSIDE WIDTH—DEPTH- SEEPAGE IDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITSOUTSIDE DIAMETER OR WIDTH 17 , LENGTH 1, DEPTH LINING MATERIAL Cn til P�NH� e 1 N �"� . DISTANCE FROM WELL 2- / , BUILDING FOUNDATION / NEAREST LOT LINE rt? / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 4l L� / SO. FT. TILE DRAIN FIELD TOTAL LENGTH DISTANCE FROM WELL , FOUNDATION , NEAREST LOT LINE , OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL' 46 DISTANCE FROM /,<r/ . WATER q �� DEPTH .BUILDING FOUNDATION.SAMPLE �' I.LL. NEAREST r TYPE -PPIL L F7 NEAREST SEPTIC SEEPAGE - OTHER LOT LINE �, SEWER LIN E -4 -2 --,TANK, SYSTEM �7 ? , CESSPOOL , SOURCES— DIAGRAM OF SYSTEM DISTANCES: cooI I I I 1 I I �� Sf.uJPr° 2r C DATE o L APPROVED _ T HEAUH AUIHORiIY 1 MUNI G I FFIL I TY OF RMGHOFZRGE Z DEPARTMENT (^ HEALTH AND ENVIRONMENTAL r`'JTECTION 825 'L STREET, ANCHORAGE, A1C. 99�b1 264-4720 QN-S I TE SE4JEFt FEFZM I -F- PERMIT PERMIT NO. ( 800375 ) APPLICANT YATES CONST. P.O.BOX 243 CHUGIAK 6889001 LOCATION ELEONORA ST LEGAL LOT 13 BLK E DEBORA SUB LOT SIZE 10138 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER. OF BEDROOMS 3 SOIL RATING CSQ FT/BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: F?EFTH= 12 FLEtJGTH= 7..9 GFRnVaL. E>EF}TH= S 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 CIN FEET). FREQU I F�EF7 SEFT I C -F-nNK SIZE= 1QO0 S3nL-LOF4S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY A14D THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWO <2> I FJSFECT 10NS: nFRE FREQU I FREE> --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MI14IMUM 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. FEFRM I T E}{F I FRES E>=:aMEE2 1S;1S43 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 ACCORDA14CE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED:---�✓ "v - �T►t3�-(----------------- ISSUED V4. 0 . --.--- 'ur4 10 I F= fgLL I TY ID F--: �! DEPARTMENT`-. HEALTH AND ENVIRO 825 _' , STREET., ANCHORAGE ,264-4720 PERM IT tJ0.: { 800375 • > ( �' RPPLICAN ATE CONST �0. BOX �d LOCA1iION ELEONORA.ST 7" LEGAL LOT 13 ELK E DEBORA SUB TYPE OF 'SOIL 9BSOAPTION SYSfbM*IS:`TRENCH nr Cl-.ti_1FRn- 6E7. NM TRI 'POTECTION 5 �. CFM �`CHL�GIAl;\'— 688001 • . LOT SIZE 10138 SQUARE FEET MAXIMUM;NUMBERbF'EEDROOMS = 3 SOIL RATING (SQ FT/BR)=' 100 THE REQUIRED SIZE -•OF THE SOIL ABSORPTION SYSTEM IS: OEf-'TH 1�; .L_.Et�IiC,TH=._.1� C3Ft1-i�'E1 OEF?TH= j THE LENGTH DIMENSION IS THE LENGTH. (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R TRENCH.OR,,PIT IS,THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND -THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL .D.EPTH..IS-THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND'THE BOTTOM OF THE,EXCAVATION'(IN FEET). j F?EG!lJ I FRED s;EF"T I r-' TFirik S I I'E= 16olD CaFIL-LOr4S ' PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT'DUP.ING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT'TO THIS PROPERTY AND THE NUMCER.PF-,RES IDENCES THAT THE WELL WILL SERVE. TW.o .-" C ^ ] RRE FiE[nU I F2E[7 --- SACKFILLINQ,hF ANY SYSTEM WITHOUT-PINAL INSPECTION AND APPROVAL EY THIS DEPARTMENT l•rLLL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL�,AND ANY ONSITE SEWAGE DISPO AL.SYSTEM•"IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL -DEFENDING UPON THE TYPE OF.PUDLIC;WELL. MINIMUM DISTANCE FRO[ „ PRIVATE WELTO A PRIVATE SEWER LINE IS 25 FEET AND TO A •COMMUNITY_ SEWER, LffJE--,IS 7Z�,FEfET.' OTHER, REQUIP.EMENTS-MA's APPLY-.'SFECIFIICRTIONS AND CONSTRUCTION DIAGRAMS ARE `AVAILABLE TO INSURE PROPER INSTALLATION. i F}ERt'1 I T E7{F3 I F2ES} []ECEMGER = 1r 1�i=i •CERTIFY .THAT ° c I AM FAMILIAR'WITH THE_,PEQUIP.EMENTS,FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2:, IcWtLLNSTAL4L,SHE SYSTEM IN ACCORDANCEWITH THE CODES. 3: I UNDE.STAND THAT THE ON-'SITE'SEWEP. SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE I$•R MODELED..TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED c - --G--�------- `------------ ; . R�'L I CRPJT� ISSUED EY _ 7 S CONST. _. V4. 0 e 1 ' r _ t ♦ 701, , Q MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6650. Anchorage..tfaska 99502 2762221 SOILS LOG — PERCOLATION TEST PERFORMED .LEGAL OG SOILS L 1 \ , O PERCOLATION TEST '•i _ry % F CGnJS DATE PERFORMED: 01 Iv e _ara # Z Oo+b�J u 10- 11 12 13 0c O /C �//' WAS GROUND WATER / V v Sll ENCOUNTERED? L1 P Mh'l `�" IF YES. AT WHAT E / Ile LF DEPTH? Net Time Depth to Water in ME BEE NOMMIN d '6 J No No MINNOMMEME MIN Oo+b�J u 10- 11 12 13 0c O /C �//' WAS GROUND WATER / V v Sll ENCOUNTERED? L1 P Mh'l `�" IF YES. AT WHAT E / Ile LF DEPTH? Net Time Depth to Water Net Drop d '6 J 14 15 16 - 17 V 18 19 r Robert A. Sha Reading Date Gross Time Net Time Depth to Water Net Drop 20 ¢; ., •-•tel• ESS .t 14; F+'�rc��,;;:�a! PERCOLATION RATE (minutesfinch) CO%Itit PER F0Rh1E0 BY: t7 CERTIFIED O+ii�!�I✓ DATE:,, G dV 72 C.a (7176) . t. • +.`�G �i�1 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 /� -/- 7 DATE RECEIVED: / INSPECT: 'C TIME: r/ REQUEST FOR APPROVAL OF INDIV SEWER AND WATER FACILITIES " N � AL FOR 1. APPROVAL REQUESTED BY: ,`n". `s ADDRESS: �7lrl. /gA11 PHONE: 1971P-72 <- 2. PROPERTY OWNER: PHONE:�Z� 3. LEGAL DESCRIPTION: /71,1�LV 8. E 4. TYPE FACILITY TO BE INSPECTED:STREET: NUMBER OF BEDROOMS: Q I 5. WELL DATA: A. TYPE alr'l f(� B. DEPTH y� C. SIZE D. CONSTRUCTION E. BACTERIAL ANALYSIS /0 �/3 6. SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) 1. SIZE 2. AGE '3. MANUFACTURER 4. INSTALLEVl)e4f /l7c�0Z/T. �Afrctrfuf/(cn�!!'c IjCL�i !U�/�!F_ �•7� vlo ply{: - Llp APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO B. SEEPAGE PIT ) 1. SIZE 17XI7 `✓�%�) :���; Fl 2. LININGC=� I° C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH 7. REQUIRED MEASUREMENTS c� A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT % 2, Z C. WELL TO SEWER LINE �-z D. WELL TO PROPERTY LINE /G f - E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE 8. COMMENTS: APPROVED: DISAPPROVED: DATE: DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY r December S. 1971 fis. Elsie Lund 837 W. 14th Avenue Anchorage, Alaska 99501 Subject: Lot 13. Block E. Deborah Subdivision. Dear P(s. Lund: An inspection of the subject lot's sewer and water system was requested on October 13. 1971. A water sample was taken at the property and proved to be unsatisfactory. At this time we notified you that the water was unsatisfactory and requested that you chlorinate the well to remove the contamination and then we would re - sample the water approximately one wcbk after chlorination. Since we have heard nothing from you since then, we will report to the Civialian Military Referral Office that the water is unsatisfaetofy Also, we want you to contact this Department regarding the status of your water supply as soon as possible. Sincerely. Lynn S. Coad Environmental Specialist s cc: CMRO X ( / ( REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER. FACILITIES (Fill out in Triplicate) n ♦., rawA.of person requesting approval /' ✓ / Mm 2. it,uA of property: ow'ne'r / 3. :,f:pi1'.. descript.iC, 4. Numbvr,of, bedrooms in house S. Water_ -Analysis: a. Bacterial )Aon �-5— b y b. Detergent Q 6. Well data: a. Type ,/ ✓ / / i�4 d'J b. Depth �� A c. Casing Size d. Distance from well tto/ closest existing or proposed: 1. Sewer line 7 ' 2. Septic tank 3. Seepage Area / 2-7- 4. Z 4. Cesspool' S. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. 7. Sewage disposal system. a. Age of system b. Septic tank capacity in gallons /C—;) c. Name of septic tank manufacturer��/l 1. If "home made" show diagram on reverse side of this form. d; Disposal field or seepage pit size and type 1: Distance to property line to house foundation 0 t Percolation. Test Yesults f. Percolation Test performed by 'rA,1 Use the reverse.side of this form to show diagram. Diagram should include '-the following information: property lines; -well location, house location, ,nI,H c tank location, disposal area location, location of percolation test, ac4 direction of ground slope. 9. The 11,Eollultion on this form is true and correct to the best of my knowledge. Signature of Applicant Date Signed TO BE FILLED OUT BY HEALTH DEPARTIIENT PERSONNEL �_ e above described sanitary facilities are hereby approved, subject to the _following conditions: Appt CPJ:cw Conditions:_ The above described sanitary facilities are disapproved for the following, reasons: _ +--- ---_,•.. ••r. ...' u." " cpproval. I e. t Percolation. Test Yesults f. Percolation Test performed by 'rA,1 Use the reverse.side of this form to show diagram. Diagram should include '-the following information: property lines; -well location, house location, ,nI,H c tank location, disposal area location, location of percolation test, ac4 direction of ground slope. 9. The 11,Eollultion on this form is true and correct to the best of my knowledge. Signature of Applicant Date Signed TO BE FILLED OUT BY HEALTH DEPARTIIENT PERSONNEL �_ e above described sanitary facilities are hereby approved, subject to the _following conditions: Appt CPJ:cw Conditions:_ The above described sanitary facilities are disapproved for the following, reasons: _ +--- ---_,•.. ••r. ...' u." " cpproval. I