HomeMy WebLinkAboutTALUS WEST #1 BLK 3 LT 23Talus West #1
Block 3
Lot 23
#015-202-08
17J L_ Cf flf
_V-i-I-VT1-AWF 4-1
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
A~,.~ ~ SEPTIC ABSORPTION
) Perm,t NO -- JNo. of Bedrooms WELL /~ / ~/~d2 /
Towosbip. Range, Sec,ion FOUNDATION
T/X ~/ ~ .~ ~-V, ~¢'~ Z ~ dr,veway.AS'BU' L~water" ,Abod,es.G RA M iShetc, ow ,ocat,on o, well. septic system, p operly ,,nes. ,our, 0at,on
/ TANKS
~ SEPTIC ~ HOLDING
~ TRENCH BED ~ W. DRAIN Q OTHER ~ ~(~
~ PRIVATE ~ OTHER (Identify) ~,~t
REMARKS: ~. ..
Pap!::el ]icj,",
Lot. Legal',: Sul::~d:i.v:i.s:i. on: TALUS WEST ~,1 Lot: 2~ Block:
Sec'L:i. on ~ ~?.2 I"c:n,,a'~ship:,, :[2hl Rar~gc~: 3W
l._ot S:i.~:e 24720 (sq. ft.., ch' att'es)
Max Bedr'ooms,,: ]"his l::'epmJ.'L: 3 'tl:~'La:[ Capaci't,y~ 3
.i.~ v~ ]., 000 galL ]cn'~!;~, Each ~-' .
Deptl"! ici tc, p c,¢ sept:Lc tarfl::
I;IqF[}RM I%H,,H,,S,, F::'R:[OR 'fi] :[iqSPE}:C'T]iOIqS BY ENGINEER~ !F AFTER
OI::F:ICI:~ I"IEHJRS, CALL, 343""46Ei:L AND L.EAViE A MESSAGE,,
CON!:;'IFdJC.'t F'ER ENf:{~]:NEEF~S ATT[~C;HIED AF:'F~R(]VED
THiS PIERPIII' EXP;[RE:]S :1.2/:},]./~]t9 AND VALID !:::E)R A SINGL..tE F'AMiLY HC)IdE,,
iElqEii i"¢EiEF? M!,JS'f SUBId t'l EL.EC;] F~ I C :[ ANS I NSF>EC'i' ]:ON OF L,.I FT S"i"A'i'I ON
ALONG W]]]'H
]. [:;EF;Y[ ]: FY THAI .:
]: am iarn:[],iar', ,,~!:L'~.h 'Lhe i"eClu:i.r'eman'(c, {'i:ip cHl'-'s:i.'La~ s6~,~er's and wc~].],% as s6'.t
· ¢cmtl"t by t. he~ l"h..tn:i, cipa].~ty c)f Aric:hor'ag~:~ (MOA) ar'id t.h~? Si:.a'[~;~ mf Alaska.
::.L I ~,~:i.:ll adl'lel'e 't.o a;l.]. MOA and S'l:.ate: cfi' A!asl.::a Pequif'emarrLs fen' '('.J"!~:] :4iet bacl.::
(:JJ.!~'li..f. Ci,::,;e~i {i"(:/til any ~)xJ. st;i. Fig Wa;,].].:, ~,,~ast0~nater, c:Ji[i~3posa! slyst, i.;.}m of pub[Lie
iE. EHa(..)r'a[JG¢ !i~y~i~'l;,i.~lfl (::)l'i 'LJ't~.~ii OP any ad.jacerit ch- r'lear'by Ici'L.
4,, :[ under's'Land tha'L 1'.hJ.~ pePm:Lt is valid for'
a].!BC) iil']d6?l'!i3't']&ll]Cj l'.ha'L 'LIIE, c:apac;:L'Ly of the 'Lo'La]. ~iys[~lfil :[!B iS J:lE,~di'EICiffl!~ and
any ~an].ar, oemc.;,rit L*,,:L]]. r'e;,qu:ir'e aa add:i.'Lioria].
~., ~..: ! ......
I,.~ I~AUI:::' I N
DATE
: i Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVI~
825 'L' St~:eet. Anchorage. Alaska 99502-06
SOILS LOG -- PERCOLATION TE,~
FOR: h!~ L
LEGAL DESCRIPTION: Lr)T ~_~ I~j ~ ,5 Township. Range. Section: ~-I?_
~" NE~- :4/~/:: j SLOPE SITE PLAN
3-
4
5
6
7-
10 '- WAS GROUND WATER .~ iq P ~/~TL~[
ENCOUNTERED?
I ES, AT WHAT
DEPTH2
IZ~ '
: ~ ~"' Z:~G /0~ ~ ~ ~ iZ'
18-
19
20
PERdiTION ~TE /~,~ (~n~i~l PBC HOLE DIAMETER ~"
'
- / kITH
I El FT STATION
~.L_ ~~ : I ~ ~N~TALL N.&~ ~PPEOVED '
~ [{ ~ J k,, L - I STATION UNIT
~ / ~o o oo
-~' ~ - -~,~-'~o ~ / > /
~ [N~TAEL ~00~1 HOA ApP~~'
LIFT ST&T 10 M
TANK ~ P~OPOSED ~EP. MAI~TAI~ ALL ~NGTEucTIOM TO MEET
I~' NELL ~EPA~TIOM M.o.A.
~ DLmensions ~8 ~ocations ~ust 8e ~iel8 Veri~ie8 Prior ~o Construction
-.SEWE 8YSTEM'LOOATION PLAN
............ MR. LA~NY MAUP
MUNICIPALITY OF ANCHOP, AGE
DEPT, OF HEALTH &
ENVIRONMENTAL PROTECTION
RECEIVED
INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
3500 EAST TUDOR ROAD
INSPECTIONS (907) 563-3464 INFORMATION (907) 786-8211
FOOTING [] ELEC. TEMP. __
FOUNDAT,ON_ [] ELEC. SE.V.CE, .
BOND BEAM __ [] ELEC. ROUGH
FRAMING [] ELEC. FINAL ~
INSULATION __ [] OTHER
SHEETROCK_ []
STRUCT. FINAL [] FIRE FINAL
OTHER [] ZONING
PLBG. UNOGR. []
PLBG. ROUGH __ []
GAS TEMP· []
GAS []
MECHANICAL __ []
MECH. FINAL []
PLBG. FINAL __ []
OTHER []
[] NO NONCOMPLIANCE OBSERVED
[] WILL REEXAMINE AT NEXT INSPECTION
[~] CORRECTIONS ESSENTIAL AS
EXPLAINED BELOW
[] DO NOT CONCEAL UNTIL REINSPECTED
COMMENTS
INSPECTOR DATE
WHEN CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION
84~902(Rev. 11/87)
DO NOT REMOVE THIS NOTICE
-®
GRE ,-,i!ER ANCHORAGE AREA BOk- UGH
Depsrtmenl of EnvironmentsI Quality
3330 C Street
Anchorage, Alaska 99503
NAME./~//~ '~/~' ~' '
SEPTIC TANK:
FROM WELL ~ MANUFACTURER
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
· · ' I ' MAILING ADDRESS ,/~.- ONE
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH-~-~..- LIQUID CAPACITY GALLONS.
DISTANCE FROM WELL ,~/]~¢'~/--~)
N~MoBREpRTO~LINES~DISTANCE BETWEEN LINES /~h TRENCH WIDTH~ IN.
A S IO AREA ~(¢2 SQ. FT. LENGTH OF EACH ~ ~=
FOUNDATION '~(~ (" NEAREST LOT LINE ~ d~' '~_OF LINEsTOTAL LENGbHT~/H
DEPTH: TOP OF TILE TO FINISH GRADE
CONSTRUCTION
DEPTH OF FILTER
TOTAL EFFECTIVE
TILE
IN. ABOVE
BUILDING NEAREST ~)/ NEAREST
FOUNDATION LOT LINE
, SEWER LINE
CESSPOOL OTHER SOURCES ./~"~'~ /,
APPROVED ~/dlSAPPROVED REMARKS
IN.
DISTANCE FROM:
/
INSTALLED BY:
SEWER LINE DEPT~H:
PIPE MATERIAL:
LOT SLOPE: /~---~ -~ ~
Form EQ-032
DIAGRAM OF SYSTEM
G.A.A.B.
DRILLING, INC.
Well Owner
DRILLING LOG
Use of We]/ Dom.
Location (address of: Township, Range, Section, if known; or distance main road
Lot 23 Block 3 Talus '}lest
Size of casing.
Static water level
Screen ( ); Perforated ( ).
Describe screen or perforation
Well pumping test at 6 gallons per
of drawdown from Static level.
Date of completion o / 3 / / 7
Depth of Hole 152 feet Casedto 151 feet
!00 ft. (~k}~) (below) land surface. Finish of well (check one) open end (
(minute) for ] hours with
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
'), .TO.
6 .TO. 22
22 .TO.
4A .TO_ 49
~9 .TO_' 59
5§ .TO_
$~ ~O_ ~24
124 .TO_
152 .TO_
TO
TO
TO
TO
.TO.
TO.
Silty sand
Silty gravel
Sandy graval ~' ~ ~ ,~"
Loose silty ~rave!
Sand:
Si!tv ~ravel
Sa~iv ~atar ~ravel
NV,.';V',, (',,?.:.Scj C--tractor
Cw.'tificnte No's. 814 e 973
2 -- STATE
F'EF?.M I T NEL
FtPF'L I C:F~Iq T
LOCFrT' I C I'.,!
I_EGRL
BL.IC:K H I EiH~T
II.ILL I=F,I,!IE=,:, LFINE
L2:3: I...,.~. TFIL c HE=, I
.:..../- .:, t-.:14
:].iE~E~EIEI :E;[;!LIFIRE F'EET
'f"¢PE OF '~ ...... c- :; '-
.:, ... ]. I : ..........
-IE,_,LI:..E, F].Ltq .~., r.: I Ell ] F. fLI
MFI;:'::IMIJM I",II...IHSER OF:' 1'3E::[:'I:;b]OMS = 3:
., ...... · ,::,_:;Q :--., ,.., ......
E;i::iL[L.. b.H[.Ei'lb I I. E,k. ,-., .
THE REI;:!IJ I RED '- '"':' '" OF ':;l']I I. : -": *' :' ' '
.:, ] ,:.l: . THE ...... I
THE L. ENEiTH DII'IEI",I':SION t'=E; THE LENGTH (IN I::'EET) OF' THE TRENCFt OR I)I;?.F::I!NFIEI..[:,.
'THE: DF-"F'TI"4 OF R TRENCH OF.'.' PIT ZE; THE E:,IS:TF4NC:E BE'THEEN THE L=;LIRFF~L-:E OF THE
GROIJN[) F~N[:, TI-E": E:O'TTOH OF' THE E',:-::CI:~'v'R]-ION '::IN FEET>.
THERE: I~ I'.,IO :E;ET HIDTH FOR TRENCHE'E;.
THE GRFF,,'EL DEPTH Z'.E; THE MINIHUM DEP]'FI OF: GRF:I',,,'EL. E:ETHEEN -I'HE: OUTF'FiL. L. P!F'E':
FIND THE BCiTTOM OF: THE E',:.::CFI'v'F]TIOIq ,::IN ISlSE'T'). ~
EZ]HLF.. FI L. LH.:,:, I OR :[Z i",l::i:;F FIPPRO',/E]) F'LRNT MIR"? E:E IIq?ITiL. LED.
R -:I"FF1X'.~JCdJ:E; I1HII~I'ENHi'.,I...E FKaREEHENT ]:..S F..Eb!LIiI:<[.E.. IF la MFIIN'FENFH',K::E
FIGREEMEN]" I5; NOT KEFq" C:LIRF.~EN]"_ YL]IJ I'"IR'¢ BE REQUIRE'[:, ]"O EMI-' r.dF,,,..--.-~[:: THE
E,_,UF..FI]..~N ......... . -': "1 "- '' -, ---' -
.:, .: I El i hll,ll... UR 'CF 1 I'"lFl"r' E,L.:,._ll:,...I EL. 1 ]'0 [' F.t.l.:,E....IJ r ! .. iq.
E -IL.I-,.F Z LL .[N..~ OF FIi",l"r' ':' '" .... '" '- "'" ]' '"
~:,]EM H:[THOLIT FZNFIL II",IE;F'EC:TICdq FIND HFFF~... HL -'1'.[.:,
E:,EF'FIRTi'IENT H I L..L IF_:E _ IJE.,J'r:.... I' ]"O F'ROSE~ ]:_ T t
MINIMUM DIS"FRNCE BETHEEN FI HELL. RF,II} RN'.r' ON-SITIE SEHRGE [.',I'_=,POE;RL S"r'S;"FEH I:E;
:LC~EI FEE:T FOR FI PRI',,,'F~TIE HELL OR 2EIC~ FEET FOR R PI.J[3LIC F.IEL. L..
HELL L.OCJS; RRE REQLIZRED RI',ID MUS;T 13E RETURNED TO THE DEF:'F:ff?.-J-HEN]- I.'.IITHZN
OF THE HEL. L COP'IPLETZON.
SF'ECZFICF~TIONS RND CONSTRUCTION DIFtGRFIMS laRE R","FIZLIRE:LE 'FO INSURE F:'ROF'ER
I I"E~;]"R[..LR T I ON.
I CER'f'IF'-? THFtT
±: I FIH FRHILIRR HITFI THE REQUIREHENTS FOR ON-S~TE 2;EI.qERS FIN[:, 1.4ELL.:S RS S;E]'
FORTH B'¢ THE HUNICIPRLIT'¢ OF FINCHORRGE.
2: I HILL INSTFILL THE S'-r'E;TEI¥1 ~-,j RCCORDFINCE HI]'H THE COE:,ES;.
Z: Z UNDERSTRND THRT ]"I4E ON-SI]]E SEHER S?r'~f:Etd MR¥ REQLltRE ENLRRGEI'1ENT IF THE
RESZDENCE :[% REHODEI~ED TO INCL. UDE HORE: THRN 3: BEDROOHS.
~'~':~ ..... E[,. E, [,HI [
Date
Insp
PL-:?AP, TI'IENL~_pF ~-IEALTI~I AND ENV~I~O~',~iENT;,...P~O'rECT~O;,i~
825 L Street, Anchorage, Alaska. 99501
279~-2511~ ext. 224 or 225
/~.~
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Date
Insp
Lending Institution Request: Alaska Mutual Savings Bsnk % Cheryl Smith
Mailing Address: Post Office Box 1120 Phone: 274-3561
2. ]Property Owner: Charles Hight, Sr.
~al. 13.ng Addre
Phone: 349-3494
]Legal Description: Lot 23 Block 3 Talus West Subdivision #2
4: Single Family Residence: (~
Multiple Family Residence: ( )
Number of Bedrooms: Three
Number of Bedrooms:
5. Well System: Individual Well (~ Co~mnunity/Pub].ic System ( )
3__~__~ . Depth of Well Well Log on ~li].e
Permit
~onstructlon ...... ~'~.~.~1~[. Bacterial Analysis
kx) Publ J_c Utility
Sewage Disposal System: On-site System
Permit tt Installed
Installer
Septic Tank Size
Manufacturer
Absorption Area
· Soils Rate
Material
'7.
Distances: Well to Septic
to Sewer Line
to Nearest Lot Line
Tank
Nearest Lot line
to Absorption Area
............. Absorp~.lOn Area
Department of Health and Environmental Protection
Request for Approval of Individual o ~
- oewer and Water Facilities
Legal Description: Lot 23 Block 3 Talus West Subdivision #2
kffadavi~. Attached: ( ) Letter Al'.tached: ( )
DisapprOved: -- Date:
Department Worksheet:
~ ~ MUNICIPALITY OF ANCHORAG'~_~ W.U~-~icIrALH'~' ~
~ Department of Health and Environmental PrQ~/
//,~:: 825 L Street, Anchorage, Alaska 9~::'~[ ......
Mailing Address: Phone:
Mailing Address: Phone:
3. Lending Institution: A ~//~
Mailing Address:
Realtor/Agent:
Mailing Address:
Legal Description:
Street Location:
Single Family Residence:~/~) Number of Bedrooms:
Multiple Famqly Residence: ( ) Number of Bedrooms:
Water Supply: *Individual Well ( ) Public/Community
If Individual Well, well depth /~
If Community System, name of system
System (
o
Sewage Disposal System:
If On-site System~ date
On-site System
of installation:
Public System ( )
*NOTE:
3/77
A well log
/
is required on ALL wells drilled since 6/75.