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Home My WebLink AboutZODIAK MANOR ALASKA BLK 8 LT 4dian Block 8 Lot 4 #015-042-25 Municipality of Anchorage D~ARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION POUCH 6-650 ANCHORAGE, ALASKA 99501 INSPECTION REPORT ON oNSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL NAME '~-J~-.. ~,\Co~" LOCATION ~'~'~ ~ ~ ~ ADDRESS ~ ~0~ ~5 ~ PE"MITNUMBER LEGAL DESCRIPTION PHONE(S) ~-- ~[~ ~OT~ ~ ~ ~0~~ ~ ~0F BEDROOMS SEPTIC TANK MANUFACTURER ~.~(.~,~ CAPAC TY N GALS. MATERIAL ~,-~-~=.~. t ~. #OF COMPARTMENTS INSIDE DIMENSIONl DEPTH LENGTH /WIDTH SEEPAGE SYSTEM [] TILE DRAINFIELD NUMBER OF LINES LENGTH EACH TOTAL LENGTH DISTANCE BETWEEN LINES TRENCH. W DTH DEPOSit 0~. ~-='T, :.~t ~.(:) ~", TILE TO GRADE FILL BELOW TILE J FILL ABOVE TILE f~SEEPAGE TRENCH OR [] PiT t~ VIOTH ~'(o LENGTH DEPTI~ ~._.~ ~ [] LOG CRIB FILL MATERIAL DE ,FTH [] RINGS- DIA. TOTAL EFF~EcTIVE ABSORPTION AREA; "~.C~ S~ FT. CLASSIFICATION wELL DEPTH PIPE MATERIAL ,INSTALLER REMARKS 72-012 (9/77); ? DISTANCES : F RO'~OM T.~O SEPTIC SEEPAGE SEWER TANK SYSTEM LINE CESSPOOL WELL WELL TION SYSTEM DIAGRAM DEPARTMENT O~EBLTH AND ENVIRONMENTAL 825 ~L~TREET, ANCHORBGE~ AK. 27-~-25ti ~-~ELL 8~-~D ON--S I TE sE~E~' PERMIT NO. ( 777~ ) APPLICANT ~ICK WRIGHT LOCATION MARS ST. LEGAL LT. 4AK. 8 ZODIAC MANOR TYPE OF SOIL ABSuRATICN SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/AR)= 150 THE REQUIRED ~I~E OF T"E ~OIk ABSORPTION ~STEM IS~' W/~'~ DEPTH= 1~ LENI]TH= ~l GRR~)EL DEPTH= 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD, THE DEPTH OF ~ TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND 8ND THE BOTTOM OF THE E~CBVBTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GR89EL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFBLL PIPE 8ND THE BOTTOM OF THE EXCAVATION (IN FEET) REC-~U I RED SEPT I C TF~NK S I ZE= -I ~'50 GFtLLON:S PBCK]F~GE PLANT OPTIO~ ~ PACKAGE PLANT MAY BE INSTALLED 8T THE PERMITTEE'S OPTION SUBJECT TO THE FOLLOWING CONDITIONS~ ± EITHER B CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED. 2. B CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF 8 MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM 8ND/OR YOU MAY BE SUBJECT TO PROSECUTION, TWO ( 2 ) I ~SPECT I O~'~S 8RE REQU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION 8ND APPROVAL BY THIS DEPARTMENT WILL 8E SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN B WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR 8 PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST 8E RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PER,'1 I T EXP I RES DEF-~E~'IBER ~.- 1977 I CERTIFY THAT 1: I 8M 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 REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. ISSUED 8Y~// ...... DATE--~-~-~-J-]-~-2--~ 8ND WELLS BS SET ENLARGEMENT IF THE VS. 0 D~Iment of Health and Environment rotection Anchorage, Alask~ 9950% Feet 3- 4- 5 - 6- lO- ll 12 - 13- 14 - ~~d w~nte red? If yes, at wnac (lin)th? {~cad. l_~n~_._ ~ate : Gross Time Net Tlme _Ue._p~.!L- J~'b'Fco ]'a Lii:~' FV~' :~',~' -~'" -'irfi~: ........................ L ............. ............... ,Proposed insLal l~t~}~]-"~-6~ge Pit ...................... ' Drain Field .................. uupCJl of Inlet . Depth to boLtom of pit or LrellCn Location: Description~ front yard Materials: to~oit I8 gravel ~ T9 29 clay 30 34 boulder 35 43 sand 44 78 clay,bro~.~en ro.~i 79 I09 clay IIO I22 brovm clay I23 I35 silt,sand I36 i45 gravel,sand I46 I48 silt I49 150 sand ISD gravel Drilled by:Thomas Drillers PO Box IO-516 Anchorage,Alaska 995Ii Municipal License # WD78020 Oompleted April 2I,I978 Well Log 16t 4 blk. 8 Mars Drive Zodiac ~anor MUNICIPALITY OF ANCHORAGE .,. DEPARTMENT OF HI~ALTH & ENVIRONMENTAL PROTECTION}' ENVIRONMEN'TAL ENGINEERING DIVISION '~ 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720'. t CERTIFICATE OF INSPECTION SEWER AND WATER FACl LITI ES 1, PROPERTY OWNER MAILING ADDRESS 2. LEGAL DESCRI. PTION 3. TYPE DWELLING SINGLE FAMILY RESIDENCE MULTIPLE FAMILY RESIDENCE OTHER (Describe) 4. WATER SUPPLY ~ INDIVIDUAL ' I--I COMMUNITY/PUBLIC 5. SEWAGE DISPOSAL [~I,.. INDI VI DUAL/O N-SITE E~3 PUBLIC UTILITY r--1 HOLDING TANK (Maintenance Required) [~APPROVEDFOR ~ BEDROOMS E~ CONDITIONAL APPROVAL (See Attached) r'-I DISAPPROVED SEAL MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99591 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 31RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. P. ROPE R,'rY OW~IER ~ MAILING AOD"ESS ;] PROPERTY' RESIDENT (If different from above) 2. BUYER lPHONE PHONE M(¢ LING ADOR Ess , L~NDING IN~ITUTION IAI LING ADDR~S 4, REALTOR/AGENT MAILING ADDRESS PHONE PHONE · 5. LEGAL DESCRIPTION STREET LOCATION ~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY INDIVlDUAL~ COMMUNITY PUBLIC UTILITY ,~ ,. - ?'~.~'..., ~,, . .~ . NUMBER OF BEDROOMS ~ One ~ Four ~ O~her ~ Two ~ Five ~ Three ~ Six * ATTACH WELL LOG. A well log )s required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM ~1~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date &5~'/.. '2:~: . If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10(3/7s) DATE RECEIVED INSPECTION APPOINTMENTS ' ' TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER [~Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AR EA MATERIAL 4. DISTANCESwELL TO: 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 [Title) 72-010 (Rev. 3/78)