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Home My WebLink AboutCINERAMA TERRACE BLK 3 LT 3Cineromo Terro Block 3 Lot 3 # Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~,t {. o~,fo PID Number: O~ o - o~ - Name: Oo~ ~--r,~ Wastewater System: ~ New D Upgrade Address: Phone: Total Depth from original grade: LEGAL DESCRIPTION Soil Rating: 0.~ GPD/Sq. Ft. Subd[v~ion: ~pth to pipe boEom from origina g ade Gravel depth beneath pipe Ft. Ft. Township: ~,~ Range: ~ii Section: ~ Fill add~ above~,~original_gmde:l.~ Ft, Gravel~[ ~ ~lengt · ~ ~ Ft. Number of lines: JDistance b~ween lines: WELL: ~ New ~ Upgrade Gravel width: ~' ~ Ft. ~I ]~' Ft. Yield:] Pump ~t at: Casing Height Above Ground: SEPARATION DISTANCES = Septi= ~ Ho~Uin~ ~ S.T.~.P. TO Se~ic Abso~tion Lift Holding )ublic/Private Manufa~urer: Capeci~ in gallons: t 'Material: Number of ~mpa~ments: Water I°~~+ ~ -- LIFT STATION LineL°t ~ I i ~ J ~ ~ ~ Size in gegons: ~ Manufacture~ Remarks: BENCH MARK A~umed ]00. 0 ~t, Elevation: Inspections pedormed by: 170~Eagle River Lo~ Road,~.~ ~nd. w-7'~-~ ~ t *OBEET CCOW~ Depa~ment of Heal~,Hfi~n S~i~s approva~ q¢ Reviewed and approved by: /~/ ~. ~ Date:/0 -//-~ '~t~[~,~. 7~-013 (Rev, 9/91 ) MOA 25 Permit No. SW960190 2 2 Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LOT ,5, BLOCK .5, CINERAMA TERRACE 020-05`5-29 Legal Description: PID No.: NEW 1RENCHES ALT. j m ~s~ ~NEW ~25~ GAL BCO 13' 40.5' FINAL G~D[ C02 C04 MT1 t46.5' 139' ~C05 t75.5' ~AT~R NO GROUND 61.4 B.O.~ ~ I F :N~ GRADE~ 72~O13 A (Rev. 9/91 ) MOA 25 ~201 Ramona St. 99515 ~ANC~OI~ SIX INCH WATER WELL DRILLED .......... OUT TO THE DEpTH OF 5 i S feet, DRILLED AT THE RATE OF ~2~, ~)~ PER FOOT, PROPERTY OWNER Mr. Doug Fulton LOCATION OF WELL SITE Lt. 3 Blk. 3 DRILLER Bernie C1 aw s o f Ram cart WELL LOG: ~'0 - 19' 15 - 21 ' ~-9 183 Sub. Drilling Works. SE? 2~ 199~ Municspali~y o1 Al~cno~ a~e Dept. Health & Human Services 'Silty sandy gravel with small boulders. 10% clay material. Cpp~omerate of broken bedrock~ ,bu~ ~ab~e, to d~i~e ~$ee% casing. 2~ - 315~"';Bedrock. A sedimentary rock material. ' From 80 to 8~ ft. ~ there was a beginning of ~ ~z*'~]~'" ' ...... ~. ~ signs of water in a granular 'type rock. A little under 1/2 gpm, No new signs of water until 2~-247'. Production was~p,-to a full,one gpm..-gD,~ilons~p~P~h'~Ur..By~.295 ft. , comi'.g out of more granular tyoe rock, ~ield was up to ver~ close to 2 I/2 gpm. it was decided that. a little more footage drilled~would up,the production~ Charge for 3!5. ft. x $23.00 & in this particular.case, that was a good decision. Production improved to a full fou~_gpm. For short duration pumping afte.r~R~l drawdown, t~is Well pumps 5 gpm. Then slows down to just over 4 gpm after 30 minutes time. Water recovery is back up to within 60 ft. , of surface.'$ubmersible Rump, (A one horsepower pump) should be installed down ~o 25~ ft. or even some- deepe~. A..3/~:horse Rdmp may be sufficie~ ~t:,.25~,~-' ~:~.,~.~ ........ No charge for mob or demob, or set-up, per ft: $7,2~5.0~ COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING, WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF $7',2~45,00 THANK YOU VERY MUCH. DAT~ Seetember 2. 1994 SERVICE CHARGE O F 1'~% PER MONTH WILL SE A$fE$sED ~)N'- PAST DUE ACCOUNTS. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PERMIT NUMBER:SW960190 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:FULTON DOUG OWNER ADDRESS:16440 BLACK BEAR CIR ANCHORAGE, ALASKA 99516 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT~-~"~ DATE ISSUED: 7/11/96 EXPIRATION DATE: 7/11/97 PARCEL ID:02003329 LEGAL DESCRIPTION: CINERAMA TERRACE BLK 3 LT 3 LOT SIZE: 99516 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ' ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ISSUED BY: ~- ~ Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 31, 1995 Doug Fulton PO Box 971 Delta Junction, Alaska 99737 0971 Subject: Lot 3 Block 3 Cinerama Terrace Subdivision Permit ~SW940266, PID $020-033-29 The subject permit, issued July 29, 1994 by this office for a single family well and/or on-site wastewater system, has expired as of July 29, 1995. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit., the fees are: $320.00 for an on-site wastewater permit; $12'0.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. S17cerely' /~ ~raom;~am~ ManS~geP~E' On-site Services enc: Copy of Permit cc: S & S Engineering PAGE MUNICIPALITY OF ANCHOR. AGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.0. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940266 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:GIBSON ROGER OWNER ADDRESS:3407 LORE ROAD ANCHORAGE, ALASKA 99507-3017 DATE ISSUED: 7/29/94 EXPIRATION DATE: PARCEL ID:02003329 LEGAL DESCRIPTION: CINERAMA TERRACE BLK~ 3 LT 3 ~ LOT SIZE: 88920 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 KOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. 1 OF 1 7/29/95 SPECIAL ~~~ PROVISIONS: RECEIVED BY: ISSUED BY: DATE: DATE: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. July 4, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST ROAD DESIGN SOILTEST PERCOLATION TEST Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Cinerama Terrace Subdivision; Block 3; Lot 3 Request you issue a permit to drill a well and install a septic system to ser~e the pro~ four bedroom house o~ the referenced property. Test holes were excavated and percolation tests approximate locations of the test holes are located site plan. The monitoring tubes within the test checked and found to be dry. performed. The on the attached holes have been This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. /~/LSU/jk ON SiTE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE204 ° EAGLE RIVER, ALASKA99577 NV]d 3ils ,OS = ..L Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFOR~A ED FOR: ~'~ ~'- ,I ~,~'~/'~.TM LEGAL DESCRIPTION:~/~7~PrfCL~ ~ ~/~rownship, Range, Section: 1 2 3 4 6 7 8 9- 10- 11 13- 14- 15- 16- 17- 18- 19- 20- ELOPE WAS GROUND WATER ~v~ ~O ENCOUNTERED? S IF YES, AT WHAT ~- ~ DEPTH? p E Depth to Water AlterM.iterin,? ~-~y D a :~¢~.~/~.4/~te SITE PLAN ' I (,7. Reading Date Gross Net Depth to Net Time Time Water Drop ., Y,z" PERCOLATION RATE (~ ~* (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~/ FT AND 5 FT COMMENTS $ & S ENGINEERING PERFORMED BY: ' ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELIN~T ON THIS DATE. 72-008 (Rev. 4/~) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PER FORMED FOR: '~['~ ~---~-I ~-- · EGALDESOR,PT,ON: ' [~/~ Township, Range, Section: 1 2 3 4- 5 6 7 8 9 10 11 12 13- 14- 15- 16- 17 18 19- 20- SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? pC E Mo~iteri~D? ..,i/"-"~ Date: PERFORMED ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELII 72-008 (Rev. 4/85) SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop : ~2- I h,~ ~ 'I~ '~ ~/~, ~ :~ I0" ~/~ Y~" PERCOLATION RATE ~. 0 (minutes/inch} PERC HOLE DIAMETER TEST RUN BETWEEN ~T AND ~ FT COMMENTS S & S ENGINEERING J / 17034 Eagle Rive~ Loop Road No. 204 ATE: CERTIFY THAT THiS TEST WAS PERFORMED IN