HomeMy WebLinkAboutDENALI VIEW BLK 1 LT 3uuu-x�
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Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Mark Begich Anchorage, AK 99507 S " ` ` T r
Mayor www.muni.org/onsite
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue: 6-V
Parcel Identification Number: CTI •t(6 12(
Legal Description �� ]
�Q1VtQ 1 V I —C '
8 d LS
Property Owner Name #k Address:
_�3014v1 SLVl4! �z
psi, i s✓r��
Pump Installation Date: G —1' _ 16
Pump Intake Depth Below Top of Well Casing: f ,gyp feet
Pump Manufacturer's Name: 12,e) Yc C k I
Pump Model: 7 se - 3 l I g$ l&
Pump Size 711Yhp
Pitless Adapter Burial Depth: / 3 feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? es ❑ No
Method of Disinfection: Uz �eGGLt �5
Comments:
Pump Installer Name: � 6k
r
ANCHORAGE WELL & PUMP SERV.
330 EAST 76T AVENUE
ANCHORAGE, AK 99518
PHONE: 907-243-0740
AWPS.COM
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Municipality ®f Anchorage � .2.
49 T
/ Department of Health and Human Services dhll5
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
January 8, 1991
John E. Schultz
8501 Sultana
Anchorage, Alaska 99512
Subject: Lot 3 Block 1 Denali View Subdivision
Permit #900196, PID #015-461-21
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1990.
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 needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as -built inspection report
(three-part form) 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: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any quest ons, please call this office at 343-4744.
Sic r ly,
IJ n Smith, P.E.
P ogram Manager
n -site Services
JW/ljm:200
enc: Copy of Permit
"Kids Are Our Future"
MUN1Cl1 :�LITY OF ANCHORAGE
Department of Health & Human Services
825 L Street, Anchorage, Alaska 99501 343-472O
ON-SlTE SEWER
Permit Number: 900196 Upgrade
Date Issued: 07/12/9; Ln0ineer Designed
Owner Name: ,}OHN E SC�ULTZ
Uwnur Address: 85o1 SULlANA
ANCHORAGE, AK 99512
PERMI7
Parcel Id: 015-461-21
Lot Legal: Subdivision: DENALI VIEW Lot: 3 Block: 1
Section: 24 Township: 12N Range: 3W
Lot 3ize 44598 (sq.{t. or acres)
Max Bedrooms: This Permit: 3 Total Capacity: 3
Day Phone:
3/|5-4076
SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic
tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0
feet requires insulation over tank(s).
PERMI7 EXPIRES DECEMBER 31, 1990,
NOTIFY DHHS UF INSPECTIONS AT 343-4744 OR 343-4681.
TOlAL DEF'TH OF SYSTEM MAY NOT EXCEED 1.0 FEET.
r '.&RTlFv [HHl:
1. I am ;amiiiar with the requirements for on-site sewers and we1Is as set
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
2. I will insist! Lhe system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3. l will adhere Lo all MOA and SLate of Alaska requirements for ihe seL back
distances Prom any existing we!], wastewater disposal syaLem or publmc
sewerage system on this or any adjacent or nearby loi.
A. I understand that this permit is valid for a maximum of 3 bedrooms. l
also understand that the capacity of the total system is 3 bedrooms and
any enlargement will require an additional permit.
Signed: DATE:
--------------------- ---------------
(Owner) JOHN E SCHULT�
Issued By: DATE:
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e Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: DCe �3b" e-"tJlk-Z--- DATE PER
LEGAL DESCRIPTION: j��Vy�lc Litems LSO %a S11C I Township, Range, Section:
SLOPE SITE PLAN
DEPTH 1 et '
2
3 1
4
6-
7 7
3
N
10
Net
Time
WAS GROUND WATER A ry
Net
Drop
ENCOUNTERED? Iv
S
11
L L
IF YES, AT WHAT ---
DEPTH? P
12
E
13
Depth to Water After
Monitoring? O Date:
14
15
16
17
18
19
0
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
L,L,
20
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND �FT
/�
COMMENTS 7Ue 1 d
i��b`2/tie Pre, J�-(� I,5 (36ztsy�/r1=��sF�2y� �s`c�,•�X2�'w��u
="706f --r Z
PERFORMED BY: ��� I `�-�� CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7 1 v
72-008 (Rev. 4/85)
GRED, . ER ANCHORAGE AREA BORAGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME �j0 �CiC{C ��MAILING ADDRESS 'ST-F_(e PHONE c
LOCATION LEGAL DESCRIPTION LOT 3 f�. fC I
SEPTIC TANK:
DISTANCE
FROM WELL_, MANUFACTURER MATERIAL
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH
TILE DRAIN FIELD:
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY(O051 GALLONS.
TOTAL LENGTH �ff
DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE_ OF LINES y�
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH _�4IN. TOTAL EFFECTIVE
1
ABSORPTION AREA lq 2— SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER r
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE_-- -IN. ABOVE TILE 4/9 IN.
WELL:
TYPE- CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM
CESSPOOL , OTHER SOURCES
APPROVED_ DISAPPROVED REMARKS --
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
Lo
REMARKS:
Form EQ -032
DIAGRAM OF SYSTEM
M
DATE 1b %-'X nPROVED _-
Q a( u'Y I L r,.
Lpt o
G.A.A.B.
//v3 0 At
�-S
TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)- 160
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
ED, ��-1 - VA= YR. 121 ���cis 0- 1-1= 0, 0, aw a F4 %, FE n n a Fo -r wA= �
THE LENGTH DIMENSI8j IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD,
THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND HND THE BOTTOM OF THE EXCAVATION (IN FEET)
THERE 15 NO SET WIDTH FOR TRENCHES.
THE GRHYEL DFPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
HN� THE BOTTOM OF THE EXCAVATION (IN FEET)
ITO FFT fit H -1 : T! 10 KE� F74 �wEn wo� -1 - 1 10 l - lot 10 f< 10 1 TIT FEZ= YR. ED CA CA Ch F4 L . L. ED VA 0;�
--- -1- w"A C? < ;T A :1 1 CAVAN, F! fQ EE FR E1 Wit H.A 1: IAO IPE 17, —....... ..........
BHCKFILLTNG OF HNY SYSTEM WITHOUT FINAL INSPECTION AMC, HPPROYHL BY THIS
DEPARTMENT W7LL BE SUBJECT TO PROSECUTION-
MINIMUM DISTHNCE BETWEEN H WFLL HND HNY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WEL| OR 200 FEET FOR H PUBLIC WELL
OTHER REQUIREMENTS MHY HPPL1A SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO I415URE PROPER lNSTHLLHTION.
1=v 14 ITO tit 1: "T 12 1-11" 1: F0 kf� Y& i0w 05� P0 12 twl KEN FE FA V?nL" I'��7"
L20nst'LUCU0n E7.e1t -fa Ly'
"One test is worth a thousand opinions"
2204 Cleveland Anchorage, Alaska 99503-
Performed
9503Performed For Tom Murdock Date Performed 6/13/77
Lenal Descrintion: Lot 3 Block Subdivision Denali
This Form Renorts Soils Lon yes Percolation Test_ y'G
Denth
Feet Soil Characteristics
_ Peat
2 —
?erc 4 —
Brown Sandy Silty Gravel
:est 6 —
;one 8 `
___10
12 —
Brown Sandy Silt, with
14 — . occasional Gravel
16— Bottom of Test Hole
fi 0:
20—
Was Cround Water Encountered? No
If Yes, At what Depth?
Readinq Date
Gross Time
Net Time
Depth to
inches
H2O
Net Drop'
inches
6/13/77
11.30
16
4
12:00
24.5rs
37
21
r
6/14/77
12.15
3
12:25
10 min.
6-3/4
3-3/4
6/14/77
12.35
10 min.
8
1-1/4
6/14/77
12.45
11min.
-1
4
-4.
12:55
10 min.
10-1/4
1
6/14/77..
I-- : A/14/77
1:05
1 :15 1
10 min.
10 min.
11-1/4
_ 12-1/4
1
l
Percolation Rate 11,/10 Minutes
Proposed Installation: Seenane Pit Drain Field _
Deoth of Inlet Depth To Bottom Of Pit Or Trench
Cr)mMENTS: 175 Sct Ft drainage area required per bedroom from —2 to 10 feet
Test Performed By __A_ __ Data Certified ByGONSTRUCTION TEST LA
avid Paul Date: 6/17/77 _
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
TO H COMMUNITY SEWER LINE IS 75 FEET.
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.
r-CE"FRN I -r �X F=" I FZ"E:"_--- ����a M E.' a F--" t2l
I CERTIFY THAT
1: I HM 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 ACCORDANCE WITH THE CODES.
SIGNED:____________~___________________________
HPPLICHNT TOM MURDOCK
'
ISSUED BY______________________________ DATET______
__-
Y4.0
(]`��\
` ._`�
�� ��������������
��
Q-^Mr��n
CEpHRTMENT
HEALTH AND
ENVIRONMENTAL ]TECTION
825 'L'
STREET, ANCHORAGE,
HK' 99�"�
/)
264-4720
��xu��\�c���
t-.IE:L-1-
r-' F-= F-*. Irl I -F
PERMIT
NO. ( 800462 )
^l\
APPLICANT
TOM MURDOCK
PO
_-____
BOX 10-523 99511
]49-]492
LOCATION
SULTANA DRIVE
LEGAL
LOT SIZE 46000 SQUARE FEET
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
TO H COMMUNITY SEWER LINE IS 75 FEET.
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.
r-CE"FRN I -r �X F=" I FZ"E:"_--- ����a M E.' a F--" t2l
I CERTIFY THAT
1: I HM 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 ACCORDANCE WITH THE CODES.
SIGNED:____________~___________________________
HPPLICHNT TOM MURDOCK
'
ISSUED BY______________________________ DATET______
__-
Y4.0
r•1 U r-4 I I t F:* Pi L_ I -r'T• CI F= ""C H C' F;> n � � E
DEPARTMEN OF HEALTH AND ENV I RONMENTP' PIROTECT I ON
825 L" STPEET, ANCHORAGE, AF.. +5►�l
264-4720
- e-
76
7"x'44
-T/t
October_ l., 1980
115"L"S1HFFC
ANc41WWIE, Al-ASKA 99501
(907) 264 4111
,I h1. SUI UVAN,
l;1AY(1H
%•�' I ",11 'J f :�f II' .1!_111 %\Nf) FNv�HnNn4F?J1 nL PHOfFCTION
Tom Murdock
Post Office Box 10-523
Anchorage, Alaska 99511
Subject: Lot 3 Block 1 Denali View Subdivision
The second well drilled on the above subject property
is approved for construction and quality.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Les N. Buchnolz, R.S.
Senior Environmental Specialist
LNB/ljw
U
�U Not ovi !1: 7- Kwj 1=1 L - 1 Ev F" CD FT C3 04 K by K FA F1 F" FT CA P1 1 IN 23 vi E���
I CERTIFY THAT
1� l HM FHMILIHR NITH THE REQUIREMENTS FOR ON—SI[E SEWERS HND WELLS AS SET
FORTH BY THE MUNICIPHLITY OF HNCHORHGE.
2: I WILL lNSTHLL THE SYSTEM IN HCCORDHMCE WITH THE CODES.
SOS 13699 SWAu ILIOL'TE A ANunonAGEg AX.ASKA 99502
344-7'714
SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 355 Tom•
DRILLED AT THE RATE OF $18.00 PER FOOT.
PROPERTY OWNER • Tom. Aadock 349-3492
LOCATION OF WELL SITE fA• Btk• Sub.
DRILLER Be w e GLau a of- RampoAt G1o&k4 .
WELL LOG:
10el,L deea meal pwaa 245 to 355 P -et Bednock
245--295' R 4edunentx&t* nock.
295--298' R ganujzm ty.Pe nock. Wet Some araite& ptod.I.rctton at thA4 d.eveL.
298--340' Sed zm &ta-W nock..
340--345' An. ahea 4ho'#-Z'4 area pnodccc tf oa during dfi i,UAf`4 o pe4a ti on..
345--355' S nock.
k I Vq%
q,
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF
$1980.00
THANK YOU VERY MUCH.
BERNIE CLAUS OF RAMPART DRILLING WORKS
DATE Aug. 14tho 1978 1
SERVICE CHARGE OF 1 %a% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS.
I-,
RILL LOG
CASING
START COMPLETE
DATE
NAME —i,::,'ig- Ausrj,�
No.
ADDRESS
A)
CITY
PHONE
JOB LOCATION
X1
TIME
WELL LOG
DEPTH
WELL LOG
1
9v .S %2
"zz , ie
/f
4
it
I -),11A (If'Sl
tA,
A4
STATIC LEVEL
GPM - YIELD
J
5. LEGAL DESCRIPTION
DATE RECEIVED
INSPECTION APPOINTM NTS
cna.,f; v
TIME
TIME
TIME
DATE
DATE
DATE
1:1 MULTIPLE FAMILY
❑/ Two E:1 Five
FEI Three ❑ Six
1. WATER SU LY
INSPECTOR
INSPECTOR
INSPECTO
I
DEPT. OF 117ALTH &
MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL i-,OTECTION
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501 AUGU n
• 5 1980
ENVIRONMENTAL SANITATION DIVISION RECEIVED
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER
PHONE
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
MAILING ADDRESS
3 dmhoet_
PROPERTY RESIDENT (If different from above) IV
PHONE
IC P/v
2. BUYER � pn 1
PHONE
MAI LING ADDRESS
/(/IV
3. LENDING INSTITUTION •
PHONE
u
MAILING ADDRESS
J,91 !'1/'. No ern �r 5,61,4. Ache r Wl
4. REALTOR/AGENT VPHONE
Yr�ve I
z/14n( s
MAILING ADDRESS �J
J�
J
5. LEGAL DESCRIPTION
Vi&J '
cna.,f; v
STREET LOCATION
J� Li �✓ mqr• rk
6. TYPE OFF RESIDENCE
Ili' SINGLE FAMILY
NUMBER OF,BEDROOMS
❑ One ❑ Four ❑ Other
1:1 MULTIPLE FAMILY
❑/ Two E:1 Five
FEI Three ❑ Six
1. WATER SU LY
L 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.)
SEWAGE DI
8. SEWAGE DI POSAL SYSTEM
/ YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
�w
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
ED PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
❑Septic®Tank or ❑ Holding Tank
Size: 1 b If Tank is homemade
give dimensions:
SOILS RATING
�� o
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
V,, -'APPROVED FOR _ BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED •
DATE T,9?—
, 9?- 9 �
BY
72-010 (Rev. 6/79)