HomeMy WebLinkAboutCOTTONWOOD HEIGHTS BLK 1 LT 18Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
June 30, 1997
Steven L Templeton
PO Box 773916
Eagle River, Alaska
99577 3916
Subject: Lot 18 Block 1 Cottonwood Heights Subdivision
Permit #SW960139, PID #051-431-09
The subject permit, issued June 24, 1996 by this office for a
single family well and/or on-site wastewater system, has
expired as of June 24, 1997.
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. Ail 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; $120.00 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.
~cerely, ~
¢ames Cross, P.E.
~rogram Manager
On-site Services
enc: Copy of Permit
PAGE
1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW960139
DESIGN ENGINEER:
OWNER NAME:TEMPLETON STEVEN L &
OWNER ADDRESS:P.O. BOX 773916
EAGLE RIVER, AK. 99577
DATE ISSUED: 6/24/96
EXPIRATION DATE: 6/24/97
PARCEL ID:05143109
LEGAL DESCRIPTION:
COTTONWOOD HEIGHTS BLK
1 LT 18
LOT SIZE: 44431 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT:
THIS PERMIT IS FOR THE CONSTRUCTION OF:
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 (iSAACS0) .
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:
SUBMIT WELL LOG AND WELL LOCATION~WITHIN 30
DAYS OF WELL INSTA~LLATION.
ISSUED BY: i
ICl' T IT I,
TEL
l'tu.~j 28 96
P, 002
0'7 No.004 H.02
1.~' UTI. u IT'f
LOT ~
~..O'F
dUN,-l~l)' 96(~ION) 12:09 PICT TITHE
-'~ff. BY:STEWART TITLE OF AK ; 6~1[I-96 ;11:28,~ ;
TI TLE//LmlIN-~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL DE,~CRIPTION
LOCATION
PHONE
~) O r~ ~ [] UPGRADE
:DROOMS
Well
DISTANCE TO:
Manufacturer ~--
I F HOMEMADE:
Well
DISTANCE TO:
Manufacturer
DISTANCE TO:
No. of lines Length of ca,
Top of t grade
Length
Type of crib
Depth
DISTANCE TO: Building foun,
OTHER
PIPE MATEJ~LS
SOIL TEST RATIN~o ?
REMARKS
Absorption area Dwelling
Inside length
PERMIT NO.
No. of co%~rtments
Liquid depth_.__._.....__
PERMIT NO.
in gallons
Foundation Nearest lot line PERMIT NO
, tO
Total length of li~ Trench widt~ Distance betwe~
Material beneath e
Depth
Total effecti
PERMIT NO.
Crib depth Total effective absorp' area
foundation Nearest lot line
Driller Distance to Io~ t I
Sewer line _(.._~ Septic tank [ 0 ~
~tion area
PERM'T ,' O[ 01
Absorption area(s¥_ /C) ~
DATE
72-013 (Re~r'~/7B) ~
LEGAL
q, os
:
I C: X F:" [:::1 ff._. I T' %'"
DEPRRTMENT OF
825 '"L."
1.4 EEL_. I ...... Ft ~..~
F:'EF:.MI"f' ND. ,:: 790147 )
DI"~NIEL. RDRMSON
CHUG I RI':::
L."F. ±8 [.:.:K. :t. COTTONNO0[) H'I'S.
FI F' F' L I C: FI N'T'
L..OCFI'T' I ON
LEC;RL.
HEFIL..TH FINE) ENVIRONMENTFIL F'PC'TECT tON
'rREET., FINC:H~RRGE., FIK. 995~
264-4 ,.' 20
C) ~..~ ......... :S X -r ~5: 1~"; EE [..~ FEE ~: F" E:
L.O"f' S ] ZE .~¢%dT¢.JI::II;:EE FEET
"f"¢F'E [;iF' SOIL RB:!:;OF..'E:TION SYSTEM IS: TRENCH
MFIXIMUM NUMBER OF BE[:,RC/OMS =
S 01 L R FI T I N (3 ( S Q F T,.'" B R ) :=
'FHE REQI...tIRED SIZE OF THE SOIL ABSORF:"rION SYSTEM IS:
[]:,, E: F:> 'T I--~ ==-· :~: L EZ ~.-I ~'.]~ "T' t4 == ]:]: ~=:~ ~;-:: Ft "...' ~Z [ ..... E'::, F_':' F> 'T' ~-~:='.=
THIE L..EENG"rH DIMENSION I.S THE LENGTH (IN FEET) OF.' THE TRENCH OR DRFIINFIEL[).
THE DEPTH OF R TRENCH OR PIT IS THE [:,ISTRNCE BETHEEN THE SURF'RCE OF THE!:
GROUND RND THE BOTTOM OF THE E',:.:',E:RYRTION (IN FEET).
THERE I$ NO SET H I[:,TH FOR TRENCHE:S.
'T'HE GRRVEL DEF'TN IS THE MINIMUM [:,EPTH OF GRRVEL BETHEEN THE OUTFRL. L. F'IPE
FIND THE BOTTOM OF THE EXC:RVR"FICIN (IN FEET::,.
PEF::MI T I:~PF'L ICRNT HRS THE RESPONS:[BIL I'¥'¢ 'TO INFORM THIS [:,EF'RR'rMENT DUF.:I NG 'T'HE
INSTRL. LRTION INSPECTIONS OF RN'¢ HEL. LS RD.'rRCENT TO THIS PROPEF..:TY FINE:, THE
NUMBEF.: OF RESIDENCES THRT THE HELL H.T. LL SERVE.
BFICKF ILL lNG OF FIN'¢ S'¢STEM 141THOU'F F INRL INSPECT I ON RNE:, FIF'F:'F:.OV¢iL B"r' 'THI:15
[:'EPI:""IF.:TMENT PJILL. BE SLIEL.TEEC:T TO PROSECUTION.
'MINIMUM DISTFtNCE BETHEEN R HELL..RND RN'¢ ON-SITE SEHFqGE [:'!SPOSRL :E'.'7¢STE:M IS
;~00 F:'EE'T' FOR FI PR IVFITE HEL. L.:
:1.50 TO 200 FEE'T' FROM R PUE:L. IC HEL. L [."EPEN[:'IN6 UPON THEE T'¢PE OF' F'UE:LIC I.,JELI .....
HEi:LL ' .....- .... "" ' ' '
L. LL',=, RRE RE(;!UIF.:ED FIND MUST BE F.'ET JF.'.NFD TO THE [..,EF-HF:.TMENf HITHIN
OF THE 1.4E:'LL. E:CtMPLE'TION.
OTHER RE[.:!L.tIREMENTS MR'T' F~F:'PL'¢. SF'EC'IFICR'rIONS RNE'., CL-~NSTRUC'r'IC~N [.':,IFIG[;.'.F:tMS RRE
FIVRIL..F~E.:LE TO INSURE F'F.:OPER INSTRLLRTION.
I C E R T t F"r' 'f' N R T
i: I RM FRMILIFiF.:: 1.4ITH "rile REQt.IIREMEN"f'S FOR ON-SITE SEHF:RS Rhl[:, HE:L.L.S FIE; SET
FORTH B'¢ THE MUNIE:IPF~L. IT'¢ OF." RNCHORRGE.
2: I P.IILL INSTFIL. L. THE SYSTEM IN RCCOF...'DRNCE HITH THE CODES.
S: I UNDERSTRN[:, THRT 'file ON-SITE SEI.,.IER SYSTEM t"tR'¢ F..'.EQUIRE ENL. F~F::C~E'MENT Il::: THE
[;.:[ES;I[::,Efg[::E IS REMODELED TO tNC:LUDE MORE THRN :'..!: 8EDRCJOMS.
..............................................
.. ............................... DRTE
R&M CONSULTANTS, INC. 50z4 CORDOVA · BOX 6087 · ANCHORAGE, ALASKA 99§02 · PH, 907-279-0483 · TLX. 090-25360
April 19, 1979
Mr. Daniel L. Adamson
3425 Peterkin Avenue
Anchorage, Alaska 99504
Re: Subsurface Investigation for Sanitary Sewer System, Lot 18, Block 1,
Cottonwood Heights Subdivision, Anchorage, Alaska.
Dear Mr. Adamson:
In accordance with your request, a single test hole was drilled and logged
within the boundaries of Lot 18, Block 1, Cottonwood Heights Subdivision.
The project was initiated and completed on March 10, 1979.
As illustrated by the accompanying log, the soil profile consisted generally
of six (6) inches of organic material overlying gravel with varying amounts
of sand. Thin layers of gravelly sand were found scattered randomly through-
out.
The test hole was drilled to a depth of twenty (20) feet below ground
surface.
Groundwater was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you. Should
you have questions with regard to the above, please do not hesitate to
contact tls.
Very truly yours,
R&M CONSULTANTS, INC.
GAS/pj
Enclosure
ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA
BORING NUMBER 1 Date Completed: 3-11-79
SOIL DESCRIPTION
ORGANIC MATERIAL, PT
GRAVELLY SAND W/TRACE
SILT, SP
.5'
SANDY GRAVEL, GM
SANDY GRAVEL W/LAYERS
OF SAND, GM, SP
6I
8 I,
GRAVEL W/SOME SAND
OcCasional Cobbles, GW
GRAVELLY SAND, SP
SANDY GRAVEL
Numerous Cobbles, GM
'T.D.
LOCATION SKETCH No Scale
NOTE: DISTANCES SHOWN ARE APPROXIMATE AND HAVE
NOT BEEN MEASURED BY SURVEYING METHODS.
EXPLANATION
r-- UNFROZ'&VV GROUND
I~ ORGANIC MATERIAL
Little Visible Ice 0:10' Vx
.J2'$AMPLE NUMBER
(J) Ss 72,57. I% ,8.5.0pet
~ ! ~-DRY DENSITY
I ! ~'-'WATER CONTENT
L ~ 8LOWS/FOOT
~AMPLER TYPE
~W.D. WA~E~ TABLE
BEDROCK
~ F~ZEN GROUND ~-WNIL~ ORKLIN~
TYPICAL SOILS LOG
Ss ~d"SPUT SPOON WITH 140L~ HAMMER
Sz I.d" ~PAIT ~ON WITH 3dO ~. HAMMER
~p Z~" SPLIT SPOON~ PUSHED
TS SHEL~Y
Tm MODIFIED ~H~BY TUBE
SAMPLER TYPE SYMBOLS
ORGANIC ~ GRAVEL
MATER/AL
CLAY BOU£DERS
~7'~ SILT ~ BEDROCK
~ SAND ~ /C~ MA=IVK
SOIL SYMBOLS ~ ,
iCDwN. E.R.R.
CKD.
DATE. 4-19-79
ALE.
Lot 18, Block 1
Cottonwood Heights
Subdivision
Anchorage, Alaska
riB.
GRID.
JPROJ. NO.
LDWG. NO
'~' · ~' '-' DATE RECEIVED
" INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR
'NSPECTO~~c
MUNICIPALITY OF ANCHORAGE DEPT. OF H~LTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~VIEON~ENTAL
~ ~ s..~-A.~ho~.... A,.~. ~O~ OCT 1 4 1981
ENVIRONMENTAL SANITATION DIVISION
· .,.,,o..,,.,,,0 R EC E I V E D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proc~d. Please allow ten (10) days for processing.
L
MAI LINGADDRESS ' ~ ~
RO ERT RESIDENT(It d' fere t ro abo e) PHONE
2, BUYE~ . ~~ PHONE
MAILING A~RESS
4. REALTOR/AGENT I PHONE
MAI LING AD DR ESS
5. LEGAL DES~RII~TION
6. TYPE OF RESIDENCE
SINGLE FAMILY
[] MULTIPLE FAMILY
'7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
8, SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
NUMAR OF~BEDROOMS ' '
[] One [] Four [] Other
~ Two [] Five
[] Three [] Six
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give wel
depth (attach log if available.)
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)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified.
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or [] Holding Tank
Size: /(_~(~O If Tank is homemade
give dimensions:
[] ONE
[] TWO
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
NUMBER OF BEDROOMS
PERMIT NUMBER
[] THREE [] FIVE
[] FOUR [] SlX
DATE INSTALLED
INSTALLER
SOl LS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
[] OTHER
Septic/Holding Tank [Absorption Area
Sewer Line
INearest Lot Line
5. COMMENTS
J~'~ APPROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE
72-010 (Rev. 6/79)
CHEMICAL & G~JLOGICAL LABORATORIES UF ALASKA, INC.~
TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER '
274-3364 5633 B Street
Drinking water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
Water System Name
I.D. NO.
Phone No.
Mailing Address
City State
Mo. Day Year
SAMPLE TYPE:
D Routine
[] Check Sample (for routine sample )
with lab ref. no. ,
[] Special Purpose
SAMPLE
NO.
, I
= I
I
I
LOCATION
Zip Code
ater
Water
06-i220
Rev. 1978
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
~ Satisfactory
[] Unsatisfactory
I-']' Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
E:] Fermentation Tube
~,.Membrane Filter
Lab Ref. No. Result*
Analyst
*No, of colonies/lO0 mi. or No, of Positive Portions
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Data Collected Sourca
Time Received :).m. Lab. No.
Presumptive /Omi 10mi 10mi 10mi 10mi Z.0ml 0.1mi
24 Hours
48 HOUri ~ / ,
Confirmatory
24 Hours
4B Hours
EMB, Broth 24 houri; Broth 48 houri;
10mi Tubel PoSitive/Total 10mi Portions
Collform/100m!
BGB
Collform/100ml
Date -
Tlme~ I.m.
pomo
Multiple Tube Report:
Membrane Filter; Direct Count,
Verification: LTB
Final Membrane Filter Relultl
Reported By i,