HomeMy WebLinkAboutMOUNTAIN AIR ESTATES BLK 2 LT 681ac
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
NAME
MAILING ADDRESS
LEGAL DESCRIPTIOt~
LOCATION
m ILiq. capacity in gallons IF HOMEMADE:
I~. (3 ~ DISTANCE TO: ~Well
~ ~ ~ Manufacturer
~ I No.o~u.~ ~ I L~ngth of ~ach ~ne
~ IT°p°ftilet°finishgrade . /' ~
~ I Length Width
~ ~ I Type of crib Crib diameter
~ DISTANCE TO: Well
~ IClass Depth
~ DISTANCE TO: Building foundation
OTHER
PIPE MATERIALS
REMARKS 'J
INSTALLER
Absorption area
Inside length
Dwelling
F°undati°n~,7
Total length of lines
Material beneath tile
Depth
Crib depth
Building foundation
Driller
Sewer line
Dwelling
Material
W dth
APPROVE~~/
DATE
Ju hI Ig, 3
Material
Nearest lot line
Trench width
I O~.~ Z~(~ inches
inches
PHONE J [] NEW
~7~- 70~CI ,j~UP~RADE
NO. OF BEDROOMS
PERMIT NO.
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
LEGAL
Total effective absorption area
Nearest lot line
Distance to lot line PERMIT NO.
Sept c tank Absorpt on area(s)
PERM ¥O '5 5
I Di'tan&~.~t.w.~'ine'
Total effec~ti~e6b~ption area
PERMIT NO.
MUNICIPALITY 07- ANCHORAGE
POI~CH 6-650 ANCHORAGE, ALASKA 99502
TO,
REFERENCE~
DATE
PLEASE REPLY IN AREA BELOW e~'~ ~f~'~4'! FROM
TO
REPLY DATE ...................................................................................................... FROM ................................................................................................
FORM 91-008(3/'76)
aL: I FIH FRI','IIL. IFIE: [,.II:TH THE F:EQUIF.:EHENT9 FOR E$4-.'_=,:[TE E;EHEF,'L=; FIND HELLE; FIE; E;E"r
FORTH B'.r' THE HUNTCIPR[_:[T'¢ OF RNC::HORFIGE
2: ]: HILL INSTFILL. THE S'T':STEI'"I ]:N FICCORDFti'.~E:E HITH THE: CODES.
-.-.. '[ I lN~,EF. STRI'.!D THRT THE ES,t-.SITE ':2;EI.,.IEF.: ~;'T'STEf'I I"'FI'T' P. E6!UIRE ENLRRGECI'tEI',IT IF' THE
F.:E'.L:;' E.'iN'.:E~.~. ~~~~'-F"EHC'D~~::L~"E THFIN
;5 f G N E E: .................
RF'F'L. I CFtNT [~' 'F ."_-'~Z~ I',,I
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
2
3
4
7
8
10
13
14
15-
17-
18-
DATE PERFORMED:
' [ocY, Lo; Lot2
SLOPE SITE PLAN
WAS GROUND WATER N~t '''~
ENCOUNTERED7
O
P
E
IF YES, AT WHAT . , ,
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
cf: 5-8 0 ,
+~ ~0 /o: 0¢ 0 , ,~/
~0 /o., 20 0 ,6-/
:~ /o.'~o /~,,~ ·
+HzO / o.'~ I 0 .6-0
PER CO~-ATIU RATE
TESTRUN BETWEEN IiA FTAND ~ FT
GRE~.,,FR ANCHORAGE AREA BOk, dGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCAT'ON ~/~e'~¢rry~LEGALDESCR,PT,ON Z~--C ~/X ~
SEPTIC TANK:
DISTANCE
FROM WELL_
INSIDE LENGTH
NUMBER OF
MANUFACTURER. ~--~ MATERIAL COMPARTMENTS -
~'~/' INSIDE WIDTH__ _~iQUID DEPTH LIQUID CAPACITY / ~LONS.
TILE DRAIN FIELD: / ! TOTAL LENGTH
DISTANCE FROM WELL FOU.DATION ~-~-0 NEAREST LOT LiNE ~.~0 1L OF LINES_ 55'
NUMBER OF LINES_ / DISTANCE BETWEEN LINES-//~ TRENCH WlDT~(~ IN. TOTAL EFFECTIVE
A~SOR~TION AREA ¢_? ~ SQ. FT. LENGT, OF EACH L,NE / .g~ ----
~ DEPTH OF FILTER ¢~__ ~./Z
DEPTH: TOP OF TILE TO FINISH GRADE __ ¢ MATERIAL BENEATH TILE__ IN. ABOVE TILE IN.
DEPTH DISTANCE FROM:
TYPE .... CONSTRUCTION
BUILDING NEAREST NEAREST
FOUNDATION __, LOT LINE SEWER LINE
SEPTIC SEEPAGE
TANK , SYSTEM_
CESSPOOt
, OTHER SOURCES
APPROVED _ DISAPPROVED_ REMARKS
-~~ DIAGRAM OF SYSTEM
DISTANCES:
INSTALLED BM:
PIPE MATERIAL' '~ ' ' ~ I 7~ }~t.~/~0 ,
~ ~ · ~ '// --- ~
~R~ ~ DATE ~ APPROVED
;IX HqCH VFATER VVELL DRILLED AND CASED OUT TO THE DEPTH OF' __~.
)RILI.ED AT THE RATE OF ~8.00 PER FOOT.
'.OCAT]ON OF WELL SITE Lt~ B~.
:~EL,L ILO~:
_ob~l co~'t of ~h~illing: ~2358.00
~:"%id in ,full pe~ this date. By ~. Lon Olson.
COST ~NCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF' SAID
~:tI:~tTE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF
THANK YOU VERY MUCH.
BERNIE CLAUS OF RAMPART DRILLING VVORKS
EJEI~:VlCE ~:HARGEOF: IY~% PER MONTH WILL BE ASSESSED ON PAST D~JE AC~O~'~ ·
':~PF'I_ICRN'T' I_ON OLSON
.J]CFFf'If.]N MOSEBERRY DR
,_.ECiFtL. L..6 82 M'T' FIIR E"-"::T
E. EFMIE. [I'I[:.N] HEHI....TH HNE:, [.'.Nv J. RL.iNMEN]
825 "'L. STREET, RNCHORFtGE, FIE:::. 2 ?'_:,. -;i~:5~l.:~.
~...~ E L L ~=~ r...ll E ::, ~:::, ~4 --- ':~:, :[ T E ::-"_': E ~-.-~
,' }""?J. 7'7' ':'
BOX 4-::1..46:~:
I....OT
'¥YPE OF SOIL. FIBSORBTtC)N SYS'FEH IS: "f'RENE:F~
I'"IH>~',i'I"tUM NUMBER OF BEDROOMS = _'2'-: SOIl.... RFt'i"ING
THE RE(;!I..IIRE[:, SIZE F~F THE '::"'II.... FIBSIqRPI".~LON ='r.z, TEI'I IS'
El::, E: F" 1'" H .'.=-..- IL_ E: 1t"-.11 C.:~ T' H -== ~ ...~ r.=,, r-,
'T'HE L.ENGTH DIMENSION :['.'::'; THE I...ENG'rH ,::IN FEET) OF THE TRENCH OR [:,RF~:[NI:-":[EI...[:,.
"['HI'..:.': [:,EPTH OF' Ft TRENCH OR PIT IS THE [:,ISTF1NCE: BETHEEN THE SURFFtC:tli!: OF: THE
GROUND FINE) THE BOTTOM OF' THE E,':-:',CFI',,,'FITION ,:: IN FEET).
THERE IS NO SE'T' 14I[:,TH FOR TREI",ICHES.
THE GF.'.A'v'EL DEPTH IS 'THE:: MII'.,IIMIJM DEPTH OF GF..'Ft'v'EL E:ETI4EEN TH.F: OI. JTFI::t!.L P)'PE
FINE:, THE t~O"F"f'OH OF THE EXC:FIVFIT ]: ON (IN FEET).
BFIC'KFILLING OF ANY SYS"FE:M 14ITHOLIT FINAL INSPECTION AN[:, FIPPRO'v'F~I. 8Y 'THI:5
[>EPARTMENT 1.4ILL BE '.:.;I...IB..~ECT TO F'ROSEC':u"rIoN
MINII',IUM DISTFINI]:E BETWEEN A I.,.IEL. L AND ANY ON-SITE SEWAGE DtSF'O:.-Z,F~I.. SYS.:"I'EM
::1..00 FEET FOE'. R PRI',,,'iaTE WELL. (:IR 200 FEET FOR R PUBL. IC WELt .....
PIE[EL.. L..CiGS f:IRE REQLIIRED RND MUST BE RE'FURNED "FO ]"HE: DEF'RF.'.TMENT kiI"f'HIN ]i:O [:,l:::!Y:i~;
OF: THE WEL. L COHPLETION
'Z, PEC I F.'[ CFI]" I Oi",lS FIND C::ONL--,TRUC:]" I ON I], I FtGRF4M.'F:, ARE FI'v'FI I LFIBLE TO I Iq:iii;t.IRE F'RC~PEF4:
I I'.,ISI"FtL L FFf' I ON.
F" E tF;,.::: [r,,-II ][: 'T' "-.-" A L.. I ItZ:, F= C], F.:'. C') t'-.! E-' "-r" E: Fal F.:.': F' F:-.': C], it".1~ ::E :!~; Z~; iL~ EE
i I.".':ER'I" I FY THAT
].: I AM F'RMII...IAR NITH THE I;).Et':]UIREMENT:z-; FOR ON-SITE SEWERS laND, I,~f.CL.L.:!:'.'; F~S SET
FC)F.'.TH BY THE I"llJN I C: I PFIL. I ]"Y OF-- RNC:HORRCiE.
2: I WILl._ INSTFII._L. "rile .S"r':-];TEM IN RCI].'ORDFINCE WITH THE CODES.
:~:: I UN[>ERSTFtND THFFf' THE ON-SITE SENER SY'_--,TEH MRY REI]:!LIiF.'.E ENLF~RGEI"tENT IF THE
F.'.'E%IDENC':E I5 REMODELED Tf.] INCLUDE MCIRE THFtN "Z.': E~EDROOM::.:;.
March 31, 1977
R & M No. 751132
Mr. Lon Olson
Box 4-1463
Anchorage, Alaska
99509
Test Hole and Soil Log Report for Sanitary System
Lot 6, Block 2, Mountain Air Estates Subdivision,
Anchorage, Alaska
Dear Mr. Olson:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This in-
vestigation was performed in accordance with your request of March 28,
1977 and those procedures outlined in a letter dated July 15, 1975,
by Mr. Rotf Strickland of the Municipality of Anchorage, Department of
Environmental Quality.
A single test hole was drilled within the subject site area for the
purposed of defining general subsurface soil conditions for the proposed
sanitary system. Drilling was accomplished with an auger type drilling
rig and the test hole was extended to a total depth of 20 feet below
ground surface. The final log of the test hole was been included in
Drawing A-01.
Groundwater was not encountered in the test hole while drilling.
A percolation test was performed from a depth indicated and reflects
average infiltration from that depth to the bottom of the hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M CONSULTANTS, INC.
Geotechnical Engineer
EY/pe
TH-1 ·
LOT 6, BLOCK 2
MOUNTAIN AIR
ESTATES SUBD.
TH-1
3-29-77
All Samples A
0.0I
ORGANIC MATERIAL
GRAVEL W/SO~E
SILT AND SAND
Moist, Medium Dense
Brown
-- 5.0'
SAND W/SOME SILT AND
GRAVEL GRADING TO SILTY
SAND W/SOME GRAVEL
Moist, Medium Dense
Brown to Yellow
The Test Hole locations are
approximate and have not
been located by survey methods.
-- 13.0'
GRAVELLY SAND
W/SOME SILT
Moist, Medium Dense
No Water Table Encountered
20.0' TD
This log represents subsurface soil
conditions within Lot 6, Block 2,
~4ountain Air Estates Subdivision,
Anchorage, Alaska
IcD,W N: V~Z
KD: ~,,~--
sc2i!t : 1"-3'
SANITARY SEWER TEST NOLE
LON OLSON
ANCHORAGE, ALASKA
I~PROJ. NO 751132
PERCOLATION TEST
LON OLSON
LOT 6, BLOCK 2
MOUNTAIN AIR ESTATES
R & M NO. 751132
TIME
4:05
4:06
4:07
4:08
4:09
4:10
4:11
4:12
4:13
4:14
4:15
4:20
4:25
4:30
4:35
4:45
4:55
5:05
ELAPSED
TIME
0
1
2
3
4
5
6
7
8
9
10
15
20
25
30
40
5O
60
INCHES
5.00
10o50
11.50
12.25
13o00
13.75
14o50
15.25
16.00
16.50
17.00
19.00
21.00
22.50
23.75
26.00
28.50
30.75
DROP IN
INCHES
0.00
5.50
6°50
7.25
8.O0
8.75
9.50
10.25
11.00
11.50
12.00
14.00
16o00
17.50
18.75
21.00
23.50
25.75
25°75 INCHES TOTAL DROP
OR 2.33 MINUTES PER INCH
APPLIr ',NT FILLS OUT UPPER HA 'ONLY
Fh Phone
Lendin0 Institution ~' ' ~-- ~ ~ ~x~' ~C ~,r~~ Phone
~ealty Go, & A~ent Phone
A~r.~ L~ (~ ~ Z~ Co~e /~/~
Legal Description ~c.~. ~ , ~¢~'k~ 2. , ,.~ ~, ~.~.' A',r ~ ' ~-;~'~: %~ ~ ~.~,.:L.(', r~:~.~..~c:~, ~ ',; ~ ~:~ ~"
Type of Residence
~Slngle Family
~ Multiple Family No. of Bedroo~ ~ _
~ Other
Water Supply
~ Individual A~ACH WELL LOG. A well Icg is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach Icg if available).
Sewer Disposal
~'lDdivldual Year Individual Installed:
~ Public Utility When Connec{~d to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED,
Time Time
Date Date
Inspector
Inspector
( '~PP~VVED BEDROOMS
( ) DISAPPROVED
,.spOor ., ~nsp,~lor /\
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMF-NTAL PROTECTION
RECEIVED
· CONDI'r/IONS OF APPROVAL
Soils Rating
Date ~wer Installed
Well To Absorption Area
Well to Tank
Well Log Received
Septic T~k Size
72-023 (3182)
sTATEMeNT
CLI~
ADDt
ZIP
LEGA
ANCHORAGE CESSPOOL PUMPING
Star Route A Box 144
ANCHORAGE, ALASKA 99502
344-2632 or 344-2453
Mr. Tim Robertson
SRA 449-R
Anchora9 e, Alas ~a
99507
TOTAL
ZONE Upon receipt in full pleaSe
.... BALANCE FORWARD
R EADI
FINAL P;
PERFORMt
6/11/83
Invoice ~4788
60.00
ANCHORAGE CESSPOOL PUMPING
60.00
pay LAST AMOUNT
IN THIS COLUMN
1200 UJ~st 33r(~ Aucnu¢ Suh?.,.F',. A.choro~r. Alosko 99503 · (907) 276-1361
APPLI( .qT FILLS OUT UPPER HAl. ONLY
Address
ip Code
Type of Residence ~ ~ ,' /"~ ~
~ingleFam y 3 ~V ~ ~
~ ~ultiple Family No. of Bedroo~ ~ '~ · } ~ ,
Water Supply / X ~ ~ i f ~
mndlvidua` / k ~ ATTACH WELL LO~. A wd[~ldg is requi~ed for all wells drilled since June 1975.
~ ~ommunity { X ~ ~ For wells drilled'~pr~or to that~ate, give well depth (attach log if available),
~ Public Utility [, X k ~/ [ [x ~'" ]
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE
BY:
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received :'~':!: '/L ,~ ~
.... ~e. ll. to,. Tank Septic rank Size ,./ ,.: ': ,:' '~
' MUNICIPALITY OF ANCHORAGE MUNJCDIEPAPT/,J'~oFOHFI:AALNTCHH&ORA~ --'/~,')
~ DEPARTMENT OF HEALTH & ENvIRoNMENTAL PROTEC~iI~J~(~N~ENTAL PRoTE~I' ON
~/~.m~ ~p~'~ 826 L Street- AnchorBge, A aske 99501
//®~1 ~.~\\ ~/~,1/
~ Telephone 264-4720 _
DIRECTIONS: Complete all pa~s on page 1, Incomplete requests will not be proceed, Please allow ten (10) days for processing
1, PROPERTY OWNER ~ PHONE
MAILING ADDRESS
PROPERTY RESIDENT If different from above) PHONE
2. BUYER [ - PHONE
MAILING ADDRESS
3' LENDING/~INSTITUTION~ ~ ~~-- ~O-- ' ~ ~e~/~°~ ~ PHONE '
MAILING ADDRESS ' '
4. REALTOR/AGENT I PHONE
~AILING ADDRESS
5. LEGAL DESCRIPTION
;)CATION
E OF RESIDENCE
SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
PUBLIC UTILITY
[] One [] Four
J~ Two [] Five
[] Three -3 Six
[] Other
* ATTACH WELL LOG. A Well log is required for all wells drilled
since June 1975, For we Is dri ed prior to tha-t date give well
, depth (attach log if availabl,e.) /*"~
'*If individual/on-site, give installation date .~,-
If system is over two (2) years old an adequacy test is required
by this Department.
72-01 D(3/78)
NOTE: THE INSPECTION FEE MUSTACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
~' DATE RECEIVED .
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE dATE DATE
' INSP~CT~)R
NSPECTOR, INSPECTOR
DIRECTIONS:~
i. 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
Y
[] PUBLIC UTILIT
Connection Verified LOG RECEIVED
3. SEWAGE?DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connectionr Verified iNSTALLER~ , r
'[]Septic Tank or [] Holding Tank ~.~
"Size: I ~,~'~:) If Tank-ishomemade SOILS RATING~ '
'give dimensions: J ~
TYPE OF TANK MANUFACTUR~
TOTAL ABSORPTION AREA MATERIAL
Absorption Area to nearest Lot Line
5. COMMENTS
~ E eMS
U[~PPROVED FOR B DRO
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED Y /
DATE /~" ~(~/// ~
LEGAL DESCRIPTION -
72-010 (Rev, 3/78)
October 2, 197f~
Lon R. Olson
Box 10-591
~%ohorage~ Alaska
99511
gubject: Lot 6 Block 2 Mo%ultain Air ~]states Su~/ivision
~.r ~e~s your loan ap?rov~! request, you
will nee(l to ~eal th~ well casin%~ so that it is air
tight ~%d submit a w~,~ll log to thi~ ¢!e?art~%ent.
If ther~ are ar~? questions, ploas~ contact
at 264.-4720.
Sincer~ly,
Associat(~ Speci~ !.ist
First National Bank of Anchorage
~rt9age Loan Section
Southcenter Branch
Post Office Box 4-+2090 99509