HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 2 LT 13Mountain Park
Estates
Block 2
Lot 13
#017-061-13
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
DISTANCE TO:
LEGAL DESCRIPTION
Dwelling I PERMIT
Mat~/~ ~ No. of compacts
I F HOMEMADE: Width Liquid depth
Well Dwelling PERMIT NO.
DISTANCE TO:
Manufacturer Material Liquid capacity in gallons
Insidelength
No, of line7 ~....~
Top of tile toff nish grad~/idth~
Foundation
Total ler~ ~les
Material beneath tile
Depth
Nearest lot line //~ /-
Trench w,~__~ inches
('~ inches
~,o ,,~ ~ N~w
7¢ 4;7(; [] UP .ADE
Total effective,t~sor~.tj~n area
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line PERMIT NO,
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS )//~
SOIL TEST RATING
INSTALLER
REMARKS
AP.P-/3OV ED /"-"~ DATE LEGAL
I.,~E L_I_ I~ r~.! c:~
( 8005?5 )
PERHIT NO.
APPLICANT LAKOTA CORP. 2520 E. TUDOR RE:'. RNCH
LOCATION DEARMOUN RS.
LE_IAL ~i ~.-~ ~Ki 2 MTN. ~PKi EST; : LOT
T'¢PE OF SOIL 88SORPTION S'T'STEM IS: TRENCH
[-1 lB r-~ I C: I F" I-] L_ I ' !F "m" ~LI I-~' H r-4 L: ~t Id N: H LJ ~:'. ,,]~/~,
[.EFHRTMENT HEALTH AN[:, EN',,,'IRONMENTRL JTEL. TION
/
""~ ' ~TEEET., HNE. HOEH- ~E., 8K ....
o~.- .',. '- ' - -' "F' VS. .
· -,~.4 .4~ogt
40000 SQIJRRE FEET
MRXIMUM NUMBER OF BEDROOMS = 4
SOIL RATING
THE REQUIRED SIZE OF THE SOIL RBSORPTION SVSTEM IS:
E:-. I~E F" T H = JL2 LEI%IGTH= ~':-8 6 F-: R'...' E l_ [:,EPTt4= :~I.
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIEL. D,
THE DEPTH OF A TRENCH OR PIT IL-5, THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE Ek. iCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRR',,,'EL D, EPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OI..ITFRL. L PIPE
AND THE BOTTOM OF THE E::.,',CRVRTION (IN FEET).
F.:Eb'Z.!I_I Z F~.' E~ [::,, '---qEP T I L--:. TRr-,IK $ I ZE= ::L 2,'5 ~.__..-~ 6RLL_.C,I'4'~-~-;
PERMIT APPLICANT HRS THE RESPONSIBIL. IT¥ TO INFORM THIS DEPARTMENT DURING 'THE
INSTRL. LBTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERT'¢ AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
fl-JO <2) I r4$PEC:TI"]f'~'--,z, ARE ~:E.l~lJI E:E:[:,
BRCKFILLIN~ OF ANV SVSTEM WITHOUT FINAL INSPECTION AND APPROVAL B'¢ THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL RND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
~00 FEET FOR A PRIVATE WELL OR ~50 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL. TO A PRIV8TE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS '?5 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRVS
OF THE NELL COMPI_ETION.
OTHER REQUIREMENTS MRV RPPLV. SPECIFICATIONS AND CONSTRUCTION DIRGRRMS ARE:
RVAILRBL. E TO INSURE PROPER INSTALLATION
PERr'I I T E:,<:F" I RES [:,E£:Er-IBER -----~t.., :1-9-~-4~Z~
I CERTIFY THAT
t: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BV THE MUNICIPALIT'T' OF ANCHORAGE.
2: I WILL INSTALL THE S'¢STEM IN ACCORDANCE WITH THE COD, ES.
]:: I UNDERSTAND, THAT THE ON-SITE SEWER S'¢STEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IF; REMODELED, TO INCLUDE MORE THRN 4 BEDROOMS.
Z C:RNT/~RKOTR Cp~'.
, /0- Z
CONSTF,JCTION
TEST I ,AB
PERFORMED FOR:
LEGAL DESCRIPTION:
THIS FORM REPORTS:
TERRY SULLIVAN
Lot 13 Block
~::~Visual Soils Examination
180L 'A/ 48TH AVE. STE. 'C'
ANCHORAGE, ALASKA 99503
248-1333
DATE PERFORMED: 9-5-80
Subdivision Mountain Park Estates
[3 Percolation Test ACTL 80-1448
DEPTH SOIL NOTES
FEET DESCRIPTION
4" TOPSOIL
48'0 min/
I' Light Brown SILT inch
Grey gr'a~elly fine 'SAND
2' 150 SF/BR
Grey Fine SAND
Very dry
150 SF/BR
-- 16' ~,~; O~
BOTTOM OF HOLE
WAS GROUND WATER ENCOUNTERED
IF YES, WHAT DEPTH
LEGEND
® -Perc zone
® S - Sample taken
· -- Frozen zone
NO
T
o
z
GENERAL SITE SLOPE
~- Woter table
READING DATE GROSS TIME NET TIME DEPTH TO H20 NET DRAINAGE
PERCOLATION RATE:
PROPOSED INSTALLATION
COMMENTS:
DRAINAGE REQUIREMENTS: 150 SF/BR
SEEPAGE PIT 1~ DRAIN FIELD D OTHER
TEST PERFORMED BY: BOB PETERS DATA CERTIFIED BY:~ney R.
DATE: 9-8-80
by
{DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND .
ADDRESS
LEGAL DESCRIPTION
DATE - Started Ended
PERMIT NUMBER
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR
KIND OF CAS1NG _
KIND OF FORMATION:
From Ft. to '
From Ft. to ,,, Ft.
From , Ft. to ~ ~ Ft.
From__Ft. to Ft.
From Ft. to :~ Ft.
From__Ft. to ,Ft.
From. ¢ Ft. to ': Ft.
From Ft. to ~,~ Ft._
From Ft. to Ft.
From Ft. to Ft.
From Ft. to__Ft..
From Ft. to__Ft
From Ft. to__Ft.
From__.Ft. to Ft.
From__Ft. to_ Ft.
From.__Ft. to Ft.
From Ft. to .Ft
From--
From__
From__
From __
From
From __
From __
From_
From__
From__
From--
From
From
From.__
From
From
From
Ft. to__Ft
Ft. to_ __Ft.
Ft. to Ft
Ft. to_ _Ft__
Ft. to__Ft-
Ft. to_ Ft.
Ft. to. Ft.
Ft. to .Ft.
Ft. to Ft.
Ft. to Ft._
Ft.
r~UNiCiPALi'i:~" OF Aiqu-~iORAOE
DEPT.~DF HEALTH &
to~t.~ 4 1980
Ft. to_~Ft
Ft. to IVED
~.Ft. to Ft.
Ft. to FL
MISCL. INFORMATION:
DRILLER'S NAME
DATE RECEIVED
INSPECTION APPOINTMENTS ~L~.~O J~-~
TIME TIME TIME
DATE DATE DATE
INSPECTOR NSPECTOR I NSPECTORf-x \
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
T DEPT. OF H-.%'Til &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO ECT~jRONMENTAL
825 L Street - Anchorage, Alaska 99501
E.WRONMEN~AL SANiTATiON mWS~ON JAN 2 ~ ~981
Telephone 264-4720
.o. o.
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPER~WNER PHONE
MAILING ADDRES~
PROPERTY RESIDENT (If different from above) PHONE
~ ~ ~ PHONE
2, BUYER
~A~L~G
3. LEN~ INSTITUTION PHONE
MAI LING AD~R E~S
4. REALTOR/AGENT J PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
~ ~,,% /'5' /~/c 2_ //~ ,-.
TYPE OF RESIDENCE NUMBER OF~BEDROOMS
I---I One ~
[~"~S NG'LE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
7, WATER SUPPLY
[~DIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWA(3 E DISPOSAL SYSTEM
~DIVI DUAL/ON-SITE~*
[] PUBLIC UT LITY
YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
I-~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY I
Connection Verified INSTALLER
[--lSeptic Tank or []Holding Tank
Size: I .~..~t.3 If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPT, ON AR EA MATERIAL
4. DISTANCESwELL TO: Septlc/H°lding Tank IAbsorpti°n Area ISewer Line INearest L°t Line
Absorption Area to nearest Lot Line
5. COMMENTS
[~APPROV ED FOR BEDROOMS
~ ~sN~DpI;~ oO~ EA~ AP P'R OVA L (letter must a~any certificate)
DATE BY
72-01n IRev. 6/79)
825 "L" STREFFY
A N C FI O R A G E, A I A S i< Am:.,. ~':,,,,n ~,
( 907 ) 2 ~4-~ 11 'i
January 27, 198]
P .... }3 L. Sullivan
2520 Easlr: Tudor Road
Anchorage, Alaska 99507
Subject: Lot 13 B!onk 2 Mountain Park Eska.:,es Subd :_vi sion
Approval for your individual sewer >~nd water facilittLes
cannot: be granted until Lhe' fo]lowing items have be~.i compl ted:
(l.)
)
Th~ water ana]_ysis report needs to b~:: delivered to
¢.ffl¢.e ~rem khe Chem [.,ab 5633 ]3 oe.t :.et, for
review.
The Cop of the wc:ll casing sealed wiLh a sanitary
.... ~]. so that Jk is wa~ er highh
Exposed elecLrical wires to the well head a-ce
violation of Lite MunicipalLty oil Anchorage codes and
must be ~-,-s~: in conduit~
Please notify ti'ti:; deparLmcnt for a rei. nspechion when I.he
T1Ohed d(2scr(yp~tIlc, i. es ~lav(}~ b(2e]-i cc)r]/ec~etd. ]if there are any
fuuther quesbions pi a. ca].] this office at 264-4720
Since]?e].y,
REP/1 j w
Brenda SuJ. livan
% Ileri. Lage lIomes C~zl:tiLnry 21
.501 East Norhhern Light.~ P, oulevard
.) 9 .. 0 .t
