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HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 1 LT 16AJun 13 22 08:50p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE �.. Development Services Department :�"; Phone: 907-343-7904 On -Site Water & Wastewater Section \; -/ Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Parcel Identification Number. 015 091 07 Date of Issue: Legal Description Block Lot Property Owner Name & Address: BAKER PATRICIAA PROSPECT HEIGHTS 1 16A 9470 SIDOROF LANE ANCHORAGE, AK 99507 I Pump Installation Date: 06 - 01 - 2022 Pump Intake Depth Below Top of Well Casing: 50 Pump Manufacturer's Name: GRUNDFOS Pump Model: 10SQE07-200 IPump Size: 1.5 hp Pitless Adapter Burial Depth: 10 Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: feet feet MARTINSON Well Disinfected Upon Completion? lVYes ❑ No Method of Disinfection: PELLETS Comments: Pump Installer Name: _ ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET Company: ANCHORAGE, AK 99518 907-243-0740 Mailing Address: City: State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.  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 PHONE I ~NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION - NO. OF BEDROOM8 J Well Absorption Dwelling PERMIT NO. N ~ Manufacturer ~ < ~~ Materiel~T~~ No, of compartments Liq. capacity in gallons Inside length Width Liquid depth ~ IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT O z ~ Manufacturer ~ --~ Material Liquid capacity in gallons O Well Foundation Nearest lot line / PERMIT NO. ~ DISTANCETO: ~OT /~ ~0~ /~ ~0 --~ ~ No. ofline,~~.Length~e~hline T°taJJeT~Jinest Trenc2~t~ ~c..~ DistanoebetweenHne, ~ , Top of tile to finish gra~ ~lf ~V6L /'5~N~ inches '7 20 ~¢ ~ , ~ / Material beneath tile Total effective absorption area Length Width Depth ~ PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ DISTANCE TO: Well Building foundation Nearest lot line ~ Class Depth Driller Distance to lot line I PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ¢ ~ ¢ji~''Y /N~ SOIL TEST RATINGl INSTALLER /~O ~ I /~ 'I I '- " ,/' ~ ..- · / / APPRgV¢~ , , / / / / ,,..? DATE LEGAL P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4! 11 ?©NY K'V©WLES. UA '/OR DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850517 Lot 16 Block 1 Prospect Heights Subdivision #1 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720° Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit DIE".F:'AI:::THENT OF' HEAL.'I'FI AND ENV ]: RONME]',ITAL I::'ROTECT I 0i', 825 I .... : ] Fxr~E'. F, At.ICF'd]RAt~E, Al< 9950 1 264-472'() F ....RI 1 1 T NO: DATE 18SUED~ .:~,.~.,,~ 4. / ENG.[IJ:.I=r~ED DESIGN -- 08120/85 APF:'L I [::ANT: ADDRESS: CON]'AC'T F'HONE:: LEGALS. DESCRIP: L..OT S~ZE~ LOT L..OCAT ]:ON= :1: ceptify t.l'~at~ LARRY D GARNER 53C)7 CHIENA AtqCFIORAGF~:, Al.< 99508 3'57-2251 SUBDIVISION: PROSF'ECT HEIGHT'S ~.J. SECTION: :L3 TOWNSHIP: 1.3A (SQ.I:'T. OR ACRES) ' SIDSRC)F: AND PROSPECT DRIVE LOT: 16 ' I",AN8E, 3W BLOCK: :[ 1. I am familiar w:i. th the pequir'ements fop on-site sewer-s ancl weiis as set fop'Lb by the MunicipaI:ity of AI]chop~ge (MOA) and 'Lhe StaCe of Alaska. ;~:. I will :[nsta].l {he sysCem in accopd&nco~ with ail MOA codes and r'eguIations, and J.r~ compIiance ~i't.h t. he design cr'J.{eP:[a of Chis pepmit, 3,, I wi].I adhepe to ail .MOA and S'La'Le of' Alasl.::a r'equipements eof the set 'bac:k distarlc:es fr'om arty existing well, wastewater disposaI syst. em of public sewer'age system on this or any adjacent, or neapby lot,, IF: A L.!F:']' STATIOIq IS INSTALLED IN AN AREA COVERE:D BY MOA BUILDING DOI)ES, 'T'HEN (1) AN EL. ECTRICAI.._ F'ERNIT AND INSPECTI8N MUST BE OB]"AIIqED; (2) AS-BUtL..T'S WILL... NO]" BE AF'F:'ROVED W:['THOLFT' AN ELE[TFRZCAI.... INSPEC]']:ON REPORT; AND (3) THE AF'PLICAN]": LARRY D GARNER ]:SSUED MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVlRONNIENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: ~:~ --~1¢~- Li~J~ LEGAL DESCRIPTION: I 2 3 4 5 6 7 8 9 10, SLOPE ~P 11 12 13 14 15 16¸ 17 18 19 20 WASGROUNDWATER i { S ENCOUNTERED? J~ ~ L O P IF YES, AT WHAT E DEPTH? SITE PLAN zO~ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE · TEST RUN BETWEEN ~ FzT]Aj PERFORMED BY: TOD 5J~~ CERTIFIED (minutes/inch) SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM - LOT 16B, BLOCK 1, PROSPECT HEIGHTS SUBDIVISION #1 1.0 2.0 3.0 GENERAL 1.1 THE DRAWINGS SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIRE- MENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRON- MENTAL PROTECTION PERMIT. 1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO BE VERIFIED OR MODIFIED IN THE FIELD BY THE CONTRACTOR. THE LIFT STATION (NOT USED) SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO THE SIZES INDICATED. 3.2 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO ENSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2". 3.3 THE BED WILL BE EXCAVATED 2.5' BELOW ORIGINAL GRADE OR UNTIL THE SILTY CLAY LAYER IS REMOVED. CLEAN SAND WILL REPLACE THE EXCAVATED~MATERIAL UNTIL LEVEL WITH ORIGI- NAL GRADE. 3.4 THE DISTRIBUTION PIPE SHALL BE RIGID PVC, ASTM D-2729, PERFORATED PIPE. THE PIPES SHALL BE LAID LEVEL. 3.5 THE SAND SHALL HAVE AN EFFECTIVE SIZE OF 0.4 TO 0.6 MM AND A UNIFORMITY COEFFICIENT OF NOT MORE THAN 4. 3.6 THE GRAVEL SHALL BE COVERED WITH A LAYER OF UNTREATED BUILDING PAPER OR A NON-WOVEN FABRIC SUCH AS MIRAFAR FIBRETEX 200 GRADE, OR POLY-FILTER X OR EQUAL. 3.7 THE BERM AROUND THE SEEPAGE BED SHALL BE CONSTRUCTED OF IMPERMEABLE MATERIAL AND ON A SLOPE OF 1 FOOT VERTICAL PER 2.5 FOOT HORIZONTAL. 3.8 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A REGULAR SECTION OF REGULAR PERFORATED SEWER MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN-CAP (JIMCAP OR EQUAL) SHALL BE PLACED ON THE TOP OF THE PIPE. 3.9 IF INSULATION IS REQUIRED, THE INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAM INSULATION BOARD OF THE THICK- NESS SHOWN ON THE DRAWINGS. 3.10 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX OR BLUE GRASS. 3.11 THE SEPTIC TANK OF BED MUST NOT BE CLOSER THAN 100 FEET TO ANY EXISTING WELL OR BODY OF WATER. N.T.S. ~ -Slope to droin -- ~ jl~j~ckfil,, 3' mJnimu,,m ~--. -- ~ .~.~""--' ~"~'~1~,5; FPerforoted 4 PVC p,~ ~ ~ ~_ ~ 4"~ ~ -~ ~ I ~ ~ ~...~...... ..... ...: ·: · . .......... · . ...~~%',~ ~_~ I . /. · '. ~t. ' · · ' .... .. ' ' * ' .'' ' · ' - ' - ''.'. ' Clean grave, /2-~ /2 ~1 I /:.'. :..1~'.:: · ~c~,o, ~,,,~ . .. · . . .......~. · . . . ~ , . ~~:-' :-':.:~: '.'~':: ~. :':.: ~ :.~:'.".' ""r: '~ "r"' """ '": :".'~ ~"":"": :'"": ~:'".'"." :.'.' ~ ~1 --' ~ ~ Undisturbed ~il~ ~ ~ ~ . SECTION A-A/~ ~ N~es: N.T.S. 4.5' I. Grode oreo fo divot ~foce woter ewoy from ~d. FRACTURED BEDROCK 2. Three bedro~ system. 3. Imi:~rted sand fill roted al 150 st/br. Rick Mystrom, Mayor M,m c[paB of A chorage Department of eaRh and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 July 13, 1998 Patricia A Baker PO Box 11411 Anchorage, Alaska 99511 1411 Subject: Lot 16A Block 1 Prospect Heights Subdivision Permit #SW970181, PID #01.5-091-07 The subject permit, issued July 10, 1997 by this office for a single family well and/or on-site wastewater system, has expired as of July 10, 1998. 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 $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Program Manager On-site Services enc: Copy of Permit PAGE 1 OF 1 MUNICIPALITY OF A/~CHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW970181 DESIGN ENGINEER:DUMMY COMPANY OWNER NA/~E:BAKER ROBERT & JANE LAW OWNER ADDRESS:9411 PROSPECT DR ANCHORAGE, ALASKA 99516 DATE ISSUED: 7/10/97 EXPIRATION DATE: 7/10/98 PARCEL ID:01509107 LEGAL DESCRIPTION: PROSPECT HEIGHTS BLK 1LT 16A LOT SIZE: 60251 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: THE ATTACHED APPROVED DESIGN. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 A/~D THE STATE OF ALASKA. WASTEWATER DISPOSAL REGULATIONS (18AAC72) A=ND DRINKING WATER REGULATIONS (18AAC80). THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SA24E DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: /~~ f. ~ DATE: DATE: 7-/~-77 / / LI3L07' P-50,O0' F. BURNETT L$~5464 j ~ certify the following described property,LOT 16A BLt~,2], PROSPECT HEIGHTS SUBD. Ancl%rage Recording Precinct, Alaska, has been surveyed by me, or at my detection, and that the improvements situated thereon are . within the property lines and do not overlap or encroach on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines, or other visible easements on said property, except as indicated hereon. The information hereon is for the use of lending ins- titutions specifically to show any conflicts between existing structures and platted lot lines or easements and is not to be used for positioning additional .taUCtures or fencelines. Easements of Record, Other n those shown on the recorded plat, are no[ shown hereon. t LS & Associa es P.O. BOX 0084 ANCHORAGE, AK 99523 Tele, (907) 562-6050 Fax (907) 562-6040 DATE: 5 20-97 SCALE: 1" 100' GRID: 2441 PAGE 82 · ~'---~-" ' E OF AL~$1f~ ' ~ ~' D / '" ' :' ...."" '" EP'~ITMENT OF NATU~L RESOURCES DIVISION OF MINING '~"WAT~ MGMT /'LO~TION OF WEk~ .... WATER WELL REC~D ~ .... / .... 'OS ' . . ' " ' · ~ ' . .~. I II [ ~ ~' II · . -~. , · ..... " ~¢O~. ' TO " " ' ~ '.' .'.,¢~'~.~'*"'-'.. '"¢" .';":"~"]'-.' '.'¢~ '.; ',¢~:,'.:. *'T -. .... ",""~('.-.'.-.:,.. "'. .. '.'."~ "7" :..-;~'-'-," ' .- :" _".'. "" ". ".".'~";,*' · .... , ~ .:.'-:? . ........... .', .~ other ; ' '. : ' ." '" ..... ,, , ',/" ,:;" ........... '"',' ,: .,' .-.. ' ................ , B. public su~lf" ~ other ..... ' .... ' . ... , .,. 'r.-:".~:~" '. ........ , ' ' ' ' ' ' -' ' .... .... ,.. ~.: ~: ..~..,. , ,.,...~ . ~ ?~ ,. . .~. : E~. .~: .:..- ', ....¢. · '~ ' %: ' ,'~", ...... · F" '; '"'- '~"' ,, '..,~'~".. ¢;,~.:.~: ,:....~ . .. ': .,. ......, , · - '.' · %..,~ ¥. - ........ ~. ~ ....... .. '~':' ;..¢....', ~.'..' ...-. ,. ~ ..... ~epth: from ~ ,,, , ' , 7 .%~';~. :~ .~"~ .: ': .~ ..... .... · .,'.-' I~'.:", .. ,'~ · "' ~ human 8crV/ce8 '; PUMP I~AKE DEPTH~ N Horsepower: ,, ,~ WELL Dt$~FECTED UPON COMPL~ION? ,~ YES ~ NO ITRACl'OR INFORMATION; '" ~, '" RI~M~RKS · " ' ' r~egis~erea,uustne$.~ Name ' ' .~ ," ': -::-: .T-~--~' '~-~" :;. . .<' ~ '.. x.. // .... : / ~*.':"':.. . ' ' .,2' ;.-... ; .... ~ /~r~.,<..~'g ¢;.~ ~ ~ PL~AE ~IL WHITE COPY OF LOG TO: ~lgnature of Au~o~ed ~e~nte~t ;~ .... ~: / U~/DlVlSlON OF MINING & WATER MGMT · . X . ~e . ~."'= . 3G01 C ~t, Suite 800 :. ' ' ANCHO~GE AK 99503-5935 ."