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HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 3V LT 3ARabbit Creek ViewHeights Block 3V Lot 3A #020-531-35 i MUNICIPALITY OF ANCHORAGE ft N' 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 1 PHONE NEW ❑ UPGRADE MAILING ADDRESS Q LEGAL DESCRIPTION LOCATION mNO. OF BEDROOMS Well Absorption area Dwelling PERMIT NO. U DISTANCE TO: ` Y I—ZManufacturer a.:< Matteeria� No. of compartments Li .capacity in gallonsInside aJn� IF HOMENIADE: length w\ n ,v jctnm Widths a` L p Liqui de th q P O Y _j DISTANCE TO: Wel Dwelling PERMIT NO. SZ F Manufacturer Material Liquid capacity in gallons T = DISTANCE TO: Well `A q Foundation �a Nearest lot line PERMIT NO.Lu Zw No. of lines Length of each line Total length of lines Trench width u, Distance between lines �n cc H a To of tile to finish grade 8�� Q Material beneath tile inches Total effective absorption area R .3 l7 ` inches 44 W Length Width Depth PERMIT NO. Q0 aF• W° i 'meter Crib depth Total effective absorption area W ur CE TO: We Building foundation Nearest lot line J Depth Driller Distance to lot line PERMIT NO. W TOM: foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS 30`3 SOIL TEST RATING �g a INSTALLER REMARKS k -70 F G Ctp �!) t Now VN -z �. DATE` LEGAL 72-3ROVE 0 Rev. 3/7R1 B / I -roe 1=11= 8`•11: i-1 ti_- �. A= A o a � f j o' ,-�� DEPHRTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION FIL�_PiiS 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 PERMIT NO. r: 780917 > APPLICANT .TAMES M. LISIC PO BOA' 10=66 344 1569 LOCATION F RANCESIC:A DR LEGAL L? B{ RABBIT CRIT VIEW S/D LCT SIZE 69000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SO FT,'BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: %0 L> F=' F• "r 1-i = 45- i..._ E--- t•4 4a _rt -i - = i- .- 13 F A=i ••.•• I -E L_ 0A EZ F"' -T- 1-1 -;n- THE ;n - THE LENGTH DIMENSION I S THE LENGTH ( I N FEET) OF THE TRENCH OR LIRA I NF I ELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). _-r 1•--1 EE _r FZ E"O 1-1 14 I IC • T' 1-1 I " 05. i^110I-e FEF: -r THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL_ PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). I F? I -EE} SIS, EF• -r I tla: -FF:1r-4 K =7S 12! :1-2-21 -,--a L_ 13 r-4 'ERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE :NSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE !UMBER OF RESIDENCES THAT THE WELL WILL SERVE. ._.._. — .I. R•-1 r 1 +C � :a I fL4 � �' E iC: i" 1111L•1'� F=E �:1* 1� � 1.a.! A,._1 I �: � C::• ._..,..� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS )EPARTMENT WILL BE SUBJECT TO PROSECUTION. IINIMUM DISTANCE BETWEEN A WELL AND ANY ON --SITE SEWAGE DISPOSAL SYSTEM I .00 FEET FOR A PRIVATE WELL; OR .50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC: WELL. iTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE PIA I LABLE TO INSURE IRE PROPER INSTALLATION. CERTIFY THAT I AM FAITILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET ORTH BY THE MUNICIPALITY OF ANCHORAGE. : I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. : I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE ESIDENCE IS REMODELED TO NC IDE MORE THAN 4 BEDROOMS. I GtJEC> : -- - ------ A kL 1��AN7 JM, M. L I S I C ---------- SUED V� . 2 February 9, 1978 077038 JiM Lisic 2405 C Street Anchors' gar Alaska 93563 Subject: Permit 'Expi,ratdio.-I lk permit issued by this de Pza-ullent for .well and/or on-site sewer installation on lot 3 Black 3 Rabbit Creek View Subdivision has expired since the issue date exceeds one(l) year. In the event you still plan to install the well anti/or on- site aetiaer sYsteM, a nOw pernit is required. The original 30i.l test may be used to obtain a current permit. If the well. Inas been drilled, a well lova should be sent to this f.iepartmant to document: the installation date. It; you have, any u.estionrs reglard ins;; the above mi atter, please contact this office immiediately at 264-4720. Sincerely, Les N. Buchhol2, R.s. Senior Environmental Specialist 12413/1 j h - ^ � �����WT �K_ X _N_ WA Q 1107 10 Phi IT; y� ��� DEPHRTMENT /F HEHLTH HND ENVIRONMENTHL .ROTECTION ' 2516 E, TUDOR RD., HNCHGRHGE/ HK. 99507 ~ 276~2221 1, 11 P I! li"Al )lji-Al—��11 , !E`ii:� YES �111-A PEE. V�it �lf:mt Il' - 4 JE� PERMIT 1A ch ( 770]8 ) RPPLICHNT JIM LlSIC 2405 uC" STREET 276-2495 LOCHTION R��NCESCH ROHD LEGHL L] B] RHBBIT CREEK VIEW LOT SIZE 69161 SQUHRE FEET �» .` 15 / ~°--.--_~- ' THE L ENGTH DIMENSION IS THE E GT NCH OR DRHINFIELK THE DEPTH OF H TRENCH OR PIT THE SURFHCE OF THE GROUND RND THE BOTTOM OF THE ( FEET) THE TRENCH WIDTH FOR DRHINFIE EET � THE GRHVEL DEPTH IS THE MINIM,MTH F G VEL BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVHTION (�N ��ET). \ 110 BEE W 1-1 J:: lfi�! 111..ii..�: PC::::'. EO= J. T5 via NET �lot lL__ 1L.- VIA T41� l- Will CIO 4/H«r��� BHCKFILLING OF HNY S |�� wu/�uu/ r�n^ 1."S.:~ T ^~, .- DEPHRTMENT WILL BE Si\nJECT TO PRO�ECUTION MINIMUM DISTHNCE B TE SEWAGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE W � PUBLIC WELL WELL LOGS EIRE REQUIRED H m TO THE DEPHRTMENT WITHIN ]0 DHYS GF THE WELL COMPLETION SPECIFICHTIONS HND CONSTRUC HRE HVHILHBLE TO INSURE PROPER INSTHLLHTIOIS W Fit 1: - W- :1 ED- 1=7 sit Fit 170 R41 11T.':]I - i DIE. I CERTIFY THHT 1� I HM FHMILIHR WITH THE REQUIREMENTSFOR ON~SITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPHLITY OF HNCHORHGE. 2 I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES. ]� I UNDERSTHND THHT THE MAN' REQUIRE ENLHRGEMENT IF THE RESIDENCE IS ill CIA EI)17R � � SOILS Lor, > MUNICIPALITY OF ANCHORAGE •o}gt°t?,�?,k�•. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION F ! v '_ Pouch 6850, Anchorage, Alaska 99602 276-2221 TEST Z�SQILS LOG — PERCOLATION TEST i=:='r(Ft1Rtv7 ED FOR:_` �V1'1 ( G l /2-� DATE PERFORMED:��_ ff{--- _tGP,I_ DE SCRIPTION:IJ� �\ 2 v��1,' pEPln1 r� SLOPE SITE PLAN (FEET) (�A COMMENTS P-r_RFORMFD BY:(� 72-00:`3 (7/76) to I ' I � ` I I I 1 C Y I T i 0k f �— — 1--J _ Reading Date - - Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN e..m FT AND FT CERTIFIED BY: cs DATE: ) 12--? I .1 CONSULTING GEOLOGIST BOX 476-M, STAR ROUTE A - ANCHORAGE, ALASKA 99507 - PHONE 344-7071 Date_ 0 �a &I SOILS LOG Performed for Legal Description mac- (�� �< �� ,��� ��-� \f _ Depth (feet) Soil Description �) - ?_ Tt- nl 5-- W C.\ -)i -10- - -12- (kV �Cw -16- -20-- Total Depth feet in C Lu Was groundwater encountered ? What depth Depth to bedrock �4 How determined Ni�L� LU P 1 Is ? Respectfully submitted, Gary F. Player Consulting Geologist � M(1,f\Jf �` {yVVl�whM 1 /1ti� P �c.-��1.�„ �m.k��,�l � �S%: �� 1� R ��,v-e 4e.,.�'-� .� ; �-,,. � � I 1-�• CA C/ A, rN 41 rP S P yr 4 I ;;" LLJ 1 , � Y � i Time APPLICI 7 FILLS OUT UPPER HALT )NLY Time Time ` Prop�rtyOwaer �"� f LJ ut., ii C.� t�> -� �...�� _ � k_ Date Date FPhoneMailin 9 Address S t?-- P_'. "" 2. `=!3 % � _ E W G< ce j � � �Zip Code Inspector Buyer Inspector-' Address Zip Code Lending Institution f e� e vx _ ( �.+ �. c { Y car ( cK c e. Phone J Address,/� Zip Code Realty Co. & Agent �. j�, ra f �{-� Phone c7 0 , AddressJ Zip Code Legal Description �.. + 3 � 3 �' �_ 1, ��� i T G. t" e 2yG.. V( C u% �; y / rea✓e S�"' l'v�a., r. h, 44_ r Sec f, o7 !)dL C/- r� Street Location _... -e Type of Residence Single Family - 3 Multiple Family No. of Bedrooms BY: ❑ Other Water Supply SoilsRatingDate Sewer Installed [' Individual Well Log Received ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. b Community Well to Tank Septic Tank Size For wells drilled prior to that date, give well depth (attach log if available). O Public Utility Sewer Disposal Individual ^Z h Year Individual Installed: Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector-' AFdo e , c7 0 ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY: SoilsRatingDate Sewer Installed Well To Absorption Area e) Well Log Received -2 Y Well to Tank Septic Tank Size y -Sp 2- 3S /-7 b'j-0-C), C -(1 -0, 3 3 U lb C i I 1 t. Lot 3,, alock 3 r Rabbit Creek View C;,�Ianot L pletQd � A2,pCI,)Va3 'Or t1le Water facilitiea ien be granted until the tollowing ite,jig 1,1�jve bt�� k 0 r- i c (,� our -s and jot� su)-tjitt(,jd to t�jis �yj'. jor f i14L it -,IC review. atle LOP of the �jatcr tight. tank pumped witi, a receipt to zeotic I 3out IQ' Locate and uxpose the Clea to , t1le Sc p Tnis is to IQachlng area -.,Eor our inspection. iYIirjijftulj diatance vequirerilelts arru--iTiet o^,;.'rWO,,Lzn SQ�W(-r system. pit and/or insure Lli e4 tile qQil aild 0 ti I -our (4) inch cleanout t-I�aeds to De to L.14 -e crlj� lea:;hizlg Fired, 0eriori,,jecl on tj�e exi,;tin�) An ade"-Iuacy t St ue,�ads LO t)jz? 1, 1 �,� leaching area. �Iqji:j tez;t will determille it LIIle ayt( �4 accordjrj'j to lIatiojj,-Al 3 t a. W a ris iisviny ai: porior-wingtile test i,� encloSfld. This -Uport cr?t, Itted to this to D -c Subf1i t*ce J -or our reviow. pleas(..1 Ilotify tjji.i tor a reinS, Vfh*:.',e )rrecte 14 t ar�, any noted discrepanCiQS h_ v cc� k ;juestio,,js, ple,,ise call this Of*�ice At 26'1-4720- 'S j 4, 1 C e r e 1 x 4 f I J.Lf,l IROI)erts 7r • SEr �Ve ox 3o tae 0 Fu0 117;" l°1`6&4 l � �Ecoen DI t-1Et-�slol-►s LOT 2 °'° ti 3 3 G %�ai7L I L� 3 \ L3 \ 1s-51AR ,1 n v erm 104 c s -4 30 h t, LOT 4 I, A.s?F- reoM P'T of1? Z,PArE of S1�Ei "I -Z9 83' 8-3 Y�3 DN �SlP�rr ALASKA llEl'EI CD: Engineers FDE, g 4 _g 5313 Arctic Blvd., Anchorage, AK 99 PMENT ��DtiSDET�tiTS, [1C 7 P.O Box 4-3187 nrho aoe- AK 995D9-3187 0 AS - BUILT SURVEY L43gL L � 1JLOT �J RA13131T CRF -EK VIEW ANCHORAGE, ALASKA ALASKA RROWnTAL COUROL OWNS, InC. 6ngineerinq & 6nuironmental Studies NOVEMBER 3 1983 DULCY BOEHLE P.O. BOX 8752-75 WASILLA AK 99687 SELLER — DULCY BOEHLE BUYER — JERRY GALAGER SUBDIVISION — RABBIT CREEK VIEW BLOCK — 3 LOT — 3 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A DRAINFIELD WITH AN AREA OF 344 SWT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUAf OF 1250 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. OF �(4 C 1 ® 011 " °•''may ®A I •'� • •e••••• 0•01•�0 6 ; eroy C. Reid, Jr. ; >�.�. NO. 2251-E • ���ax.+ 1200 West 33rd Auenue. Suite B • Anchorane AlflAn NMI . faml WA -11F1 r (c�� �. 64 nZP LAI 1h 5. LEGAL DESCRIPTION L3, B3, Rabbit Creek View DEPT. OF I - AI.TH & MUNICIPALF ANCHORAGE ��NNVIL'ONMENTAL I r'OTECTf PROTECTION STREET LOCATION DEPARTMENT OF HEALT ENVIRONMENTAL 825 L Street - Anchorage, Alaska 99501 • Q '197t JUL 3 C70, SINGLE FAMILY ENVIRONMENTAL ENGINEERING DIVISION ❑ MULTIPLE FAMILY Telephone 264-4720 RECEIVED 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 *ATTACH WELL LOG. A well log is required for all wells drilled PHONE Dulcy Boehle ❑ PUBLIC UTILITY 349-1840 MAILING ADDRESS **If iQt'lg PROPERTY RESIDENT (If different from above) PHONE 2. BUYER If system is over two (2) years old an adequacy test is required PHONE David D. Neumeister NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MAILING ADDRESS SRA Box 438-W chora a Alaska - 3. LENDING INSTITUTION ��� ` 4/ PHONE Alaska a Debbie Johnson —i1'274-3563 ATTN: D 2 -ext. MAILING ADDRESS MAILING P. 0. Box 1120, Anchorage, Alaska 99510 4. REALTOR/AGENT PHONE Julie Fr - Leonard lLealty 274-7594 27 - MAILING ADDRESS 530 East 4th Avenua. Anchorage, Alaska 99501 5. LEGAL DESCRIPTION L3, B3, Rabbit Creek View Subdivision STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four Cl Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Ef Three ❑ Six 7. WATER SUPPLY �dK 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.) 8. SEWAGE DISPOSAL SYSTEM **If iQt'lg CX_kC INDIVIDUAL/ON-SITE** individual/on-site, give installation date If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) r LAn�t _A �� n.6��l��i�ou�Gl ass► /'1 I97re.- nS 49 THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE -91 SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO FOUR ❑ SIX 2. WATER SUPPLY —i—LI INDIVIDUAL ElCOMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL 1 DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON -SITEDAT ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER Id T EIN5TALLED _ INSTALLER ®Septic Tank or ❑ Holding Tank Size: 1a.60 If Tank is homemade give dimensions: SOILS RATING 91 TYPE OF TANK �t MANU ACTURER TOTAL ABSORPTION AREA I MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS j APPROVED FOR BEDROOMS "E7 CONDITIONAL APPROVAL (letter must accompany certificate) 9 DSAPPROVED DATE �• ���� BY(Title) P C LEGAL DESCRIPTION 72-010 (Rev. 3/78)