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Home My WebLink AboutHOLLY HILL BLK 1 LT 11HOIly Hi LII - 014 9.6, tillay 28 21 133:11 p Ancho;ag&VVell & Punip Sar 9072430742 P.1 U M MUNICIPALITY OF ANCHORAG! NE11. Development Services DePartment, On -Site Water & WPhone907-343-7904 asLewater Section U*v Pax: 907-343-7991 Pump Installation Lo!,!,, Well Drilling Permit Number: Parcel identification Number: 011_081_ Legal Description Lot �011j K .51 1.11 Pump Installation Date—:_<-7--� !LL _V __ Date of Issue: Pro ervi ne N i5e-Address: Pump Intake Depth Below Top of Well Casing.. 13� feet Pump Manufacturer's Name - Pump Model: 1b.12/ -pump Size: by PRIM,; Adapter Burial Depth: ('�7 feet Pitless Adapter Ala nufiet arer$s.Najne: 04A1__50_ Pitless Adapter Installer: Well Disinfected upon Coln : I I I Yes C No Method Of Disinfection: Comments: Pump Inst-Aer Name: _ 7A_'"OR�"C'E WELL& pULp 6,10 King Street SERVIcE Company:�_ AnchOraCe. AK 99-1.8 P'9: (90-7) 243-0740' Mailing Address, City: State: 0" ()p Attention: T7'e punip installer shat; prcvide a pump installation I t,--) _siewithiri3t) days ofpjUTjzr, instal'ation. MIUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENViRONMENTAl.. PROTECTION ENWRONIVlENTAL ENGINEERING DIVISION 825 k Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME · LEGAL DESCRIPTION LOCATION DISTANCE TO: Manufacturer Liq.~ DISTANCE TO: Manufacturer Well Absorption area [] NEW NO. OF B~i.~ROOMS PERMIT NO. Inside length Liquid depth IF HOMEMADE: Well Dwelling PERMIT NO. Well DISTANCE TO: Length No. of lines Top of tile to finish grade Foundation Total length of lines Material beneath tile Depth Length of each line IDwelling Mater~- -~ee ( Material Nearestlotline Trench wdth Liquid capacity in gallons PERMIT NO. Distance between lines inches Total effective absorption area Width inches 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 Absorpt on area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS APPROVE~? ~ DATE LEGAL PERM I T FFLiL:t-~4't RLH.=,KId USR FEDERRL CRED LOC:BT I ON LEGRL Lii 8i HELL~ HEIGHT=, I LOT ~I-,'E 20000 Sfi'~URRE FEET "4' ':.; " IS T"¢PE OF SOIL FIBSORF'TION _'C_TEi] : [:'RRINFiELD MRXII"iLIM NUMBER OF' BE[:'ROOPIS = 4 .=,UIL RRTING "~"' "' ' ,.,_a:~. F%' BR..,= ]"HE REQUIRE[:, SIZE OF THE SOiL RBSCF.:PTION S'¢STEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF B TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). "TPIbZ T~:E~C:H H Z[:,TH IS 0. El(l~Z~ P--EET. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F.:bZ,":.~Lti I BEE) .5EP]" I C: TRl'.-,ll<: D 'ir 2:E= ~_a-_.O PERMIT BPPLiCRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPBRTMENT DURING THE INSTBLLRTION INSPECTIONS OF 8N¥ WELLS RDJRCENT TO THIS PROPERTY ~ND THE CNUMBER OF RESIDENCES THRT THE WELL WILL SERVE. 'l'14C~ ~;:;") ll~]PbZC:T IC~-IS R~:E F2EIZ41J I RE[:, BRCKFILLING OF BNb' SVSTEM WITHOUT FINAL INSPECTION RND RPPROVRL B9 THIS DEPBRTMENT WiLL BE SUBJECT TO PROSECUTION. idiNIMUM DIST8NC:E BETWEEN R WELL RND RNV ON-SITE SEWRGE DISPOSRL S?STEM IS 100 FEET FOR 8 PRIVRTE WELL OR t50 TO 208 FEET FROM ~ PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTBNCE FROM 8 PRI9RTE WELL TO 8 PRIVBTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS M89 RPPL¥. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE BVBIL8BLE TO INSURE PROPER INSTRLLRTION. :.I CERTIFb' 'THRT ::L: I ~M FRMILIBR WITH ]'HE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS RS SET FORTH BV 'THE MUNiCIPRLIT'q OF 8NCHOR8GE. 2: I WILL INSTRLL ]'HE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: i UNDERSTAND 'THFIT THE ON-SiTE SEWER S'.¢S]"EM MFl'-d REQUIRE ENLARGEMENT IF' THE RESIDENCE-;. I.S REMODELED TO INCLUDE MORE THRN 4 BEDRUOM=,. SIGNED :. HFPLIC. HNT FtLJ?C~-d-:,H U:d';I FEDER. ML L.F..E[.,IT U i SS_ ED E;~¢. DR"I'E___ O' '¢4. 0 CJ"~TER ANCHORAGE AREA BORI~"~,~H ~ HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM N°. 31 LOCATION .~'//~'~/J./~-~,~/'~-~V .~--~/-~.,,'~ SEPIIC TANK: MAILING .~",,~:~ ,~.'~).,,,,~"~Z~..-~ PHONE -~'~'~ ADDRESS LEGAL DESCRiPTiON DISTANCE FROM WELL ,,'/,,/" ,~" n · LIQUID CAPACITY . /'~~-~ GALLONS. NUMBER OF MATERIAL C ~:~.,,4~/C/¢?~'7-'--~-c:-' COMPARTMENTS. INSIDE LENGTH /..~'~'"INSIDE WIDTH LIQUID DEPTH__ SEEPAGE SYSTEM: SEEPAGE PiT: NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL ,~ ~') ~"'~-"~' NEAREST LOT LINE ,,~2,~. --~~:~'~/~' ~ ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH ,,/"~' , DEPTH DISTANCE FROM WELl .//,/-~ / BUILDING FOUNDATION TILE DRAIN FIELD: DISTANCE FROM WELL ~UND~ , NEARESI LOT ~~'~'~ :BS~T[ON AREE4~TH: TOP OF Ti:E TO FiNiSH GRADE SQ. FT. LENGTH O~ACHLINE / - -'-D O~RMATERIAL gENEATHTILE WELL: TYPE ~'~,,,~/,~ - ~"~:'---~¢~ DEPTH NEAREST ~ SEPTIC LOT LINE ,//Z2 / ~ , SEWER LINE , TANK TIVE IN. ABOVE TILE -- FROM / .,/ ~ ~ ,.WATER DISTANCE FOUNDATIO~.,~-~' .~--,~, ] SAMPLE ,,"'/~/~' NEAREST , BUILDING _ /./.,~, , SEEPAGE ./_...~,,.~, OTHER , SYSTEM ,/'",/,.~/ , CESSPOOL SOURCES DISTANCES: DIAGRAM OF SYSTEM APPROVED HFALTH AUTHORITY GAAB-HD-2 GREATE ' NCHORAGE AREA ' ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case No. ~ ~ NAME OF APPLICANT RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING ~ACILITY FINANCED THROUGH BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT LOCATION OF INSTALLATION , C~ SEEPAGE PIT. ~ , DRAIN FIELD , OTHER TO BE INSTALLED BY THIS IS TO SERVE AS ~ ~ ~ ~ ~ <. - ~ ~ ~ ~' I~ , PERMIT TO INSTALL A / AS DESCRIBED BELOW· S~ZE OF UNIT TO BE~..SERVED · SEPTIC TANK SIZE TYPE i' ?-; ~-; SEEPAGE AREA DIAGRAM OF SYSTEM H E A,L~H AUTHORITY Anchorage Area Borough Ordinance No. 2~-6~, and tlTht the~ I certify that I am familiar with the requirements of Greater , i; ?~e ,'; ~ . ~' above described system is in accordance with said code .... ?,¢' ~ }'~ ~}~ I ' ,;~.__'¢' 'Oc " DA I'~-RECEIVED ~ ~ INSPECTION APPOINTMENTS -~;iME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DEPT. OF HEALllt & MUNICIPALITY OF ANCHORAGE - IRONMENTAL DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~ 825 LStreet. Anchorage, Alaska 99501 U{,,il'~ ~ 0 1981 ENVIRONMENTAL SANITATION DIVISION e,e..o.e RECEI E REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES ~IRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PHONE ~~ PHONE PROPERTY RESIDENT (If different from above) PHONE PHONE 3, LENDING INSTITUTION MAI LING ADDRESS PHONE MAILING ADDRESS M.ER OP,.EDROOMS [] One ~ Four [] Other__ [] Two [] Five [] Three [] Six STREET LOCATION 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY ~. INDIVIDUAL* [] 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. SEWAGE DISPOSAL SYSTEM I NDIVIDUAL/ON-SITE** [] PUBLIC UTILITY ON-SITE SYSTEM WAS INSTALLED. - 1¢2° NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) d ~O ~(~L,~ ,¢,~3 THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE I--1' SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SiX 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/ON -SITE []PUBLIC UTI LITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER []Septic Tank or r-]Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line [] OTHER Septic/Holding Tank IAbsorption Area ~LSewer Line INearest Lot Line 5. COMMENTS DATE [~'~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED BY ,,,,~,~ 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M, SULL. IVAN, MAYOR DEPAfr~TMEi~'I~ OF Hr:_ALrH AND ENVH:IONM[!NTAL PF:[OTECT[ON July 7, 1981 Ronald A. Baker 2305 Jefferson Avenue Anchorage, Alaska 99503 Sub-ject: Lot 11 Btock 1 Holly Hill Subdivision The well serving the sub'ject property also serves 'the residence directly to'.the North of you. When the residence was purchased by you, it was this department's understanding that the welt served only the ~{.ubjec't residence. It came to our attention at a later date that the well served more than one(l) family, classifying it as a "Class C" well. The - ~'""' pzot~c,t].v::., radius between any sewer system and a C'la..,s well at: the t~me it was installed was 120 feet,. ,.The dis~tance between your sewer syst. em and well is approximately ~98 feet[. Therefore, be. for_.':'~ (e approval may be granted, this situation wilt need to be corrected,. " An appoJ, nhment ~'2_;~1 also need t.o be set. up so 'that we can inspect the well and obtain a water sample. If there are any furtb, er questions, please call. this office at': 264-4720. Sincerely, Robert C~ Pratt~ R.S. Associate Specialist RCP/1 j w ~ , ,' ' DAT~- .~ECEIVED " ° ' INSPECTION APPOINTMENTS TIME~ ~ TIME TI~E DATE DATE MUNICIPALITY OF ANCHORAGE ~UNIClPALITY OF A~CHORAGE DEPT. 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION APR 1 0 1980 Telephone 264-4720 RECEIVED BEOUEST FOB APPgOVAL OF INDIVIDUAL WATE~ AND SEWE~ FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNE~ PHONE MAILING ADDRESS PHONE PROPERTY RESIDENT (If different from a~ove) 2. BUYER PHONE MAILING ADDRESS 4. REALTOR/AGENT MAILING ADD,R ESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~' SINGL,E FAMILY '~. MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [~ Four [] Two [~ Five [] Three [] Six [] Other 7. WATE.R SUPPLY ~ INDIVIDUAL~ [] '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. SEWAGE DISPOSAL SYSTEM /~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONL~ 1. 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 [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTI LITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line 1 WELL TO: ' Absorption Area to nearest Lot Line 5. COMMENTS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~"DISAPPROVED 2 Municipali Anchorage 825"L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION May 5, 1980 Alaska USA Federal Credit.Union 777 Juneau Anchorage, Alaska 99501 Subject: Lot 11 Block 1 Holly Hills Subdivision In addition to the descrepancies of our April 16, 1980 letter, the following items are also noted: (1) The septic tank pumped with the number of gallons pumped from the tank to verify its size. (2) We have not received the water analysis report in this office for our review. The report is at Chem Lab, 5633 B Street. (3) The existing multiple family dwelling does not meet the distance requirements between the well and sewer system. The requirements are for a single family dwelling and may be approved as such, if the leaching area passes the adequacy test. (4) An adequacy test be performed on the existing leaching area. This report needs to be submitted to this office for our review. If there are any questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Associate Specialist RCP/ljw May 16~ 1980 Alaska U.S.A. Federal Credit Union 777 Juneau Street Anchorage, Alaska 99501 Attention: Fred A. Smith Subject: I~t 11 Block 1 ~olly i~ills SuPxtivision The above subject property can be approved for a four(4) bedroom single family dwelling, if th~ existing septic tank is either repaired so that it does not leak or it is replaced. If it is replaced~ a permit will ne~sto be issued from tills office prior to the replacement. If th~a ar~ any f~ther questions, please call this office at ~64-4720. RECEIPT Received From '-~ L ~ ~0~, A~ress ~,~ ~~ ~ q~ ~'~''~ ~ ~.~t ~- ~]~ Dollars$~ ACCOUNT J HOW PAID J / *ccou~J C*SH By John M. Lambe, P.E. 4-3~5 Nu, [;, ,~,o, ........ ...,~. Anchorage, Alaska, .~ .... Z7~O Gl ~.~d~. ~-~7._ NEW PHONE NUMBER 276-4113 SOIL ABSORPTION SYSTEM TEST PERFORMED FOR: NO. OF BEDROOMS: ~ ~ECORDS ON FILE: ~ C~IB / D~AINFIELD OTHER TEST PE~ED IN ACCORDANCE WITH ~L STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ~CHO~AGE, DEPT. OF ~VI~O~ENTAL QUALITY ON WITH THE ~LLOWING MODIFICATIONS: TELEPHONE: ~-~ DATE OF SURGE CAPACITY: SOIL ABSORPTION SYSTEM (SAS) SEPTIC TANK PLUS SAS ABSORPTION RATE AVERAGE 24 hrs OBSERVATIONS: STEADY STATE RISE TEST DATA ATTACHED PERFORMED BY: ~ SUPERVISED BY: JI;IL John M. Lambe, P.E. Anchorage, Alaska, 99503 LEGAL DESCRIPTION: ~w--%~ ~u~..~ { ~=~_-/ ~, ,-~ ~omO DEPTH BELOW METER READING GALLONS PUMPED TIME ~.~c~. ( OAT.TONS } ( ~-~ ) ~-/_." // ' ~/ . -,/ t ~ ~, ~ ~ · #' ! .7/ 7/' ~ ~, ~ ~/ 7 /~/.VTo ~ ? - ~ ,' ~_~ /oi ~o _~('m~ ~ ~' ~ ~"~'~/7 ~', / /, ~/~ .... /¢ -/¢ 7,'¢~ ~? John M. Lambe, P.E. DEPTH BKqOW METER READING GALLONS PUMPED TIME REF~SWCE ( GALIO~S ) ( ~ST ) ANCHORAGE CESSPOOL PUMPING Star Route A, Box 144 ANCHORAGE, ALASKA 99502 Phone 344-2632 or 344-2453 '~MER'S ORDER NO. 2948 All claims and returned goods MUST be SERIES 609