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Home My WebLink AboutINDIAN VALLEY ALASKA BLK 1 LT 1ndtan a l ley 5/0 LI mita t.‘09 0 - -029 -00 0 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: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. GREATER ANCHORAGE AREA BOROU H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE~ DISP.,OSA,L. S,YST~E,M /~ /] ~:~.; NAME DISTANCE FROM WELL ~C~ MANUFACTURER-- --~ MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ~2'(2~*'"~'~-'' GALLONS. SEEPAGE PIT: NUMBER OF PITS ~ LINING MATERIAL BUILDING FOUNDATION ADDITIONAL ABSORPTION CRIB SIZE: DIAMETER NEAREST LOT LINE__ LENGTH DEPTH DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION- LOT LINE DEPTH DISTANCE FROM: NEAREST SEPT lC SEEPAGE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: ~P_~ PIPE MATERIALr LOT SLOPE: REMARKS: REMARKS ~ I ~ - (] D~AGRAM ~YS~M Form No. EQ-031 GREATEr ANCHORAGE .AREA BorOUGH t DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 AGE DISP?SAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION FINANCED THROUGH / TO BE INSTALLED BY BO,L TEBT REBULTS / COMPLETION DATE ANTICIPATED PERMIT NO. NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24-'~OUR NOTICE REQUIRED· BACKFILLING OF ANY SYSTEM WITHOUT FINAL iNSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE P~T BEPTIC TANK TO SEEPAGE P~T WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINe. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD ., DRAIN FIELD seePAGE PIT ALSO CONSIDER AREA WELLS. , SEEPAGE PIT , DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION E FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST iRON S~PHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED With AIRTight REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. 1 G %.B. / DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTE 1S~ IN ACCORDANCE WITH SAID CODE. ANCHORAGE AREA BOR' --SH Department of Environmental Quality ~ I~" 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION SEPTIC TANK: DISTANCE FROM WELL ?(2 INSIDE LENGTH MAN U FACTU R E R '--~(~ INSIDE WIDTH MATERIAL COMPARTMENTS r~~-' LIQUID DEPTH LIQUID CAPACITY(--~-~t~* GALLONS. TILE DRAIN FIELD: . ~ / TOTAL LENGTH DISTANCE FROM WELL ¢~) FOUNDATION ~'O NEAREST LOT LINE OF LINES / NUMBER OF LINES / - . DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA/~S~..~T. LENGTH OF EACH LiNE'~ · L~ ~- ~, DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ? MATERIAL BENEATH TILE ~'2'~ '/1'~. ABOVE TILE ~ 1/ _ IN. BUILDING / NEAREST / NEAREST FOUNDATION ~' LOT LINE ~~- , SEWER LINE__ DEPTH DISTANCE FROM: SEPTIC ~ SEEPAGE TANK ~g , SYSTEM CESSPOOl. APPROVED _ , OTHER SOURCES . DISAPPROVED/ '~ REMARKS DISTANCES: O~l~~r ~GRAM¢¢ ¢~STEM GTE/, , ANCHORAGE ArEA BOF ;~ ~<~.-o_~.--~'s ~.~. ~/' N~Me OF APPLICANT LEGAL DESDRIPTION L ~'~/ PERMIT NO.. DEPARTMENT OF ENVIRONMENTAL QUALITY ~-iiii' : ' ' ' '" 3330 "C" STREET ANCHORAGE, ALASKA 99503 ~ ~O.~.~ :-~ ~: '~,.~''~ TELEPHONE ~74-4561 .._~3 .~. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT' INSTALLATION OF: SEPTIC TANK SEEPAGE PIT TO BE INSTALLED BY SOIL TEST RESULTS DRAIN ~IELD ~/ , OTHER NOTE: THIS PERMIT I~ NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEEPAGE AREA SEPTIC TANK SIZE ~-- TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK SEEPAGE PIT TO NEARESTLOT LINE. ~O/ WEll TO SEPTIC TANK DRAIN FIELD /~ ~ / · DRAIN FIELD DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPT,C TA.K. SEEPAGE P,T RAI. r,ELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION ]5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. [ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA bOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE IS IN ACCORDANCE WITH SAI~3 CODE. DATE' -- -- ~. APPLICANT'* ~IGNATURE / $ODTI!£EtiTfiAL t?~IO,VAL OFFIC£ / JAY S. HAMMOND, Gore. moo SOUTHC£NTRAL RECION~£ OFFICZ ~fAC~Y 8LDG. ~38 DENAL; A~CliORAGE 99501 August 27, 1975 Mr. Rolf Strickland G?~.E - DEQ 3330 "C" Street Anchorage, AK 99503 Subject: Lot 1, Block t, Indian Valley Subdivision (Burris) Dear Mr. Strickland: As Mr. Burris has already evidently acco~aplished much work based on the issuance of Land Use Permit No. L 7369 dated 3/27/75, it is our belief that the use of the old semi-public distances will be adequate in this case. Yours truly, Kyl~J. Cherry, P.~.~ Envm~ onmenta.~ Supervisor Regional ' cc: Jerry Burris KJC/dma R & M CONSULTANTS, INC. August 6, 1976 R & M No. 656278 Jerry Burris Ocean View Drive Indian, Alaska RE: Test Hole and Soil Log Report for Sanitary System Lot 1 Block 1 Indian Valley Subdivision Section 5 T10N R1W Dear Ms. Burris: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of August 4, 1976 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test p~ was' put down within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted bachoe and the test pit was extended to.a~total~depth of 16 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test Pit while inspecting.. 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. James W. Rooney Vice President J~R/ddp xc: GAAB TH1 · 0.0' ORGANIC MATERIAL OCEAN VIEW ROAD GRAVELLY SAND SAND W/ TRACE GRAVEL SANDY GRAVEL W/SOME COBBLES -- 8.0' 12'0i sAND w/so RAVE ' /.0' TD NO Water Encountered While Drilling / This log represents subsurface soil conditions within Lot 1 Block 1 Indian Valley Subd. Section 5 T10N, R1W SC,aLE: 1"-3' August 21~ 1975 R & M No. 562094 Jerry Burris -SR Box 8735 Tndian, Alaska RE: Test Hole and Soil Log ReP°r~for sanitary System Lot 1, Block I, Indian Valley 'Alaska subdivision Dear Mr. Burris: , We are submitting herewith t~ft;~t boring results and our comments regard- lng soil conditions encounter~i the subject site. This investigation was i-.;-~-~-. ~ . performed in accordance with yo~..request of August 18, 1975, and those pro- ~:~ .-~. cedures outlined in a letter dat¢~!./i~ly 15, 1975, by Mr. Rolf Strickland of .: the Greater AnchorageArea Borou~-;!D~Partment of Environmental Quality~ A single test hole was put down ~ithin the Lot 1 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 18.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test 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. JWR/ja xc: GAAB T.H~ -1 8-20-75 - 0.0' R '- SANDY GRAVEL SOME SILT GRAVELLY SAND TRACE SILT (SP) '5.0" ~%NY COBBLES ( ~- (150 sq. ft./bedroom) Log represents 'Lot 1, Block 1 Indian Valley Alaska Subdivision NO wATER TABLE .~} t~/'''?: ' Engineering ~ Geological Consultants Inc. ANCHORAGF. F.~iR EIANK5 ALASKA Ju~u 18.0' T.D. Jerry Burris Property Log of Test Hole · Indian, Alaska 8-21-75 sca~.~ ]. -3 w, nY HED CHZO nY WED ~,oa. NO. 562094 1