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Home My WebLink AboutDRAKE BLK 2 LT 7B MUNICIPALITY OF ANOK)~ DEPT~ OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES ~_C 2 ;q 1990 Environmental Health Dlvlalon 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 R E C E I V E D ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ~/7--/'-/~/*-/~ '~~ ~__~ \~,3 ,/><t-~[--~ F R 0 M~'~.-.....~O SEPTIC ABSORPTION Address / / TANK FIELD WELL Phone(s) I Permit No. INo. of Bedrooms WELL X ¢~ LEGAL DE6CRIPTIO" LOT LINE J 0 ~' Township, Range, Section ~~ , ~ ~ AS-BUILT DIAGRAM (Show location of well, septic system, prope~y lines, foundation, ~t~ TAN~$ driveway, water bodies, etc.) N Material No. of Compa~ments TYPE OF SYSTEM ~ TRENCH ~ BED ~. DRAIN ~ OTHER Depth to pipe bottom from Total depth from original grade origin. I grade ~ FT ~ FT Fill added above original grade Gravel depth ~neath pipe O,~ FT ~ FT Gravel length Gravel width Total absorption area Distance between lines Number of lines I Soit rating ~ Pipe material ~ I ~ installer ~~~ Dste InstsIIod~ WELLS ~RIVATE ~ OTHER {Idenlifv) Classification (A,B,C) Total Depth ~ Cased to ~~ ~ FT[ FT Installer ~ate Installed: REMARKS: ~ale: S & S ENGINEERING -- cedlly that this inspeai0n was ped0rmed ac~rdtng t0 all I I/u~ ~agie m~r L~p ~gad NO. 204 ...1,. De pa.ment Approval: Date: I- ¢- ~ / 72-013 (3/85) N MUNIClPAU1Y OF DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION gEC; g ~ RECEIVED l...o'L I....e,;.:il a :[. :: 8~...tl::) cl :i. v :i. !!~ :i. ~::li"'~ :: l:)l;;i:~..M.:::li!!: 'iiii!.tl.!'iI:) ]: V :1: S :1: S~.'-;.:,,;:: 'L :i. c:,n ~ 2li!i 'I",;::~;.~. r'~ !!ilh :i. i;::' I~ :}. 21xl I::i.'an g ~.~..;, L.;:yI:.. S:i.:ae ..:'I. 95()0 (-ir:iq,, ('L, of ?lax ):i::n;:...'.;,ci i". c;,orr,.,:ii~ :: 'T h :i. ;;~; I:%;;.., r. ,"ri ;i. 'L ',¢ :::.!; 'T'o'L a ]. Cap ac: ;i..I:.. y HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOl L TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT SHAFER, P.E, ROGER SHAFER Novem§~r 27, 1990 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 [-~¥,ii~JI~/~qNTAL SER¥.ICES :DibV41$~DIN RECEiV[D REFERENCE: Lot 7 "B"; Block 2; Drake Subdivision; PEEUIT REO. UEST HARRATZVE Request you issue a permit to upgrade the septic system on the referenced property. The existing system was installed in June 1978. found in a state of failure in November 1990. The leachfie£d was Due to the large lot size and existing septic locations in the immediate area of the referenced property we cannot forsee any "probable" impacts to adjacent property as a r~sult of the proposed septic system. If you require additional information, please contact 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 ° ! ~0~= ~, I ,08 Municipality of Anchorage ~'~, ,:'~i,, DEPARTMENT OF HEALTH & HUMAN SERVICES ~: 825 "L" Street, Anchorage, Alaska 99502-0650 ~SOILS~ ~ / ~C ~LOG -- PERCOLATION TEST DATEg~r ~oP ~ "~": gJ~2 ,~ownship, Range, Section: ~ ~ ~, ~, SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? L~ ~--~ 5 S IF YES, AT WHAT ~ F5 o (-~ DE,~T.~ / t Op E Depth to Water Alter ~ ~ Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop /o- ~/-~c ~ PERCOLATION RATE _~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN _~T AND ~ FT . '~ ~ ~34 ~agie River L~p Road No. 2~ ~ / ~ PERFORME~Ie elver~ Alaska g9~77 ' I ~ ~ ~ CERTIFY THAT TH~S TES~ WAS PERFORMED IN ACCORDANCEWITHALLSTATEANDMUNICIPALGUIDELIN~~NTHISDATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ~~ 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 IPHONE I [~'~NEW George Havelock '~ ~m~<5, [344-9377 [~]UPGRADE MAILING ADDRESS P.0. Box 4-1080 Anchorage, AK LEGAl- DESCRIPTION Lot 7B Bldc~ 2 Drake Subdivision LOCATION NO. OF BEDROOMS Mallard Ave 3 JWell ] Absorption area Dwelling PERMIT NO. DISTANCE TO: . _.,, +100 113 7RN~q~ Z Manufacturer Material No. of compart~t~ ~ Sunset Fiberglass F~her~a~ 2 Liq. capacity in gallons Inside length Width ~ Liquid depth ~000,, IF HOMEMADE: ~ ~ ~ DISTANCE TO: Well Dwelling PER~IT NO. ~ -- ~ Manufacturer Material Liquid capacity in gallons Q Well Foundation Nearest lot line PERMIT NO. ~ DISTANCE TO: +[00 [~0 ' 33 ' ~ ~ ~ No. of lines Len~ of each line Total length of lines Trench width Distance between lines '" m 1 8 0 3 6 inches ~ ~ ~ Top of tile to finish grade Materiel beneath tile Total effective absorption area Q 5 t 2 4 inches 3 2 0 S. F. Length Width Depth 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. ~ Build ng foundation ~ Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS - ~ [ ~ ~' ~ It~ _ Plastic- SOILTESTRATING ~ ~ ~--~- ,,, J.A. Modular' .~. APPR~~ / ~ DATE~ . LEGAL 72-013 ~( Rev. 3/78) PERMIT NO. ~'iUN I ~ ! pAL I T¥~' OF F~NCHO~:F4OE DEPARTMENT C HEALTH AND ENVIRONHENTRL r 9TECTION 8~5 ~L STREET~ ANCHORAGE.. AK. 264-4728 ON--S I mE SEWER PERM I m APPLICANT LOCATION LEGAL JR CONSTRUCTORS MALLARD AVE OFF GANDER DR L?B B2 DRAKE SUBD ~400 MOUNTAIN VIEW DRIVE LOT SIZE 279-2589 49500 SQUARE FEET TYPE OF SOIL ~SORBTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 7 LENGTH= 63 GRAVEL DEPTH= 2 THE LENGTH DIMENSION'IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THE TRENCH WIDTH IS ~. 1~1OO FEET THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF T~ EXCAVATION (IN FEET). REQU I RED SEPT I C TANK S I ZE= i000 BALLOt-IS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF mY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THRT'THE WELL WILL SERVE. TWO ( 2 ) [~NSPECT IONS ARE REQU I RE[:, BACKF ILL I NO OF ANY SYSTEM WI T~UT F I NAL INSPECT ION AND APPROVAL BY TH I S DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIM~ DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR R PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC ~LL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE RVRIL~LE TO INS~E PROPER INSTALLATION. PER~II T EXP I RES DECEMBER 3i~ i978 I CERTIFY T~T 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES, 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RES IDENCE~~LE~ INCLUDE MORE THAN :~ BEDROOMS. V1 2 Performed For Leaal nescrtntton: Lot 7B Block 2 This Form Renorts Soils Loe Yes 2204 Cleveland Anchorage, Alaska 99503 J.A. Modular 0ate Performed Subdivision 5-22-78 Percolation Test Peoth Feet m Sot1 Characteristics Brown Silt Brown Sandy Gravel 16-- 18-- 20-- Bottom of Test Hole Was Ground Water Encountered? If Yes, At what Depth? ll' Readtnq Date Grnss Ttme Net Time Depth to H20 Net Oron Percolattnn Rate ~tnute ~ Prnnosed Inst~11atton: 'Seenaae Pit Dratn Field Oeoth of Inlet Depth To Bottom Of Pit Or Trench ' CnMPENTS: 100 Sq. ~t, drainage area r~nt, 4~ ~ ~n~ Test Performed By Data Certt(ted David Pau! Date: - ~ INSPECTION-ApPOINTMENTS ' 'I~JME -'- 'tiME' ~' ' ' ''TIME ...... " DATE '- -DATEr r~ ' · DATE - · MUNICIPALITY OF ANCHORAGE MUN1CiPAUTY OF ANCHORAGE . DEPARTMENTOF HEALTH& ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & //~--~[---'~ 825 L Street - Anchorage,Alaska 9950t ' ENVt,RONMENTAL PROTECTION' DrRECTION$= Complete al[parts on page 1. Incomplete reque~t~ will notbe proce~ed, Pleasealiow ten HO)days for processing. 1_ PROPERTY OWNER "' '" ~ ' - ' ~" ' t pHONE PROPERTY RESIDENT (If differen~ from above) .... PHONE 2. ~ER - ' - ~ PHONE MAILING ADDRE88 ~ ' 3. [f~IN~I~I/~/tO~ ...... ' ' ' - - " ~ -PHONE ' 4. 'REALTOR/AGENT ~ ' I PHONE' ...... . ..(. .. ~ INDiVIDUAL/ON'SITE** ' /?/~ YEAR ON-SITE SYsTEMwAs INSTALLED. [] PUBLIC UTI LITY - 72-010 (Rev. 6/79) 1. TYPE OF RESIDENCE [~Sl NG LE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY I~'~INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSALSYSTEM [~VI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified [~ptic Tank or [] Holding Tank Size: ~//-./ ~ CD If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AR EA 4. DISTANCES WELL TO: , Absorption Area to nearest Lot Line 5. COMMENTS THIS SIDEFOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE ~ THREE [] FIVE [] TWO [] FOUR [] SiX [] OTHER PERMIT NUMBER DEPTH OF WELL. DAT:E DRILLED LOG RECEIVED PERMIT NUMBER INSTALLER SOl LS RATING MANUFACTURER MATERIAL Septic/Holding Tank Iabsorption Area ISewer Line ,/5 ¢)./..- I / d .e I INearest Lot Line DATE [J~..~APP ROV ED FOR -.~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 {Rev. 6/79) CHEMICAL & Gl.. LOGICAL LABORATORIES . 'ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. Water System Name Phone No. Mailing Addr6ss City State SAMPLE DATE: MO, Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [3 Special Purpose ) [] Treated Water [] Untreated Water Zip Code SAMPLE NO. LOCATION I I ,, ........ ~'-~.~ ~'~, .' =I I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ["~' Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube I~<Membrane Filter Lab Ref. No. Result* Analyst I I ICI I I *No. of colomes/100 mi. or NO, of Posibve portions, 06-1220 Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Date Collecte~t Source il,m, Date Recelvecl . , Time Recelve~l p.m. Lab. No. Presumptive /0mi 10mi 10mi 10mi 10mi 1.0mi 0.1mi 24 Hours 48 Hours i , Confirmatory 24 HOurs ,48 Hours EMB Broth 24 hours: Broth 48 hours: Multiple Tube Reports, .10mi Tubes Po$1tlve/'rotal 10mi Portlonl Membrane Filter: Direct Count, . Coll/orm/100ml Verification: TB , BGB__ Fln,I Membr, n. Filter ReSults ~::i: .~: Collform/100ml Timer a.m. Directions for Collecting Samples of Water for Total Coliform Bacteria E×amination This water analysis de :arelessness in collecting c) After 48 hours, the essar¥. Send to Labor~ f) ANCHORAGE CESSPOOL PUMPING Star Route A, Box 144 ANCHORAGE, ALASKA 99502 Phone 344-2632 or 344.2453 Remove any aerato Thoroughly f~ush ta Reduce flow so tha' Remove bottle frorr Avoid touching the Fi~t the bott~e to its ~ hours after collection. resampling will be nec~ opened outlet for three ing cap with the other~ ~tely replace cap, being Complete the portia All claims and returned goods MUST be Fit~ in all appropriat( 6 4 9 3 .~o~...,.a by thla bill. ~k~U ETED BY SUPPLIER,' (tD No.). Contact th, _~ identification number ' ................ ~"""m""~ ~u~se~atloR if yo~ do not know you~ ~D rmmber. (Public water suppliers o~ly) Pack bottle carefully in maitir~g tube with lab form, The requirements for analysis of pubtic water systems for total coliform bacteria are defined in the Drinking Water regulations administered by the Department of Environmental Conservation, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES '~: -pR~pERTY oWNER 2. LEGAL DESCRIPTION 3. TYPE DWELLING SINGLE FAMILY RESIDENCE MULTIPLE FAMILY RESIDENCE OTHER (Describe) 4, WATER SUPPLY L--~'"'INDIVIDUAL ,l~ COMMUNITY/PUBLIC 5.SEWAGE DISPOSAL ~/tNDIVI DUAL/ON-SITE L-] PUBLIC UTILITY ~ HOLDING TANK (Maintenance Required) APPROVED FOR BEDROOMS L-~ CONDITIONAL APPROVAL (See Attached) DISAPPROVED DATE ' BY (TITLE) ..... / ' "~" :' 1/ 72-014 (3/78) ALASK' 'EPARTMENT OF HEALTH AND SOCIALSr ~qCES DIVISION OF PUBLIC HEALTH Lab. No. BACTERIOLOGICAL WATER ANALYSIS Office PLEASE MAIL RESULTS TO: NAME ~ ADDRESS. Phone No. / ! Date Collected Sampling Address Analysis shows this WATER SAMPLE to be: [~atisfactory [] Unsatisfactory [] Questionable [] submit other sample [] Sample too long in transit to indicate reliable results. Sample should not be over 48 hours old at time of examination. [] Bottle broken or leaked in transit. [] Other SANITARIAN'S REMARKS Specific place of collection REASON FOR SAMPLE SUBMISSION: [] nlness suspected [] Health Regulated Establishment [] Other WATER SAMPLE SOURCE [] Well Type of casing [] Improved (Enclosed, Covered) Spring [] Surface (Reservoir, stream, lake) [] Holding Tank [] Other ~anitarian's Signature: _BEAD INSTRUCTIONS , BEFORE COLLECTING SAMPLE 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected ~/~/;: '~ *.,,' ~*'~ Source · a. m. Date Received -3'"~/~2~ Time Received [ ' Lab. No. Presumptive 10mi 10mi lOml 10mi 10mi 1.0mi O.lml 24 Hours Confirmatory 24 Hours 48 Hours EMB, Multiple Tube Report:, , Membrane Filter: Direct Count. Verification: LTB Final Membrane Filter Results. Reported By Broth 24 hours: , , .,.- ~ /'9 , Broth 48 hours: 10mi Tubes Positive/Total 10mi Portions ,, Cotiform/10Oml BGB Date ,~.~'/(~.~ :'"' '//~ Time: , Collform/10Oml