HomeMy WebLinkAboutDRAKE BLK 3 LT 5
r' MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
~ Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGI~ DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
/
Name DISTANCES
Mc ~_r~c l,,JI El F ?_ /W~IW!A PAULK~ ~ SEPTIC ABSORPTION'
Addres~ '- ' TANK FIELD WELL
Phone(s) Perm,t No. INo of Bedrooms W
I
~- 7A77 ~O/~g ~ LOT LINE
LEGAL DESCRIPTION
Township, Range, Section
AS-BUILT DIAGRAM (Show location of well, sephc system, property hnes: foundabon,
TANKS N
Manula'cturer Capacity in gallons ~--__.>~ I
Material No. of O~mpadments~ ~~ ~.~ ,
Depth to pipe bottom from Total depth from original grade
:ill added above original grade Gravel depth beneath p,pe Jo J
Gra~e~ length Gravel w,~th ~
Total absorption area Distance between lines ~
~umber of lines Soil rating Pipe material ~ 4 I~
WELLS - ~or I~ ~ET
~ PRIVATE ~ OTHER (Identifv)
Classdicahon (A,B,C) 7otat Dep[h ~ Cased to
Jnstalle~ Date Installed: J
REMARKS: J ~ ~ x¢ ,~
V
72-013 (3/85)
0 N ..... S :1: T E S E W E R
Per'.m:i.t Numl::)er~: 890:1.58 -~~ ~/~'"'~'
Date Issued~ 08/()8/89 Eng:i, nee, r' DesJ. grm:d
P E R M I 'T
[]wr-~et'~ t',tame~ V]:RGIIqIA F:'AUI,,.K
Ownep Addr'ess: 12.76() PIN]"AII ....
ANCI90RAGE.~ Al<
995:1,6
Day I:::'h on e:
:::.':;4 5"- 7 6'T7
Pa i- (::: e 1 I d: () :t.'7...-462,-C)9
L,o'l:,. L.,egal: Subdivls:l,c)rl: DRAKE t_c~t.' 5 Block:
Sect ion: 28 'l"ownsh i p: .1.2N Range:
WI!!!:ST :1~/::2, I,..O'T''5
I..,.o'L S:i, ze 90:[40 (sq. Ft. or' acPes)
Max Bedr, ooms:~ 'l"his I:::'er'mi{: 4 'Tatal Capac:i. ty:
SEI;::"T'IC 'I"ANI,:::.: M.in:i. mum total sept:i.c tank capac, i't:.y." :[,250 gal],ons. Each septic
rani.:: must have at ].eas'~.. 2. campar'tments. Depth '~..a tap af sep't, ic '~.ank (s) < 4.0
~'(~.:,)(~,1~'~:. PE,~(:]t,,tJ. PeS :lnsu].at.:[on aw.~r 'Lank (s),.
OF:' I,,.,O'T' MAY NOT BE U'T'IL. I ZED F:'OR NIL::W DWELLING.
¢'cn"th by Cl"m:, Mun:i.c:i. pa].:i,t¥ of .Anchc)r, acje (MOA) and the SCa'f..e of Alaska.
2,. I w:i. ll :i, nstall the system :i,n acc,:or'danc:e ~t.l"l all MOA cc}c.:les and r'egu].a'L:i, cH'"~s,
.3. I ~i:l. 1 adht.;,:r'e I:.(::) all MOA and State o~' Alaska P.eqLt:i.r, ements ~'c:)r. the,, set I::)acl,::
d.ts'Ear'lces ~'r'c:)m any ex :i.s{ :Lng well:, .as'f..e~ater. dispasa], system ar' public
.set;,u,~:.,~Pa(~.:je system (:.:)n 't,.h:i.s (:)P ar]y ad.jacen't.. (~r'
4., ]: Lu]d(:.-:.~r's'[.ar'ld tha't., t. his pePm:Lt :i.s valid far' a
also understand that '~.,he (:::apac:i. hy (::)i' the {oral syste, m :i,s 4. bedr'(::~oms and
PERFORMED ~OR: E e
LEGAL DESCRIPTION: [--O t /__.
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Municipality of Anchorage
825 "L" Street, Anchorage. Alaska
SOILS LOG -- PERCOLATION TE
D ?_.a KE .
! Iii"- I r ~ ~' '~ ~ ' Range, Section:
[~lUgL [ ,~h I/ . Ow~Shlp,
SLOPE
s~l+y 3~o~ I
WAS GROUND WATER
ENCOUNTER ED?
SITE PLAN
S
L
IF YES, AT WHAT O
DEPTH? p;
Gross Net Depth to Net
Reading Date Time Time Water Drop
Z ~ " ~' 0'7
~ " " . ?'
~ ~' " ,~ .0~
GUIDELINE ~
PERFORMED BY:
ACCORDANCE[ WITH ALL STATE AND MUNICIPAL
72-008 (Rev. 4~85!
PERCOLATION RATE ~.~,- ~ _/ (minutes/inchj PERC~IAM6TER
TEST RUN BETWEEN ~ FT AND
I /. C=H t lev T~T ~lS TES] WAS PERFORMED IN
~ DRAKE SoB. ,
H~ALTH &
,' ENVIRONMENTAL PROTECTION
L~ L&
.USE 8 DEEP ¢ ~%~'LOMG. ~1,080=~¢+. ~ ~7~¢
PiPE
Z~STAL. L l,~a~, 2coMR, STEEL TA~K
%NgTALL C/O AT EArN
ALL CON~T. TO MEET HOA SPECS. OFTEEMCRI MOM. PIPEAT
;*SE ER ' ·
.?,. ....... W · SYSTEM LOCATION pLAN"
~ bRAKE SuB. i '
.... ~'~ ~-~X~ ~'' ~ -~~ :
~ -~I~/ .... '~ ~ ' DEPT. OF HEALTH &
~ . r ur N Ay '. ~ ' ..-' ENVIRONMENTAL PROTE~ION
· I RECEIVED
'.USE 8'DEEP ¢ 67.~' LON6 ~1,080s~¢+. ~ ~"PEEF
ZMSTAL. L 1,5~d~l, 2COMR, STEEE'TANK !~ PiPE
ZN¢~TE TANK IF dOVER ~4' i~',
ZN~TALL. C/o-AT EACR END
&LL 60N~T. TO HEET .... MOA SPE~.
;¢OEWER. 8YOTEM'LOOATION PLAN'
........ LOT. '-
GAAB-HD-I
t'ER ANCHORAGE AREA BOROL '1
DEPARTMENT OF ENVIRONMENTAL QUALITY
3B00 TUDOR ROAD ANCHORAGE, ALASKA 99507 27g-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY-/~(~
GALLONS.
MATERIAL L/~~/~:~- NUMBER OF /
COMPARTMENTS
~'~.,~/,~ ~,/',4~' LIQUID
INSIDE LENGTH. INSIDE WIDTH _DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING M ATE R I A L _~'~'~'
NEAREST LOT LINE
SEEPAGE PIT:
OUTS,DE D,AMETER
OR WIDTH
DISTANCE FROM WELL
LENGTH , DEPTH
BUILDING FOUNDATION ,//
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
ABSORPTION ARET/ SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES / ,
I,~L EFFECTIVE
IN. ABOVE TILE
WELL: TYPE/_~t,//~=.Z~ , DEPTH /~)~ w DISTANCE FROM &r.~ / WATER
. , BUILDING FOUNDATION SAMPLE ~/--~Ot~'/-'~' , NEAREST
NEAREST ~ SEPTIC .&Of,,' SEEPAGE //..~j, / OTHER
LOT LINE ~/)~ ~' , SEWER LINE ,TANK SYSTEM , CESSPOOL ._ , SOURCES__
DISTANCES:
DIAGRAM OF SYSTEM
DATE
REATE ...NCHORAGE AREA ROUGH
---- HEALTH DEPARTMENT
327 Eagle Anchorage, / \ 279-2511
St. A~ 99501
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
Case N o.
NAME OF APPLICANT
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
MAILING ADDRESS .~2,,~ /_ ~ ~ ... PHONE NO.
,SEEPAGE PIT. / , DRAIN FIELD , OTHER
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION
~,~l~,.~"~'~ g ~'~~ SE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS , PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
.. SEPTIC TANK SIZE
TYPE SEEPAGE AREA TYPE
DIAGRAM OF SYSTEM
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Or.dinance~No. 28~8 and that..th$
above described system is in accordance with said code.
ALASKA GEOLOGICAL CONSULTANTS
TELEPHONE; 277.760!
277-7602
272.4114
I~NGIN;ilRING G~OI,.OGY '~'MINING "~ GEOPHY~IIGS ~t GROUNIDWAT~'R I~ PIE'TROilI*UM
2227 SPENARD ROAD
ANCHORAGE, ALASKA 99503
October 27, i969
Mr. Eric Wieler
325 L Street
Anchorage, Alaska
99504
Re: Soil percolation characteristics at Lot 5, Block 3, Drake Subdivision
Dear Mr. Wieler:
This letter is to certify that an investigation of the soil percolation
dharacteristics has been conducted on the above-mentioned property.
It was determined at the time of the investigation that a percolation
test was not necessary and the information enclosed herein reports
the soil characteristics for the proposed sewer system. The location
of the septic tank and cesspool excavation are shown on the attached
GreaterAnchorage Area Borough Health Department form.
This investigation was made in accordance with the Greater Anchorage
Area Borough Health Department specifications.
Respectfully submitted,
JAH:js
Eno.
ALASKA GEOLOGICAL CONSULTANTS
'?James A. Hamilton
cc: Greater Anchorage Area Borough Health Department
F, ATER ANCHORA,.,E AREA BOROUGF
HEALTH DEPAkTMENT
327 EAGLE STREET
· ANCHORAGE, ALASKA 99501
CASE
Performed For EricWieler Date Performed ]0-14-69
Legal Des~:zp,ion. Lot 5 B~ock 3_. oubdl zszon Drake Subdivision
Th~s Form Reports a: So~-~Log . &-'" · '~t~o~s~ ....................
De~*h
Soil Cha~actez'istics
,/,°n,, / .........
Was Ground Water Encountered?
if Yes, At }/hat Depth
Location Sketch
Reading
Froposed Instal~Seepage Pit
Depth To H20
Drain Field
Net Drop
De~h' Of Iplet ___ ' ._ DeP~it Or T~4enci~-' : ....
,..0 ~'' >' ' ' --
Test Pe~foPmed B35' ~ ~
Data Certified By: ~ ~ ~:[~~:~>~