HomeMy WebLinkAboutCONIFER HEIGHTS BLK 1 LT 6
t ,VIUNICIPALITY 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
IPH°NE / nEW
NAME ~-(~ ~ I aT~-OS'~'~ []UPGRADE
MAILING ADDRESS ~
LEGAL DESCRIPTION
LOCATION ~ NO. OF BEDROOMS
Absorpti D~ellin~_
~ DISTANCE TO:
~Z Manufacturer ~ Mate~ Ne. of c~rtments
Liq. capacity in gallons IF HOME.DE: Inside length Width Liquid depth
~ Well Dwelling PERMIT NO.
DISTANCE
TO:
~ ~ ~ Manufacturer Material Liquid capacity in gallons
Well Fou~ion / Near~ ~e
~ ~ NO. of lines ~ Le ~ach / Tot g~ of lines Trench Distance between lines
_ inches
; Q~ ~ Top of tile to finish grade--~ / Material beneath tile~ / inches Total~i~ absorot,on are.
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 PERMITNO.
~ m DISTANCE TO: Building~tion ! Sewer line Septic tank ~0 ~ Absorption area(s)
OTHER~'
PIPE MATERIALS
SOIL TEST RATtNG / ' ' -
150~ ~~ ''
INSTALLER ~ ~
)T
REMARKS
, //
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
F'EF?.M I T NO.
HF F' L. I _.HI ,1 I
LOCf:IT 3' ."' I"!
L E G Ft L.
It'"'1t II.._.ll fi--.~ ]: n:.".".': 3F fi:" IF .... _. ][ T' -,.. u"_'::, F" FII lt"...ll C:: IF....II fi":::, ....... q:::l~ E:.::~ E: %.~ 'L~ T,~"l.:.-~'~
f.::'E':I::'FtF-:THEI",H" ,::iF'. _FIL..'T'H FINE:' E':N","!R(:fl"~HEI",ITFII...
."L.." ,:,':: '
::~ e:, 4-472~i:.~
,::::, ......... T E,::.-:: '::::" ".:.'?:: ":"::-:::
,::::,
2~357 CL I F'FS T E:,E DR I VIE 27q.-..~ -
t.-JF~RR'¢ :~';I..{ 31~'E
I.,.11...I I 'T'EE £:,1'~'. ]: 'v'lF-:: '~
1_6; E:J. COI'.,I]:FER HE:[GHT'.~ L. OT SIZE :]: ,:.1. ~ :1.. 6; :i.:.;L.';EIJF-Ii:;~:E: F:'EET
.:?=,IEi'I I:5' TRENCH
T"r' F' E: 0 F S O I L.. I=l E ':J": F'E T 3' :' N '"" ,. ........
I'"II:::I::.::IMLIH I'.,tlJHEiEF.: f'3F E:EE:,I:;::OOH':=; = .7':
~:O I L RFI]" t NG ,:: [%;Q F'T',.."BR :: ....
'THE I:~:E:QIJ :1: RE:D !.; I ZE: OF THE: :FJ;O I L FIE::E;ORF"I' T 01",1 '_-ff,'3.".~;-I"E:l"l 'J: E; ·
"I"HE L. ENG'r'H DII'dENSIOI'.4 IS ]"PIE L. EI'.~GTH ,::I1'.,I FEET) OF THE TF.:E:NC:FI OR [:,IE'.FtlNF'IE:L..D.
THE: t.::,EI::'TH Oi:::' FI "FF?.Et'.,tC:H OF, i: I='IT i"E.; THE E:, :[ ~;TFINCE BETHEEN THE ::.?, IJ I:;.: I:::' FI C: E: OF:: THE
G R 0 U N [:, Fi Iq [:, T 1...I E B O T T O t"t O Fr T H E E',:.:: C: fa',,,' I=I T I O 1'.4 ( I N F::' E E T .':,.
'T'HIEI:;?.E I:E; NO :S;E:"f' I.,.III::,TH FOR 'T'RFI'.,ICHE':.~;.
THE GI:~:F:I'v'EL.. DEF:"T'H Ti-3 THE: I'd ]:. l'.,l :[ l"llJl"l DEPTH OF GF::FIVEL. BETHEEI",I THE OLITFFIL. L.. PIPE':
FIN[." THE E:O'I"TOM OF 'T'HE E',:':',CF~I',,,'FtT I ON ,'.: 1 t'4 FEET ).
F:'ERH I "F I:::IF'F'L. I (::FtI'.4T HF:I':~; 'T'HE I~?EE;F'OI'.,t:!~; I E: I L. I T"r' '1'O I I",IF'OI;i:H 'T'H 1:5 [:,EF'F:tI'~:THE:I"(f' [>LJI:;.: I NG 'THIE
I I",1%'T' F:I L. L. I::t T ]: I:.'.1]'.,I ]: ?',t:E;F'E I::"1" ]: 1:3t",1S 1.3 F f:l N"r' I.,.I E L L. ~]; 'R E:' JFtC E N"f' "1" O '1" H T :E; F F4 F E F I r I:::11",1 r':, Tt.-I E
.:,EF.., E,
I'.JI..IHE:tEF~t F F' RE:E; I [:,ENC:ES 'T'HFIT THE HE:LI._ I-,.I I L.L ~' ' ;" ' -'
.... ~"" fl...ll C, ,::: ;.;.:3" '::, .]:: fl'-.t :"2.'; F" E: C: T' ]: C::, !".,.!t :E-."; FII [:~: E'3: IR EE: u:L.::U Lfl '.[ It::~ IE HZ::,,
E:F:tCKF ]: LL. I NG OF FtN'T' "E;"r":~';TEH I.,.I T THOLrT F 1' NFIL I I'.,ISPECT ]: ON FIND -.IF F F:
E:,EPF:IR'I"ME:I'.,IT I.,.I I L.L E:E L."::I..IB..:rECT TO F'RCC~f£CL.IT :[ ON.
H:I:N]:MLIM [:,I'.:4;TF:INCI.E BETI.qEEN R HEL. L. RNE:, FIN'¢ ON-:.:'::I"f'E :!':';EHFtGE E:,I'.:~';PO:E;laL. S"r":'!!;TEM :[:ii!;
1 ~]:.liD F' E: E'T' F:' 0 R FI F' R I 'v' FI 7' E H E L.L.; C) F.:
:1..5C~ 'T'O .':?.E~E~ t='EIET F'ROFI FI pI_IBLIC HELL [:,EPENDII",IG LIF'OI'.,f THE T'¥'PE: OF F'UE:I....IC I.,.IEL[ ....
cFr'HEI:,?. RE(;:R..I I REHEI'-,IT:~ h11::1'¢ FtF'PL."r'. ~.';PEC I F I C:FIT 1' C)I",IS FIND COI'.,ISTF.':LICT 1' ON [:' I FIC'iF4:Ftt'qE, F:tRE
Fl',,.'f:~ I I....laEiL. E "r'CI I N~flJF.:E F'ROPEF: I NSTFILLFtT101'.,I.
:[ iF.: E R'T' :[ F"r' 'f' I'"1FI"F
J..: ]: !:~1'"1 F:F:IHIL]:FIF.: H ITH THE REE!LJIREHEN'r's FOR Ot'.,I-..SITE SEI.,.IEI:;.::~:; RN[::, 1.4ELL_~i; 1=t'-3 SET
F:OI:?.TH I:ii:'.r' THEE i"IL.IN I C: I f:'F:IL., t T"r' Eli::' RI"4CHCIRFIGF':.
2: I H I L.L t NSTFIL. L THE 'E,'¢$TEM 11"4 FICC:OF.':DFINCIE H :f TH ]"HE CODES.
Z.::: I LIf-,tE:,E:RE;TFtN[:, 'T'HFI'T' THE: Cff-4-S]."T'E ~;EI.qER S'¢2.";TEH HF:I'¢ REf::!UIRE EI"4LFtI:,::GE':HEI",IT IF::' THE
RESIDt"21qE:E ]::E; F,.".EHODELED TO :[.NCL. UE:'E I"IORE THFIN ]~: BEE:'ROOHS.
:.5 ]: ,:3 N E F:,' .... ,..~, 'i-:' ~; [] "i!' '~ "-":;5~'"tE' -"~'-"-~ .............
April 18, 1978
Mr. Harry Shore
2057 Cliffside Drive
Anchorage, Alaska 99501
Sujbect:
Soils Test - Lot 6, Blk. 1
Conifer Heights Subdivision
Gentlemen:
On April 15, 1978 this writer excavated and logged a test pit on
the subject property in the location shown on the accompanying sketch.
A log of the test pit is enclosed.
The soils encountered in the upper _7.5 feet are best for the
construction of a sewerage leaching field. In accordance with the
Municipality of Anchorage criteria this soil has a rating of 150 square
feet per bedroom. The soils encountered below this level are slightly
less suitable w~ith approximately 15% silt content; however, in
accordance with the municipal criteria, this material has a rating
of 250 square feet per bedroom.
Ail classifications were visual and no percolation tests were
performed.
The soils encountered in the test pit indicate that this location
will be suitable for the construction of an on-site sewage disposal
system.
Please contact me if there are questions.
~u~y yours,
Marv~"'~ ' ~ B. Beyer, P.E.
jgl
encl
,.?.
ooo~
I
--I
,OCATION
3o$9e 6F
I
I0' SLOPE ESMT,
AO'f.36 o
o
I0' SLOPE ESMT. ~.~
5
4252~ SF
42869 SF
z
I--1
~ I
FI
I I
...... 15~,20
I I
31101 ~1
PROJECT
c~,~.~- .Fig ~ ~_ y
.g Ho
w/o
DATE 4 - / 7-- 7?
LOCATION.
TEST
HOLE
G
'[2
20
.% HoW/V ~/V.
TOP OF HOLE
ELEVATION
g 'l-~ 5 O I? D
.~ i<'£ 7'c"A'
G£AV~'/-.I._),; 5A,,V~P,,
~" +._ ROCh'¢,
(o ' ~OU L D£',F5
L, ooS E
d ROU//D WA T'£N [:.:"N[oc~,~.; ,,.. ,~,..
,(
i
PLOT PLAN
IT INALL l! TN[ IIIIIIONIIIII. ITY OF THE ~ILD~/~
011 ~1~11 TO ¥[IIIFY THAT IUILDIN4 LOCATION
SHOWN MEET8 ALL SUBDIVISION COVENANTS AND
LOCAL ZONINg C(:X)ES AND OROINANCE8.
LOT ~ , BLOCK 1
~dO, TI-~/' .Jd~h' F~71
SCALE
I": 3d
~?
\
[:,EF'RF.'.TMENT OF ERL. T~. AN[:, EN',,,'IR. ONMEr!4TF4L.. P FECTION
825 "L" STREET, RNCFIORRGE, RK. 9'~.501
264.-4'72F~
I,.-JI E£ L.. L, F" ~_- I~A: ~'.1~ I' 'T
PERMIT NC,. ( 780153: ::,
RF'F'L I CRNT
LOC:FIT I ON
LEGFIL
UAR. R.Y_ suOReL
P.IH I TE DF.'.
'L6 B1 C:ONIFER HTS S..'"D'/
-2057 CLIFFSIDE DR
LOT SIZE
SQUARE FEE'T
MINIMUM DISTANCE BETWEEN R WELL AND RNY ON--SITE SEWRGE DISPOSAL SYSTEM IS
100 FEET F'OR R PR IVRTE WELL.; OR
150 "FO "200 FEE'[' FROM R PUBLIC: WELL DEPENDING UPON "rilE TYPE OF PUBLIC NELL..
WEI_L LOGS RRE REQUIRED RN[:, MUST 8E RETURNED TO THE DEPRRTMENT WITHIN Z.::O DRYS
OF' THE WELl. COMPLETION.
OTHER REQLIIREMENTS MRY RPPLY. SPECIFICRTIONS RN[:, CONSTRUCTION DIRGRRMS RRE
R',/RILRBLE TO INSURE PROPER INSTRLLRTION.
I CERTIFY THRT
t: I AM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE :SEWERS] AND WELLS AS SET'
FORTH BY THE MUNI'CIPRLITY OF RNCHORRGE.
2: I WIL. L INSTFILL THE SYSTEM IN RCCORDRNCE WITFI THE CODES.
q IGNE]D'. .......... . -. -- - ~~~~'~"'~'"~'~' .........
T :~ 5HOF.'.E
HF f" L I _.~N H~F.,
V"::':. 0
Tlrr, e ' Time me
'~ate Date Date
Inspector Inspector Inspector
Comments Conditional 'Approval
(_~) Appm~ Bedroom~
D~te 8ewer In~t~lle~ Permit No. ' 8eRtlo T~nk 81ze
~ -- ~ -- 9 ~ Holding Tank Size , .
Soils Rating ' Welt To Absorption Area Well Log Received
' Well to Tank
' APPLICANT FILLS OUT ~OWER HALF ?NLY .... ;
'Lendinglnstltutl°n ' :' . ' Phone
Address ' ' ' -
Rea ty Co & Agent ~ 1- ~V t ~ ~ -' ~O~ ~ ~ Phone
EogatDescrlptlo. Lob6, r~< l-i :,.canirc¢ H~ickt-s' -
Typ~f Residence ' ~ _
~Slngle Family ~ '
Q Multiple Family No. of Bedrooms
D Other '
~Wat~Supply ·
~ Individual A~ACH WELL LOG A well log Is required for all we Is drilled since June
C Community !975. For wells drilled pr or 'to that date, give well depth (attach log If
~ Public Utlllt7 ' available.)
Sew~e Disposal ~ .
- ~ Individual ~ . Year Indivl~al Installed:
~ Public Utility : When Connected to Public Utility:
D Hold ngTank . . , .
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED;
U MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ^N:HORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT.
825 L Str~ - Anchorage, Alaska 99501 ENVIRONMENTAL .'
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 2~720
DIRECTIONS: Complete all pa~s on page 1. I~omplete r~u~ will not bi pr~. Please allow ten (10) days for processing.
1. PROPERTY OWNER I PHONE
2057 Cl~.f. fs~de Dr~ve., '. 9950 :~.~: -
P~OPERTY RESIDENT (If differen~ from ahoy) PHONE
Z BUYER PHONE
MAI LING ADD~ES~
Pouch 7~02'5-' '99'5'10-: · A~'tent'ion':- -Gale
3. LENDING INSTITUTION ~ PHONE
I
MAILING ADDRESS
4. REALTOR/AGENT . I PNONE
MAILING ADDSESS
'LEGAL DESCRIPTION '
Lot 6 Block ~-'~6'~'~'~"?:-~'~'~'~"~:::~'~d'~.!~tiSion "'
~T~EET LOCATION
8030
Whi{e
urlve
TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ SINGLE FAMILY ~' ' .[~:3 Two [] Five
' [] ' MULTIPLE' FAMILY ........ ~ r ': '; '~ '' '-- -- ~ Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTI LITY
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 I~g if available.)
SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
*'*If individual/on-site, give installation date 7 8 0 17 3
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMi~ANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3178)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TiME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DI R ECTI ONS:
1. TYPE OF RESIDENCE ............ NUMBER OF BEDROOMS
.
[] SINGLE FAMILY :.,-.." .~:'..~1'"I.-ONE ~ [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY ' · * ~r-l' TWO ..... : [] FOUR [] SiX
2. WATER SUPPLY ...... . .. PERMIT NUMBER
[]~ INDIVIDUAL. ~ : ~; DEPTH OF WELL
COMMUNITY '
[] * PUBLIC UTILITY .... ;': :';';* *":.~:i- : --
..... : Connection Verified ' TM~- '-' .LOG RECEIVED, .~...
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] I NDIVI DUAL/ON -SITE' : · ' .:'"' , DATE INSTALLED
[] PUBLIC UTI'LITY~"~"~ = .......... :':';~.~:~i? :':"~:~'!:'.~:'~ .................... :: ....... : ~-~'~"LL~ ~
Connection Verified~ ' *' "~*' INSTALLER
TYPE OF TANK ~ .... ~,. ;~: ..,..~;~? ..MANUFACTURER:. :~:[::~... :. · = ,
TOTAL ABSORPTION:AREA ... ; :.:...:.:, ,. MATERIAL ~: . -
4; DI'TANCESWELLTO:" ...... ':" ~ "" '~t'ic~°i~?~'~nk IAbs°mti°n Area''~? ........ [sewer LineIi, Near,t Lot Line
Absorption Area to nearest: Lot. Line ~ . ;.-.: ..... . ,. ~ ~ .~ ....
5. COMMENTS ..... ;.~-': .............. :~ ~:~ ', .- -':. ': ·
~' CONDITIONAL. APPROVAL.(letter must accompany certificate)
~ DISAPPROVED : ~'" ~. ·
DATE
LEGAL DESCRIPTION -, .~. _ .:;~:~.~?.~ =;.,..~ ~ :..- ~ ~ ~.:~ ,~
72-010 (Rev. 3/78) .
0~i~
MUNICIPALITY OF ANCHOR~
Department of Health and Environmental Protection
825 L Street, Anchorage, Alaska 99501
264-4720
uest for Approval of Individual Sewer and Water Facilities
Property Owner:
Mailing Address:
Harry F. & JoAnn Shore
2057 Cliffside Drive/Anchorage 99501Phone: 274-1282
Name of Buyer:
Mailing Address:
n/a
Phone:
Lending Institution:
Mailing Address:
Nation al Bank of Alaska (Mtg. Loans/Attn: Gale)
Pouch 7-025/Anchorage 99510
Phone: 276-11 32
Realtor/Agent:
Mailing Address:
n/a
Phone:
Legal Description:
Street Location:
Lot 6, Block l, Conifer Heights S/D
8030 White Drive/Anchorage 99507
Single Family Residence:
Multiple Family Residence:
(x) Number of Bedrooms:
( ) Number of Bedrooms:
Water Supply: *Individual Well (x)
If Individual Well, well depth/ '~
If Community System, name of system
Public/Community System ( )
n/a
8. Sewage Disposal System: *~n-site System (x) Public System ( )
If On-site System, date of installation: ~ ~,~
*NOTE: ~A well log is required on ALL wells drilled since 6/75.
** If on-site sewer system is over two(2) years old, an adequacy
test is required by this department.
A fee of $25.00 must accompany each request before processing
can be initiated.
3/77
Deaember 14, 1978
Harry F./Jo Ann Sho~e
2057 Cliffeide ~rive
Anchorage, Alaska 99501
SubJeatl Lot 6 Block I Conifer Heights Subdivision
Approval for your individual sewer and water facilities
will not be grante~ until ~he following items hav~ been
oc~pleted !
( ) A well log is submitted to this department.
(X) The top of the well casing ~ sealed with a sanitary
seal so that it is water tight.
Notify this department for a re-inspection when deecrepancies
have been corrected. If there are any further questions,
please contact this office at 264-4720o
Sincerely,
Robert C,
Associate
~C~/lJw
National Bank of Alaska
~rtgage Loan Department
Pouch 7-025 99510