The URL can be used to link to this page

Home My WebLink AboutCONIFER HEIGHTS BLK 2 LT 10MAI LING ADDRESS f- 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 IPHONE~fNEW ~qY 0{)"~ I I []UPGRADE LOCATION NO. OF BEDROOMS DISTANCE TO: ~ea Dwelling Manufacturer ,~c~.~)gallons IF HOMEMADE: DSTANCETO: ,~W~I \ Manufacturer Well DISTANCE TO: Length of eactt~n~ No. of lines ~ Top of tile to finish grade ~17 O %~ Type of crib DISTANCE TO: DISTANCE TO: Depth Building foundation Inside length Dwelling Foundation 'Total ,eng;dl of Material beneath tile Depth Crib depth Building foundation Driller Sewer line Material ~;3~ No. of compartments Width Liquid depth IMaterial Nearest lot line T~c~width A o PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance between lines LI inches inches T°tal ef fective ~;~s°"r~t~narea OTHER MATERIALS 80IL TEST RATING INSTALLER REMARKS 72-013 (Rev. 3/78) LEGAL PERMIT NO. Absorption area(s) Distance to lot line Septic tank Nearest lot line Total effective absorption area ~.~l_I~-~ I ClPRLIT'~' OF' I=I~-I[~t~C~RI=I~]E DEPRRTMENT 0~ HERLTH RND ENVIRONMENTRL F 1TECTION 825 'L STREET, RNCHORBGE, AK. 995~1 ~Z~8--SITE SEPIE~ PERMIT NO. ( ?80654 ) RPPLICRNT LOCRTION LEGRL NORM 8RISTOW SUGRR CIRCLE L10 82 CONIFER HTS SRR BOX ~90-Y LOT SIZE 0 '=;QURRE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MRXlMUM NUMBER OF BEDROOMS = 4 SOIL RRTING THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: E:. E F:' T Fl= E: LENGTH= 6--?--- G R R','.." E L C. EF' TH== "".'t.- THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL. D. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRL. L PIPE RND THE BOTTOM OF THE E×CRVRTION (IN FEET). REm2(LI I I~:E[) SEPT I C TRI~4K S I ZE= it 25~=.d. C~FIIL. L, m...-:~['*.~'_='~-... PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPBRTMENT DURING THE INSTRLLRTION INSPECTIONS OF 8NY WELLS 8DJBCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TLWm:m (2> I ~-4SF'EmZ:TI [m)-4S A~:E REm~!)JIREC. BRCKFILLING OF RNY S~STEM WITHOUT FINALI INSPECTION RND RPPRO~RL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL; OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC: WEL. L WELL LOGS RRE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS RRE RVBILRBLE TO INSURE PROPER INSTRLLRTION. PEF~-'I"-I I T' E:~'"P I RES [)E,::EI~IBER __l<l.. 1]-]~. ?"8 I CERTIFY THR'F t: I RM FRMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS RS SET FORTH BY THE MUNICIPRL!TY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES. _?.: I UNDERSTRN[:' THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF' THE EE=,I[.EI' EMO[:ELE[ TO INCLUDE MORE THRN 4. BEDROOMS. SIGNED :~_x_~ ....... RPPL. I C:RNT NORM BR I STOW I ~:,I_IED DRTE '¥'~: ':' SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-222~ SOl LS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 0 P SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) ]'EST RUN BETWEEN FT AND ~ FT DATE: 72-008 (7/76) M- A )RILLING, INC. DRILLING LOG L1 Owner. Location DEPT. C,i:i ],,:'.,I.iii '~ EI~IRONMENi'AL 1980 Steve Flasher R EC E lAt'. E D .Use of Well (address of: Township, Range, Section, if known; or distance main road Lot 10 Block 2 Conifer Hgts., Anchorage 1! ~ of casing · Depth of Hole 240 _feet Cased to. 194.6 .feet 150 Finish of well (check one) open end ( tic water level ft. (~ (below) land surface. Screen ( ); Perforated ( XX ). 60 perforations between 189-186' Describe screen or perforation ;11 pumping test at_ 5 _gallons per (hour) of drawdown from static level. 100% (minute) for 1 _hours with te of completion_ 3 / 15 / 79 WELL LOG .pth in feet from ~und surface Give d~tails of formations penetrated, size of material, color and hardness 0_ TO 2 Casing stickup __2 .TO 3 a__TO_ 15 15._TO. 22 __22__TO 42 42__TO 55 .55 TO 65 65 TO· 78 7~_TO 125_ _125_TO 159 ); 159 _TO___1_6_8-- .TO 1. g0 __l.80_TO 128 188..TO 240 .... TO Organics Silty gravel Loose sandy Clean sand gyavel SiltM cobbles Loose gravel Clean sand Loose gravel Sand ~& _g~_a_ve 1 _ Water g.ravel :__. 2 Hard Ban Water gravel: 3 Bedrock: water gpm gpm seeps in sporadic fractures throughout 1 -- CUSTOMER Well Owner. Location Norm Bristow DRILLING LOG MUNICIPA/ ~¥ OF ANCHORAQ~ DEP [: i ENVIRONiw~:: .; i ........ LON FEB ~'~sOe of Well Dom. (address of: TOwnship, Range, Section, if known; or dist[~ 614 ~a~ D Lot 10 Block 2 Conifer Heights Subd., Anchorage Size of casing. 6" .Depth of Hole_ 500 ,~_ feet ~ .... -Cased to '~ feet Static water level ft. (above) (below) land surface. Finish of well (check one) Screen ( ); Perforated ( ). open end ( Describe screen or perforation Well pumping test aL-~gallons per (hour) of drawdown from static level. (minute) for.. hours with Date of ~ompletion 10/23/78 ); ft. Depth in feet from WELL LOG ground surface Giv~ details of formations penetrated, size of material, color and hardness 0.TO.' 455 455.TO TO TO, , __TO 500 Existing Well Bedrock: water seeps in sporadic fractures throughoub TO., 1 -- C USTOME R ' 1.' ~n~ra~, Iuforamti, pu, Application DaCe (&) Legal Descript~on (~nclude lot, b~ock, subdivis~ou, sect~ou, tovuship~ Cb) ApplLcan~s N~e ~~- /(c) Applicant is (check one) Le~ing lnsCiC~ion ~; ~er/b~lder ~; Buyer ~ I Other ~ (~platn); AddreSs .~,_~/ ~~ ~/~/~ ,~, Real Bstate Co. & Agent Telephone ...... Address Telephone N. ail the NAA to the followin8 address: 2. Tripe.of Reside~ce Sin$1e-Family~ Number of Bedrooms Multi-Family ~--~ Other ~describe) 3. Water Supply' Note: If community well system, must have written confirmation from the State Department of Enviromnental Conservation attestin~ to the legality and status. 4. Sewal~e Disposal Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attestin~ to the legality and s~atus. [Page 1 of 2] f:lesineering Firm Pr0v.i..ding Inspec~ior~, Tests, File S.e,r.ch, Det.a ,and Information' ':As certitied by my seal affixed hereto and as of the validation date sho~n below, I ~:' verify that my investigation of this ~Iealth Authority Approval shows that the on-site !~' water supply and/or vastewater disposal system is safe, functional and adequate for '~;~'~': the number of bedrooms and type of structure indicated herein. I further verify that, ~(~: based on tim information obtained from the ~nicipality of Anchorase files and from my .~ - toveatigation and inspection, the on-site uatar supply and/or wastewater disposal system is in compliance with all Nunicipal and State codes, ordinances, and re~ula- ~i? tions in effect on the date of this inspection. $. DREP Approval /'~ // Approved ~_ Disapproved' _~__ Conditional Terms of Conditional Approval THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DREP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. %~[g DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SF. AL ) RR4/eJ/D18 [Page 2 of 2] 7 -19-84 MUNICIPALITY OF ANCHORAOE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 RFCFIVFi) A. WELL DATA Well Classification ~szp ~, esent (Y/N! / Total Depth ~W0 ~ ,,, Cased tC~/g~ / Static Water ~1 13&/ ~ ~t At Casing ~ight ~ ~nd ~ ~/ Elec~ical Wi=lng in ~it (Y~) ; On Adjoining Lots /o0 + To Nea=est Edge of Absomption Field on Lot {~o7~ ; On Adjoining Lots ./..~o~- To Nearest Public SeWer Line //~ To Nearest Public Sewer Cleancut/Manhole m ~ To Nearest Sewer Service Line on Lot ~/A Water Sample Collected By ~. ~. ; Date Watt= Sample Test Results ~,~2~t~4(,.~/ ' ....... Ccz~ents SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) 7 Dep=ession ove= Tank (Y/N) Size /~D 9~&_ No. of Cc~a=tments ~2_ ai=-tight Caps (Y/N) y Foundation Cleanout (Y/N)/V. . / / Pumping/Maintenance Cont=act ca File (Y/N) '-- ; Holding Tank High-Watt= Alarm (Y/N) -- TemDo~a~y Holdin~ Tank Permit (Y/N) ---~.,. Separation Distances fzcm Septic/Holding Tank: / To Water-Supply Well /~-- To P=operty Line /~+-- To Water Main/Se=vice Line Course Con~ents To Building Foundatio~~ /~' TO Disposal Field ~-~--/ ,, TO Stream, Pond, Lake, c~ Major Dmainage [Page 1 of 2] 2-15-84 ABSORFi~ON FIELD DATA Date I~talled . 9/~ .. Width of Field ~.?/.. ~p~ of Field ~ / S~e ~et ~ ~s~tion ~ea ~o~ ~mession ~= Field (Y~) ~ To ~te~Supply ~11 /~o+ To ~o~ty Li~ ~/ / To Building F~n~tion ~ ~ To Existing To St=e~ond~ke/~ ~j~ ~ai~ To ~i~way, P~ki~ ~ea, ~ Vehicle St~a~ Cc~snts Date Installed Size in Gallons "Pt~p O~" Ie~sl at High Water Alarm Level at Tested for Ele~ical Codes(Y/N) Cc~msnts Dimsnsions Manhole/Access (.Y/N) "Pump Off" Level at ,, Vent (Y/N) Pumping Cycles du~ing AxSsquac~y Test. Check Permitted Be.c~c~m Rating AGainst HAA R~quest I c~rtify t. hat I have checked, verified, c~ confc~Ted to all MOA HAA Gui~,nss in effect [PaGs 2 of 2] 2-15-84 ~'- ' MUNICIPALITY OF ANCHORAGE Jf~.INICIPALITY C F ANCHOEAG ..~-,~ =.~,~., o~ ,~. ~ ~.v~.o.~..~ ~! L~i) ~.v,.o.=~..~ ~.~,.~.,.~ ~,v,.,o. s~P Telephone 264-4720 DIRECTIONS= Complete ~l'parts on page 1. Incomplete requ~ts wil} not be preened. Ple~e allow ten {t0} days for processing. ~...o.~.Tv ow~ ~ . Z~ Oe~ mac~.. 1 .HONS. MA1LiNG ADDRES~X ~ ~ ~ ,..,.~, ~ ~ ~ ~ ~ ~~ ~. PROPERTY RES DENT { f d fferent from above) .. ' PHONE 2. BUYER PHONE MAI LING ADDR ESS 3.' LENDING INSTITUTION - ~ - PHONE MAILING ADDRESS GE PHONE- 4. REALTOR/A NT _~ _ . MA LING ADDRESS , [] One [] Four [] Other ~i~ Twe Fl Five ,.~-j~ iND~ViDUAL/r~N If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required I~I PUBLICUTILITY by this Depa!tment. - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,_ 72-010(3/78) - ' TIME DATE INSPECTOR DIRECTIONS; THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS ' TIME DATE INSPECTOR DATE RECEIVED TIME DATE NSPECTOR 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM I-~ I NDIVIDUAL/ON -SITE i-]PUBLIC UTILITY Connection Verified r--iSeptic Tank or [] Holding Tank Size: ~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4, DISTANCES WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS [] ONE [] TWO PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING MAN U FAC~/~~ MATERIAL . Septic/Holding Tank ~Absorption Area I NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SiX OTHER Sewer Line [ Nearest Lot Line ~ APPROVED FOR 2~ BEDROOMS [] CONDITIONAL APPROVAL [letter must accompany certificate) [] DISAPPROVED DATE BY (Title) 72-010 (Rev. 3/78)