HomeMy WebLinkAboutCOLONIAL PARK BLK 1 LT 5000
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVl RONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage. Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELI.A, NSPECTION REPORT
NAME "' - r
LEGAL DESCRIPTION '
NO. OF BEDROOMS
DISTANCE TO: Iwell 2b~~area Dwelling PERMIT NO.
~Z Manufacturer~/ / ~ / / / ~/ ~ia' i No, of compartments
Uq. capacitg in ~allons IF HOMfi~Dfi: Inside length ~idth kiquid de~th
0 ~ ~ Manufacturer Material Eiquid c~pacitg in flallons
~ ~ NO. of lines J Length of each li~ Total len
~: : ~~ inches
:~ Top oftiletofinishgrade ~ , ~. Material beneathtile inches Total effectiv~r~e~
Length Width ~ Depth PERMIT NO.
Type of crib Crib diamete/ t/~ Crib depth Total effective absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class D h
J ~ ~ / ~ r~ / ~ / ~riller Distance to lot line PERMIT NO.
~ ~/I I ~din~ foundation '' ~wer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
R EMAR KS
''
~'/' ~:~ /~..'.r' %//
~ *..,~ ~ ~ ~., ~~ ~/
.o. ..:> ....
.... ,:, ' ~H_ 6~297~
Rev. 3/78)
F'ERMIT NO.
I'-lLll%l T C: T F'FtL T T"-r" ,:iF F-ll'-.iC: HEIF;;."Ft,3E
DEPRRTMENT ~ HERLTH RND ENVIRONMENTRL OTECTION
R25 "'L~''' STREET., RNCHORRGE., RK. _c'.'_='.~_'~t
264-472R
C,l"-,I--5 -Ir TE DEL--lED." F'EF-:I--1 :]] T
,:: :=:3:E~807 ::,
RPF'L I F:RNT GRRC I E M. ..TRF:KSF~N SR BFt'.'-:: ±S±.,
L 0 F: R T I 0 N
LEGRL LOTS 4,¢:5 E:OLONIRL PK. 1~,,1~ I
ERGLE R I',,,'ER
Lf'iT SIZE
T'T:F'E F~F SF~IL RBSORF'TION S'T'STEM IS' TRENF:H
MR::.:; T MUM NUME:EF.: OF E:EE:,RF,-fl"IS = 3:
SFi I L RRT I NG ,:: SQ FTZBR':, = 1.-'._
THE F.:EQLIIF.:E[:, SIZE OF THE SOIL RE:SOF.:F'TION S"r'STEM IS'
E:, E F' T H = 1 ~-=-~ L E r-.I G T H = ~: '--:._: ~3 F-: Ft '..." E L E:, E F" T H =
THE LENGTH DIMENSION IS THE LENGTH (IN FEET;)OF THE TRENCH OR DRRINFIELD.
THE DEF'TH OF R TRENCH OR PIT IS THE [:,ISTRNCE BETWEEN THE SURFRCE OF THE
GROLIND 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 OLITFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
F-:EL--:!I_I I F-:E[:, '_-]EF'T T C: TRI'-.iI-::] $ Z ZE= ± £1£-~.E-, ISFILLC, I'-.I$
F'EF.:HIT RF'F'LICRNT HRS THE RESF'ONSIE:ILIT"r' TI-I INFFiR~I THIS [:,EF'RF.:TMENT [:,URING THE
INSTRLLRTION INSPECTIONS OF RN"r' WELLS R[:,JRCENT TO'THIS PF.:OF'ERT"r' RND THE
NUI'IBEF.: OF RESIDENCES THRT THE WELL WILL ""]EF.:",,'E.
T i-4 C, ,:] 2 ;:, I P-.I $ F' E E: T I Co I'-.I 5 R F-: E F-: E I=-]! I_1 I F:;.' E [:.
E:RCKFILLING OF RN'¢ SYSTEM WITHOUT FINRL INSPECTION RN[:, RPPROVRL E:'T' THIS
[:,EF'RR.'TMENT WILL BE SLIE:JECT TO PROSECUTION.
HINiHUH DiSTRNC:E BETWEEN R WELL RN[:, RN'-r' ~N-SITE SEWRGE DISPOSRL SYSTEM IS
· l£~E'~ FEET FOR R PRIVRTE WELL OR ±5£'~ TO 20E~ FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM [:'ISTRNCE FROM A PRIVRTE WELL TO R PRI',,,'RTE SEWER LINE IS 25 FEET RN[:'
TO R COMMUNIT"r' SEWER LINE IS 75 FEET.
OTHER RE¢~UIREMENTS MR'T' RPPL"r'. SPECIFICATIONS RND CONSTRUCTION-DIRGRRMS RRE
R",,'RILRBLE TO INSURE PROPER INSTRLLRTION.
F'E F-:i'-I I T E :=-=:F' I F-:E_~- [:,EC:ElPlE:EE: _--<::L.. :.t'_="- :=:"~=:
I CERTIF'¢ THRT
1: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS R~4D WELLS RS SET
FORTH B'¢ THE i'IUNICIPRLIT'¢ OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE E:O[:,ES.
].: ~ UNDERSTRND THRT THE ON-SITE SEWER S'¢STEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO I NE:LLI[:,E MORE THRN ~: BEDROOMS.
~ ~ GNE[:, · ..................
MFFL I HNT ~EH~ IE I1 THI F ~
GREATER ANCHORAGE AREA BOP ....
,3epartment of Environmental
3330 "C" Street
Anchorage, A1 as ka 99503
Performed for !~-'. ~-'~: L~)~J_. ( ~-~-
Legal Description: ]o-/-,3-~/¢ _ ~lo~f~ !
This form reports: Soils log.
Depth
Feet
C"- 4-
5-
6-
7-
SOILS LOG - PEROLATION TEST
Date Performed ~/~
Percolation test
.--- 10 -
11 -
12-
13-
14-
Was ground water encountered?
If yes, at what depth?
Reading Date Gross Time
Percolation rate
-Proposed installa~n:
:]cpth of Inlet
COI.1IiENTS:
mi nute.
Seepage Pit
Net Time
Drain Field
Depth to bottom of pit or trench
Performed By: __ ertified By:
Depth to Water
'/ Net Drop
Date'
EQ-040 (6/74)
JV~-~N DRILLING, Inc.
P. O. Box 4-1728 · 2811 Dawson
A C 907-279-1741
ANCHORAGE~ ALASKA 99509
Well Owner
DRILLING LOG
Mr. Russ Jackson
Use of Well Dom
Location (addr~s Of:. Township, Range, Section, ffknown; or d~tance main road
I]4&~ Blk 1~ Colonial Park Subdivision
Eagle River
Size of casing 6
Static water level
Depth of Hole }~0 feet" Cased to ~ feet
~0 ft. (~e) (below)' land surface. Finish of well (check one)
!
); Perforated ( ). ..
Desc~be screen or perforation }lone
Well pumping .test at 2 gallons per (~) (minute) for
of drawdown from static level.
openend( X );
1 hours with 100%
Date of completion 14 l~ay 7~
WELL LOG
Depth in feet from
ground surface Give detniIs of formations penetrated, size of material, color and hardness
0 TO. 2 Top Soil
2 TO 25 Silty Cobble Gravel
75 TO. IS Boulder GFavel: silty/sandy matrix
ll~ TO 175 Sandy GTayel: small to m-~dium: silt.v
17_5 TO 187 Boulder Oraval
ft.
- ~XaXXTO
z87TO 2~
__P_.~I_TO 28~
285 TO }18.
}18 TO 545
TO.
TO.
Cobble Gravel
Silty Gravel: amall
Sandy Gravel: medium, waterbearing in last 10 feet.
s. We,tbe
l -- CUSTO-UTaR
APPLIC._.~IT FILLS OUT UPPER HAL_.ONLY
Property Owner [~,<~-~ ~,~ 'L_ , '"~¢~V..._~,L-, /~' ~ ~.1~ ~O ~. ~ ~ ~.~ '~ ~ ~C" Phone
MailingAddre~ ~ ~
Buyer
Address Zip Code
Phone
Lending Institution
Address
Realty Co. & A~nt
Addre~ Zip Code
Legal Descript~n
Street Locati~
Type of Resi~nce
~Single Family
~ Multiple Family No. of Bedroo~
~ Other
W~ Supply
Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date give well depth (attach log if available).
~ Public Utility
Se~er Disposal
~,lndividual Year Individual Installed:
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
MUN!C!P?.L!TY OF
Field Notes: ~.~ ~-'~/"/~ 2/~/ ,~ '~ DEPT. OF H~ALTH &
'~(~ C~,~* __0. ~ ENVIRONMFNTAL PROTECTION
~- AU6 2 3
RECEIVED
(~) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
/
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received ~//
Well to Tank Septic Tank Size I O (~ ~
72-023 (3/82)
-4 DATE RECEIVED
INSPECTION APPOINTMENTS
'~rlME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR r-,,
~tJNiCi?A~,iT~ORAGE
DEPT. OF I!EALT;I &
MUNICIPALITY OF ANCHORAGE ENVIrOnMENTAL V::CTECTION
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99S01
ENVl RONMENTAL SANITATION DIVISION
Telephone 264-4720 R E C E I V E D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DI RECTIO~S: Complete all parts on page 1. Incomplete requ~ will not be proceed. Please allow ten (10) days for processing,
1. P~PERTY OWNER PHONE
MAI LI N6 ADDRESS
PROPERTY RESIDENT {If different from above) / PHONE
2, BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION PHON~,
MAI LING ADDRESS
4. R EALTO A/A~ENT / ' ' ~ PHONE'
MAI LING ADDR ESS
5. LEGAL DESCRIPTION
STREET LOj~A. TION
6. TYPE OF RESIDENCE
~SlNGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
~ One ~ Four
~ Two ~ Five
~ Three ~ Six
Other
7. WATER SU,,PPLY
~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* 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 log if available.)
8. SEWAGE DISPOSAL SYSTEM
N DIVI DUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
-~- THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[~' SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
/' INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
~;~NDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or I--]Holding Tank
Size: If Tank is homemade
give dimensions:
NUMBER OF BEDROOMS
[] ONE ~'~TH R EE
[] TWO [] FOUR
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOl LS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
[] FIVE
[] SIX
[] OTHER
Septic/Holding Tank IAbsorption Area
Sewer Line
INearest Lot Line
5. COMMENTS
DATE
[]
[]
[~.~ DiSAPPROV ED
APPROVED FOR BEDROOMS
CONDITIONAL APPROVAL (letter must accompany certificate)
72-OLO (Rev. 6/79)
EXCAVATION
ROBERT A. SHAFER
WORK
CIVIL ENGINEER
694-2979
September 20,' 19/~LJ.NICIP^LITY OF ANCHORAGE
DEPT. OF [':f-L~:! &
ENViRO;,iMEi',,T~L i:. FECTION
Gracie Jackson
SRB 157
Eagle River, Alaska.
99577
RECEIVED
Dear Mrs. Jackson,
Reference: Lot 4 and 5; Block 1; Colonial Park Subdivision
A sewer system adequacy test was performed on the system located
on the referenced property as you requested. The septic tank was
pumped and verified to have a capacity of 1000 gallons. The seepage
pit was full of water and approximately 1000 gallons was removed.
The crib was then recharged with 1000 gallons of fresh water and
after a period of 24 hours 68 gallons had percolated out of the crib.
It can be concluded from this test that the septic tank is adequate
for the three bedroom residence located on this property. However,
I regret to inform you that the seepage pit has basically failed
and will require upgrading.
If we mal/ be of further service, please .do not hesitate to call.
S ince~el y,
,,.'/ ?; .:. ,. /
,"' ,PAS/ss ':'" '
cc: U.S.A..Federal Credit Union
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
Anchorage
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
SULLIVAN,
DEPAR'iMEN7 OF HEAL. TH AND ENVIRONMENTAI. PF;()Ti~C~ION
September 11, 1981
Russell/Gracie M. Jackson
Star Route Box 151
Eagle River, Alaska 99577
Subject: Lots 4 and 5 Block 1 Colonial Park Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(l)
The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
(2) Expose the septic tank manhole to verify its existance.
The septic tank pumped with a receipt submitted to ~his
office. The total number of gallons pumped needs to be
on the receipt and verified by a registered engineer
as to the actual number of gallons pumped. This is to
verify the size of the septic tank.
~ ~j_o%- )( 4 )
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
review.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw