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HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 1 LT 35
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion?;;<HV No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
017 141 03
BIRCH TREEESTATES 1 35
HESS SUE ANN & ARTHUR DAVID
5241 WOODHAVEN AVE
ANCHORAGE, AK 99516
04 26 2023
90
A.Y. MCDONALD
23050V3LB
.50
10
MARTINSON
PELLETS
ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
ANCHORAGE AK 99518
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
IPHONE5 "~ ~IEW[]
NAME
UPGRADE
MAILING ADDRESS
LEGAL D ESCRI PTZON
LOCATION ~Oed h~Ve~
~ ~ Material No. of compartments
Liq. capaciW in gallons Inside length Width Liquid depth
/ ~O IF HOME.DE:
Well Dwelling PERMIT NO.
~ ~ DISTANCE TO:
~ O Z Material Liquid capacity in gallons
O Z ~ Manufacturer
O DISTANCE TO: Well / ~0 + Fou~n ~,/~ Nearest lot line ~-- PERMI~N~
~ Ne. of lines ~ Leaf each line/o ~ ~ Total length of lines~ ~ Trench~t~ inches Distance between lineSc~
.. Total effe orption agea
~ Top of tile to finish grade /,~ ~' Material beneat~ tile ~ inches
Q PERMIT NO.
Length Width Depth
O Total effective absorption area
~ p Type of crib Crib diameter Crib depth
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s}
~ DISTANCE TO:
OTHER
PIPE MATERIALS ~ ~ ~
SOILTESTRATING ~ ~Vl
REMARKS
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
w
Date Drilledt 6-13-84
Static Hater Level 50 feet
Draw Down ''(6 feet
0 feet to ` F;I1
TI feet to 25 17AM4. eravol
25 feet to 6'1 RmlllOets, crave)
60 feet to 45 ("A-, eravol
35 A
Birch Tree
Gallons Per Minute 5
Total Feet of Casing 100
65 fpk to 100 Tlcht vrovet, ammo aAtpr
to ? Zn- At 100 ft. nerfmra*p,1 At RR -71 feet nt 7 .,.....
Hefty Drilling
S.R.A. Box 1553 H
AnchoragetALnaka
02
& U aWAM OF ANQI AOA
DEPT. OF HEALTH a
ENVIRONMENTAL PROTECTION
,IAN 8 95
RECEIVED
SUBJECT T '.~-~'~"-, '~,'~ /
F
·
DATE
PERMIT NO:
DATE I S-~UED:
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 t. STREET~ ANCHORAGE~ RK ~50!
264-4?20
m3N--SITE
840332
05/11/84
APPLICANT'
ADDRESS'
CONTACT PHONE'
ARTHUR D, HESS
SRR BOX ~22M
RNCHORFtGE, RK
~507
LEGAL DESCR IP: SUBDI V I S ION: B I RCHTREE ~[STRTES LOT: ~5 BLOCK: l
SECTION.: ~4 TOWNSHIP: 12N RANGE: ~W
LOT SIZE' 2?029 (SQ. FT. OR ACRES>
MR~ BEDROOMS: 3~
LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR ~EPTiC
SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE.
TOTA~EP~FT~ ) ~
** T~ MUST HAVE AT LEAST TWO COMPRRT~NTS
-
I 'CERTIFY THAT:
i, I Rffi FAMILIAR WITH THE REQUIRE~NT~' FOR ON-SITE SEWERS AND WELLS 8S SET
FORTH B~ THE MUNICIPRLIT~ ~ RNCHOR~E <~OR> R~ THE ~TRTE OF ALASKA.
2. I WILL INSTALL THE SYSTEM .%N'~'RCC~~E WITH ALL MOA CODE5 ~D REGU~TI~S,
AND IN COMPLINE WITH THE DES!~ ~!T~RI8 OF THIS PE~.IT. .'
~. ~ ~[LL' ~H[e[ TO ~LL MOA "~N~ ~T~~- OF~'~RERS~R ~[eU[e[MENTS Zee THE ~[T ~K
csEI~RR~ s~STEM :ON THIS OR ANY RDJ~NT ~ NE~BY LOT."-
4. ~ U~,ERSTRND THeT TH~S PER~IT IS ~L~:FOR a ~:~M OF ] BEDROOMS: aND
ANY ENLARGEMENT Wi-~C REQUIRE AN R~ITIONAL PERMIT. ,
IF R LIFT STATION IS INSTALLED IN RN AREA COVERED BY MOA BUILDING CODES,
THEN (t> AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED~ (-2> RS-BUILTS
· WILL NOT BE APPROVED WITHOUT RN ELECTRICAL INSPECTION REPORT~ AND (~.) THE
ELECTRICAL WORK~MU~T~BE DONE BY R LICENSED ELECTRiCiAN.
· ..... ...........
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
DATE PERFORMED:
· EGA, ~,ESCR,PT,ON: /--O"1- IS-- ~,~'~Ck I
9
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
2O
WAS GROUND WATER (~/ S
ENCOUNTERED? ]~'-~' L
O
IF YES, AT WHAT
DEPTH?
$~ePs
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN '~'~
FT AND
!
PERFORMED72.008~(6/79) BY: ~O~l~~[ [B~ CERTIFIED BY:~'
(minutes/inch)
FT
ALASKA
b,dlROnmfl~TAL COFITROL $6b,C1~$, II1C.
~iinm. iml $ t~nuiPonmenhd Similes
, PERCO..LATION TEST DATA SHEET
ADDRESS
DATE
ZIP CODE
TOTAL, DEPTH OF 'HOLE __ ft.
ZONE TESTED ~, ~ ft TO ~- ft
READING# CLOCK TIME NET TIME DEPTH TO NET DROPRATE (mtn/in)
DATUH
~ ~°//. ~ .,o.r /.W/,.,? o.~ ..
FINAl.. PERCOLATION RATE
(mtn/tn)
ALASKA ,,diRo m%T^L CONTROL
~}i~'i~ $ ~nuimnmentd Sldks
St3b,C6S, IFIC.
PER~CO.LATION TEST DATA SHEET
CLIENT
ADDRESS
ZIP CODE
LEGAL LOCATION
TOTAL DEPTH OF HOLE. , ft.
ZONE TESTED -~,5- ft TO ,fl__ __ ft
READING # CLOCK TIME NET TIME DEPTH TO NET DROP RATE (lin/tn)
~ 34~- / ~,i7 : os- x~//x~-, ,,.~ _
lO z¢7 / 3y-~ .'or x's-/,/~z¢:
FINAL PERCOLATZON RATE
PERFORMED BY , J~o~9 ~"--
· 5, Po". ....... (lin/tn)
~' SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
DATE PERFORMED:
1
2
-'---"3
4
5
6
7
8
'9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
PERFORMED BY:
SLOPE SITE PLAN
I ,t
WAS GROUND WATER ,(¢5 [
ENCOUNTERED?
O
P
.~ E
IF YES, AT WHAT -'~
DEPTH?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
~-~O ~;o~ 7-, I
PERCOLATION RATE I'~I' (minutes/inch)
TEST RUN BETWEEN ~,;.I/./.. FT AND 5 FT
CERTIFIED BY: U DATE:
72-008 (6/79)
<Permit 9: 820950
January 31, 1983
TO: Permit Applicant
Subject: Lot 35 Block 1 Birch Tree Estates Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
SincerelB
~obert C. Pratt, ~.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
PERMIT NO.
MUN I L--: I ~ AL I T~" OF Ar-~cH, _~RSGE
DEPSRTMENT OF HESLTH 8ND ENVIRONMENTSL PROTECTION
825 "L" STREET., 8NCHORSGE., BK. 99501
264-4720
L~ELL AND ON--S I TE SEWER PERM I t
820950 )
RPF'LICANT DAVID HESS SR8 80X ]~.22M 99587
LOCRT ION
LEGRL L_?.5 Bi BIRCHTREE EST LOT SIZE
TYPE OF SOIL 8B=,ORPTI[N SYSTEM IS: ~ ...... '
~6._,-~6i,'
9~9~9~ SQUSRE FEET
MRXIMUM NUMBER OF BEDROOMS
SOIL RRTING
THE REQUIRED SIZE OF THE SOIL 8BSORPTION SYSTEM IS'
DEPTH= ~ LENGTH=
DEPTH=
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRSINFIELD.
THE DEPTH OF 8 TRENCH OR PIT IS THE DISTSNCE BETWEEN THE SURFRCE OF THE
GROUND 8ND THE BOTTOM OF THE EXC8VSTION (IN FEET). .... ~ .... T~- '-' ~. .. .-- .........
THE GRSVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
8ND THE BOTTOM OF THE E×CSVSTION (IN FEET)~
REL;!I_IIRED SEPTICS TAN~( SIZE= 1000 I]RLLONS
PERMIT 8PPLtCRNT HSS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF 8NY WELLS 8DJRCENT TO THIS PROPERTY 8ND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
TWO < 2 ) I t~SPEIST IONS ARE REnU I REC-,
BRCKFILLING OF RNY SYSTEM WITHOUT FINSL INSPECTION 8ND 8PPROVRL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN 8 WELL 8ND 8NY ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR 8 PRIVRTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM 8 PRIVRTE WELL TO 8 PRIVRTE SEWER LINE IS 25 FEET 8ND
TO 8 COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS 8RE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MRY 8PPLY. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS 8RE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
F'ERM I T EXP I RES [)ECEMBER _~l., 1982
I CERTIFY THRT
l' I 8M FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF 8NCHORRGE.
2' I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~' I UNDERSTAND THaT THE ON-SITE SEWER SYSTEM M"'~ REQUIRE ENLARGEMENT IF THE
RESIDENCE IS ~ELED TO INCLU~ MORE THSN ~ BEDROOMS.
SiGNED:._~~~6~_ ~r+~-
RPP.~ICRNT ?~VID HESS ~
ISSUED BY .... DRTE- /~/ Y~ V4.0
GRE
'ER ANCHORAGE AREA BO "'UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME .~----~~-~~f MAI LING ADDRESS ~ ~/- ~-, --~ ~-~-, PHONE
LOCATION /~'~292~/~',~/-'/~'-~/ ,~5~ LEGAL DESCRIPTION
SEPTIC TANK ....
DISTANCE ~ ~ .~--~--.~"~""- NUMBER OF
FROM WELL/~,o~/~ / MANUFACTURER.~,~,,~,//f/~...¢-,./ MATERIAL ~.~,,,4./~__.~-g.~ COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH .LIQUID CAPAClT~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER //"~ ~R WIDTH --, LENGTH__~, DEPTH ~'~
LINING MATERIAL?~//f'/~-f CRIB SIZE: DIAMETER .~ DEPTH~ DISTANCE FROM: WELL
/. ~<~ ~ TOTAL EFFECTIVE
FOUN DATIOI~(2
BUILDING
ADDITIONAL ABSORPTION
NEAREST LOT LINE/~ "~-~'7. ABSORPTION AREA (WALL AREA) ~='-~~ SQ. FT.
WELL:
TYPE ,///"'/~/'~'/'/,~//~'~ CONSTRUCTION
BUILDING
FOUNDATION __
· ¢~'~~ DEPTH
· . DISTANCE FROM:
NEAREST/ NEAREST SEPTIC/~,~-~'~' SE EPAG E
LOT LINE//~ ~ (,"g:2 /~- ~'~ ', SYSTEM /~"~'~ --/~ ~. "-~'~--
, SEWER LINE , TANK
OTHER SOURCES /---'/'~/~'/~
C ESSPOO L//-~2/~~--'
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED
PIPE MATERIAL:
LOT SLOPE:
R E M A R KS: z
Form No, EO-031
DIAGRAM OF SYSTEM
DATE
GreATEr ANCHORAGe AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
MAILING ADDRESS
PHONE
INSTALLATION OF:
SEPTIC TANK
SEEPAGE PIT DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
TO BE INSTALLED SY
;'~- NOTE: THl~ PERMIT IS NOT VALID W!TH~UT ~OIL TE.~,I]'
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTIOI~! BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
· ": sEEPAGE AREA SIZE TYPE
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
DRAIN FIELD
, DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WE'-LS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, , SEEPAGE Pit
'TO rIVER, LAKE, STREAM.
SEEPAGE PIT
, DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH airTIGl~T REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
--~" ~/ G.A.A ,B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~
DATE APPLICANT'S SIGNATURE
~1~7~ F~I:~HORAGE, ALASka 99502
D~ D~pJ OF i~U~MENTAL QUALITY
Performed .ur ·
Leg~l Description: Lo~ 35
This Form Repor&s Soils L~g
TY CASE #
Date Perf.ormbd Mn.vi: lo?.R
S u b d i v i s i o n Birchwood Esta~t~
Pe'r'c'o'l a'r i o n ~esr
Depth
Feet Soil Characteristics
I
8
10 --
K
Brown Clayey Silt (NIL)
Gray and Dark Brown Sandy Gravel (GW)
with Gravelly Sand from 7' (SW)
Was Ground Water Encountered? No
If Yes, At What Depth?
Date Gross Time
Reading
'' I T
~ I , ir,
P'ercolati:°a' 'RaTe
,Proposed Insta'llation:
Depth Of Inlet
COM?,E,qTS:
Depth to H20
Net Time
l
't:[:F n u t e
Seepage Pi~ XX Drain Field
Depth To Bottom Of Pit Dr Trench
110 Sq. Ft. of draJ_L~!o~.e~zlzs.~.;z.is rC%~LLred_per bedroom.
~CPe'Ff'Or'm'e'd DY g' E. ~arlis!5
Alaska Mineral & Materials Lab, Inc.
~ICIPALIT~ OF ANCHORAGE
£VlSION OF ENVIRONMENTAL HEALI
DEPA/~THE~f OF HEALTH AND ENVIRONMENTAL PROTECTION
A~PLICATION FOR HEALTH AUTHORITY APPROVAL C~RTIFICATE
1. General Information
Application Date
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(c) Ap~l~an~ .is (check one) Lend~n~ Institution ~ ; ~er/bu~lfle= ~
Buyer ~; OCher ~' t (~plain);
(d) Lending Ins=i=u=ion Telephone
A~ss
(e) Real Estate Co. & Agent
Address
Telephone
(f)
Mail the HAA to the following address:
,~-'~ // /' L~X ,~ I~/~',-4''~-'/,fl
I
2. Type of Residence
Single-Famlly~7~
Number of Bedrooms
Multi-Family ~-~
Other (describe)
3, Water Supply
Individual Well
Community ~
Public~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. Sewase Disposal
0nsite ~ Public ~-~ Community ~--~ Holding Tank ~-~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
~e 1 of 2]
®
En~ineerin~ Firm Providing Inspections~ Tests~ File Search~ Dat~ and Information
As certified by my seal affixed hereto and as of the validation date shown below, I
verify that my investigation of this Health Authority Approval shows that the on-site
water supply and/or wast,water disposal system is safe, functional and a~equate for
the number of bedrooms and ~ype of structure indicated herein.. I further verify that,
based on the information obtained from the Municipality of Anchorage files and from my
investigation and inspection, the on-site water supply and/or wastewater disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm Telephon.
Address
DHEP Approval
Approved for~-~bedrooms
Approved~.~ Disapproved~
Terms of Conditional Approval
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITX APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAl. ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DREP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
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 SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
-' OF
MUNICIPALITY ANCi-IO ?,AG[.
[VJ'L,,I~CTP~ O~ ~'~j'CJ,]O~:~}l~, (MOIA) DEPT. OF HEALT~J &
ENVIRONMENTAL PR©T£C[ION
JAN 8 1985
~ CHECKLIST - FEB~Z/AR¥ 1984
"' ~=-~'~-" ~-;~Z~'-~',~.- . ."" ...'
Total ~p~, /~ .... ~ ~ . /~- . ~ Of ~bing ~/~ '
Casing ~ignt ~ ~nd ~ ~t . ~anit~ ~al on Casing ~)
Elec~i~l W~ing in ~n~tt ~) . _ ~essi~ ~nd ~l~ead (~
~p~ation-DiS~n~a ~ ~-- .
C. ABSORPTION FIELD DATA
Soils Rating in Absorption St=ara
Date .Installed
Width of Field
Squa=e Feet of Absorption A=ea
Depression ore= Field (Y~_)
Results of Last Adequacy Test
Type of System Design ~ ,,
I~r Z ....
Length of Field , , ,,
Depth of Field
Gravel Bed Thickness
--5'"7~/' ~ Standpipes P=esent
Date of Last Adequacy Test
SeDaration Distance f~(xa A~s(xption Field: .---/ ~
To ~ildi~ F~n~tion ~ ~' To Existing ~ndo~S~m ~
~o,,,, //~ , ~~,~,n~ ~ , ~,, ~, ~ ......
TO ~te= Main/~=vi~ Line~/~ To ~~( if ~e~nt) ~/W ,
, ~/,
To ~way, P~ki~ ~a, ~ Vahicl~ S~=a~ ~a ,, /0 , ~ ....
D. LIFT STATION
Date Installed
Sizs in C~llons
"Pump On" Level at
High Water Alarm Level at
Tested fo=
Elect=ical Codes,
Ccrments
Dimsnsions
Level at
Adequacy Test.
Meets MOA
** Check Permitted Bedrocm Rating A~ainst HAA Request
I certify that I have checked, verified, c~ eonfcz~ed to all MOA FAA Gu~]m,U. ne's in effect
on u~ ~ate of this inspe~i~. .
~f_~. ~_.,~ I-;~:...o........4;:,,
Co. any /f,~' ,~¢.. . '~o~ No.
~:Sl/dS/s . ! /'"m.,-,,..~,
'fZ~',,/N~.
2-15-84
NUISANCE COMPLAINT FORM
Complainant's Name~
Street Address:
Phone No,:~- ~S~'~ .Box No.
Description of Complaint: :
Name of Person Against Whom Complaint is Made:}J~/~A/:~ /7~/5
Owner of Property Where Nuisance Exists:
Owner's Address: ~'~k~5'-~
Location of Complaint: L ~,~S-~//~, /
Street Address:
Person Receiving Complaint:~ Date:
I certify that such statement of facts is true to the best of my be-.
¢
lief and knowledge. I request that the foregoing matter be investi-
gated and that appropriate action thereafter be taken. I am willing
to testify to the facts stated in the foregoing complaint in court
if necessary.
Complainant
REPORT OF ACTION TAKEN
Date Investigated:
Action Taken: //--~
.
DATE C LAINANT WAS CALLED REGARDING DISPOSIT'I'ON OF COMPLAINT:
/e-~.-5-,~-. ~,./~.
REPORT OF ACTION TAKEN
October 17, 1973
Lawren;e Harris
Box 8566
Anchorage, Alaska
99508
RECEIPT FOR CERTIFIED MAIL--30~' (plus postage)
POSTMARK
OR DATE
/ SENT TO
l
~^.o .o.
'' OPTIONAL SERVICES FOR ADDITIONAL FEES
-RETURN · ~7 ~h~o~E~a~--d~U~e~*. .......... i~
.rn=mT ~k~ With delivery to addressee only ............ 65¢
.~r. ~ 2. Shows tO whom, date and where delivered .. 35¢
SERVlC~E? ~__~__ With d~liveryto addressee o~y .......... 85¢
DELIVER TO ADDRESSEE ONLY ...................................................... 50¢
~ ~E C~-~L '~ E~ VE-R~ ~;x~-r a' ~ ~e qui ;e~ ..~.....~....... :~:
PS Form 3800 NO INSURANCE COVERAGE PROVIDED-- (See other side)
A~,. ]p?~ NOT FOR INTERNATIONAL MAIL ~ o~o: ~e~ o-*eo.~
Re:
On-stte sewage dtsposal system Installed
on Lot 35, Block 1, Btrch Tree Estates
Dear Mr. Harrts:
Thts department has recetved and Investigated a complaint of a
dangerous excavation and an illegal sewer system Installed on
property owned by you. Our Investigation reveals that the
sewer system ts in violation of the Greater Anchorage Area
Borough Code of Ordinance, Artlcle V], Sewage Dlsposal Prac-
tices. In accordance wtth thts ordinance, a permtt must be
obtalned and the lns&allatton made accordingly.
Zt was further noted that the seepage ptt agea ts an open ptt
creattng a dangerous excavation. Thts ts 1n violation of the
Greater Anchorage Area Borough Areawtde Publlc I~utsance Con-
trol Ordinance, Arttcle 15, Sectton 12.15.010, Paragraph I.
Thts letter ts to serve as nottce to you that you have ftve'
(5) days from receipt of thts letter to obtatn a permtt from
th~s department and brtng thJs s~tuatton tnto compliance.
Fatlure on your part to do so wtll result tn prompt legal actton,
We wtll look forward to worktng wtth you to resolve thts situ-
ation tn the best tnterest of all parttes concerned.
Sincerely, ..... .
Carrol S. HcKechnte,
Environmental Control Offtcer
CSl~/ko
Certified # 7404~1
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
MEMORANDUM
October 31, 1973
TO:
FROM:
SUBJECT:
Rolf Strickland, R.S.
Chief Sanitarian
C.S. McKechni~
Environmental Control Officer III
Complaint Received From Mrs. Doug Sehm' Regarding Open Seepage Pit
Excavation Located on Lot 35, Block l, Birch Tree Estates Subdivision
On October 16, 1973, I investigated a complaint at the above subject location. It
was noted that a seepage pit had been installed and was full of water presenting a
hazardous situation to people or small children who may De walking in the area. It
was further noted that the water in the excavation was not sewage but either a high
water table or runoff and rainwater.
It was determined that the property belonged to a Mr. Lawrence Harris. Mr. Harris
was advised both through a certified letter and personal contact that tile excavation
was in violation of the Areawide Public Nuisance Control Ordinance. Mr. Harris in-
dicated that he did not have the financial means to fill in the pit at the present
time. He further indicated that the Borough would have to take him to court in order
to gain compliance as he could do nothing without money. He requested that the
Borough fill in the pit and assess the cost back to him.
As the situation existing is an extremely dangerous one and court litigation could
be lengthy, the Department of Environmental Quality is in the process of abating
this public nuisance and charging the cost of such abatement back against the owner,
Mr. Harris. According to the Borough Attorney, this would be in accordance with the
Greater Anchorage Area Borough's Areawide Public Nuisance Control Ordinance, Article
15, Section 12.15.050.
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