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Home My WebLink AboutALDERWOOD BLK 1 LT 21 ..... ~.M..~ F*~,~.' L.,. L{]C ~T ! F'¢"4 A .'[. ~ .... '";? .... NC}AD i...EGA! .... LOT ~_1 BLOCK -~fi-i.n:i.m,~m d-ist.-.3?"~ce bet~.e¢.,r, a we].L ~nd any or~-.s~.te sewage disposal system lOC, .¢ee~ .~)r'. a pr.~.ua~e ~-~e;L]. or .[SO to ¢20C, 4eet ~rom a public well depending k'l:Ln{mum d-[=+an,-¢* .From a ¢~,--i~.'*~t,= well t¢~ a or-{vste sewer line is 2S ~ee't and WeiJ 'i.:~gs er'.e requ~.r'.eci end mu. st i:>e r. etur. ne<i to, the cJepar'-tment with{n BO d.ays O~heP r. eqt..~cemen'~% may a[,oiy~ %pec:~.+::Lcatzoos and c:ons~r'uc~J, on d~.agrams ape ava:i.'Lai::,le to :[nsur. e pr'op, er. &nskal.La~ion, !.~ Z am .Fam-i.L*;.ar'-~;;:Lth the r'equ:Lr, ements ?or- c:,n-s~.i:e sewer's 8nd wei'Ls .as set -;'.:::; i' ~,,~. '}. i 'i F,'.=.. +.a ]. ~ ±he ..~-y.:-:~em ~.n .:-.~r:copcar~ce t,,, .; -'i:: !-~ the codes,, APP... '[CA.'4T L4 ]: i....L ~ Ai~ j V4.0 MUNICIPALITY OF 8NCHORAGE DEPBRTMENT ~ ~EBLTH 8ND ENVIRONMENTBL ~]TECTION 264-4720 PERMIT NO. ( ) ~ ., LOCRTION ' LEGRL ~ ~t ~ i C~--r'3~ ~ LOT SIZE ¢[/~0 SQURRE FEET TYPE OF SOIL RBsoRBTION SYSTEM IS' MRXIMUM NUMBER OF BEDROOM5 = /--'/'~' SOIL RRTING (SQ FT/BR>= THE REQUIRED SIZE Of THE SOIL RBSORPTION SYSTEM IS: DEPTH= - LENGTH= 13Ri=IVEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. 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 GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM Of THE EXCAVRTION (IN FEET). Ti:iNK S I ZE= GRLLONS PERMIT RPPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RN¥ WELLS RDJBCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TWO ( 2 ) INSPECT IONS RRE REQU I RED BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN A WELL RND RN¥ ON-SITE SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVRTE WEL~ OR i50 TO 200 ;FEET FROM A PUBLIC WELL DEPENDING UPON THE T~PE OF PUBLIC WELL. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIiREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILABLE TO INSURE PR~3PER INSTRLJ_ATION. PERM I T E~P I RES DECEMBER ~l- l~?~ I CERTIFY ~HRT l: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPALITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. RPPEICRNTE NOV. 10, 79 DRILL LOG FOR JO~ HENSLEY & JOHN STEI~{ENS I~r 21, BLOCK 1, ALDERWOOD SUBDIVISION BROWN CLAY .... 1 to 80 ft. GRAY CLAY .... 80 to 125 ft. BLUE TO GRAY SILT .... 125 to 130 ft. COAP~SE SAND AND SMALL GR.~VEL .... 130 to 1 38 ft. BLUE SILTY SAND .... 138 to 190 ft. COURSE SAND TO LARGE GRAVEL .... 190 to 195 ft. SILTY CLAY TO LARGE GRA~fP.L .... 195 to 212 ft. WATER FOU~ HOUR TEST YIELDED APPROXIMATELY FIVE GALLONS PER MINUTE THIS IS AN ESTIMATE OF APPROXIMATE FORmaTION CHANGES, NOT A GEOLOGY REPOI~T SIGNED ._,,: _ _ APPLIC ~IT FILLS OUT UPPER HAL ONLY ' Phone Pro~.;srty Owner Robe,~ ~ Semd,,t~ Vance 24g-4257 Mail~ng~Addre~ 6424 ~g~ RO~ Zip Code Buyer ~0~ Address Zip Code Lending Institution Phone Address Zip Code P~one .e~,t~ co. · *~n~ ~~~ ~/E~/~ ~, Address ~000 E. P~ ~uS., ~o~ge, ~ zipCode 99502 522-1030 Leg~ Da~c,ipt~n ~~ Street Locati~ ~424 Type of Resi~nce ~Single Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~lndividual A~ACH WELL LOG. A wall 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 Sewer Disposal ~ Individual C~ ~ Year Indiv~ual Installed: ~Public Utility When Connected to Public Utility: .' . . ' .:.-,,~.~ - ; , '~. ' ~Holding Tank . ' N~Ef~THE IN~pE~I~ ~EE MUST ACCOMP~NY.~A~H R'~ST BEENE 'mOC~SS. Date Inspector Inspector Inspector/'~ Inspector Field Notes: (.~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITION5 APPROVAL' Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (3182) MUNICI[ .ITY OF ANCHORAGE POUCH 6-650 · ANCHORAGE, AK 99502 · PHONE 264-6400 FINANCE DEPARTMENT CASH RECEIPT RECEIVED ~, , FROM ~.i' '~'. !" ' , ' 275464 REMARKS Collecting Orgn. No. ,/78) LIP I ,t~on Amount "' ~ ~ i~ '. DISTRIBUTION: White -- Treasury; Yellow -- Customer; Pink -- Book; Goldenrod -- Department GR. 2025 Sand Lake Area Reference Map-P10 5 110 1 24 ~ COPYRIGHT 1983 CHEMICAL & GE'-,0¢IC.4L LABOR.4TORIE$ ( ALASKA, TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street ~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER; WATER SYSTEM: I , Water System Na~/m~~'~'/~'~- I.D. NO. Phone No. Mailing Address Mo. Day Year SAMPLE TYPE: (~utine ack Sample (for routine .ample with lab ref. no. , ) [] Special Purpose Zip ~le: SAMPLE NO. 1 2 3 4 5 LOCATION 2~ / 06-1220 fl~! Roy. 1978 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: /Satisfactory [] Unsatisfactory [] Sample too io~ng in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received / - f<D .. ~ ':-, :::::::::Time Received ~: Lab ~f. Result* Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Data Collected Source Lab. No. Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mm 0.1mi 24 Hours 48 Hours Confirmatory 24 Hours 4~ Hours EMB Broth 24 hours: Multiple Tube Report: Membrane Filter: Direct Count Verlflcat Ion: I.TB . Flnll Membrane Filter Results Reported Broth 4e houri: 10mi Tubes PMItIw/Totll 10mi Portions Coliform/100ml BGB - ,,,o .. DATE RECEIVED : INSPECTION APPOINTMENTS TiME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE ~IUNICIP^LiTY CF DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. 825 L Street - Anchorage, Alaska 99501 EN'V ENVIRONMENTAL SANITATION DIVISION ~'~AR Telephone 264-4720 . ou sT FO. OF :DI R ECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PHONE 1. PROPERTY,OWNER PROPERTY RESIDENT (If different from above) PHONE 2. BUYER ~' ~' PHONE MAILING ADDRESS 3, ~I ENDING INSTITUTION I PHONE I MAILING ADDRESS 4. REALTOR/AGENT I PHONE MAI LING ADDRESS STREET LOCATION 6. TYPE OF RESIDENCE [~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One ~ Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY ~ 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 [] INDIVIDUAL/ON-SITE** [~PuBLIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 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 [] INDI VI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified I-qSeptic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: [] ONE [] TWO 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 Septic/Holding Tank NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SlX IAbsorption Area ISewer Line [] OTHER iNearest Lot Line 5. COMMENTS E~'/APPROVED FOR Z~ BEDROOMS ,. [~ DISAPPROVED[] CONDITIONALAPPROVALS(letter must ~any certificate) 72-010 (Rev, 6/79) u cipality Anchorage 825 "L" STREET ,, ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION March 12, 1980 William J. Stephens Box 4-1091 Anchorage, Alaska 99509 Subject:/Lot 21 Block 1 Alderwood Subdivision Lot 22 Block 1 Alderwood Subdivision Lot 23 Block 1 Alderwood Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: ~'~~(1)~ Awe. ll log submitted to this department for our ~- review on each of the above lots. ) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. .Associate Specialist RCP/ljw CC: Financial Center of Ketchikan 811 East 36th Avenue 99503 unicipality Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION March 13, 1980 William J. Stephens Post Office Box 4-1091 Anchorage, Alaska 99509 Subject: Lot 21 Block 1 Alderwood Subdivision Lot 22 Block 1 Alderwood Subdivision Lot 23 Block 1 Alderwood Subdivision This letter is in addition to the one of March 12, 1980. A permit for each of the above individual wells was not obtained from this office prior to the drilling of the wells. Therefore, a permit for each well will need to be obtained from this department prior to approval. The fee for a well permit is $15.00. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Financial Center of Ketchikan 811 East 36th Avenue 99503 CHEMICAL & GE~£OGICAL LABORATORIES ~,~" ALASKA, INC. ~ --'J TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER ,~,~X~ 274-3364 5633 B Street ~ ...... "~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I.D. NO. Phone No. Water System Name Mailing Address City SAMPLE DATE: MO. State Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose Zip Code [] Treated Water [] Untreated Water SAMPLE NO. LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~.[-I Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received '~;'" :~' ~i Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. I Result* Analyst I I FTq I FTq J *No of colonies/100 mi. or No of Positive port~ons. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date CollecteO Source Lab. No. Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mi O,Iml 24 Hours 48 HOurs Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Membrane Filter Results Report~l By Broth 48 hours: 10mi Tubes PoMtlve/Total 10mi Portloni Collform/100ml BGB Date Collform/lO0ml Time= I.m. Directions for Collecting Samples of Water for Total Coliform Bacteria Examination This water analysis deals with materials present in very minute quantities. Carelessness in collecting and handling may lead to misleading results, Water samples will have to reach the laboratory as quickly as possible within 48 hours after collection. After 48 hours, the significance of the bacteriological analysis is impaired and resampling will be nec- essary. Send to Laboratory fastest way: (i.e. special delivery mail.) In collecting samples from TAPS or PUMPS proceed as follows: Remove any aerators or screens attached to the outlet. Thoroughly flush tap or pump by allowing water to run freely with a fully opened outlet for three or four minutes. c) d) e) f) Reduce flow so that small stream flows. Remove bottle from mailing tube. Ho~d bottle in one hand while removing cap with the other. Avoid touching the neck of the bottle and the inside of the cap. Fill the bottle to its shoulder while attempting to avoid splashing. Immediately replace cap, being sure that it is tight, but not so tight as to split the cap. Complete the portion of the lab form which is indicated "TO BE COMPLETED BY SUPPLIER." Fil~ in all appropriate blanks carefully, including your public water system identification number (ID No.). Contact the Alaska Department of Environmental Conservation if you do not know your ID number~ (Public water suppliers only) g) Pack bottle carefully in mailing tube with lab form. The requirements for analysis of public water systems for total coliform bacteria are defined in the Drinking Water regulations administered by the Department of Environmental Conservation.