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Home My WebLink AboutALDERWOOD BLK 1 LT 22 ~., LEGAL. b..l ]: L.L_ i[ At,! ..3' S'Fi:~F'HENS _,37' 9000 [()() ~:eet ~OF' ~ private we~.~ oF' ~E~<) ~o ~/-.'"~ '~ee~: from ~ pubi{c well depending Minimum .d:~.s'tance -~r'em a pr'~va+e weZi.~ iEe a lDr:Lva~e seweF, line ~.s ~S .Feet and i4o'i].... ].ctd'~.: ape rL~:"~..,_~-'cedt .and mLiE.'f ho F'ez~aF'rc, ed t(:) 'i:i-~e depar.'i:~ent w~thxn ~C, days I~'t-~pP ....... ,r'~q~i~,, .. ............ e~:l~:n$~ re,ay ~r,F~'i.?,. ,.. ,, :~Oer:f.~.i. . . .. C.{~:iOTlS ~l"~d cons'tr'u, ction, diagrams ape e,:,'a:~.tabi, e to, ~.ns.,r-E pF'c, per 4nst~].ia't::i. on, w:i_ti", the cequipements for' on-site sewer's ~nd wells as set [du.r~i,::.J.l:~a].~.~.~' o~ AnchoF. age,, the sy.~tem :i.n acc,:'ndance ~,~.].4:i"~ the codes. -AP P L ]: C: ANT' W '[ LU. :i: AM J :~"i"EP ~'4ENB V4.0 · WELL r=~''~== PERMIT NO. ( APPLICA~ ~~ LOCATION TYPE OF SOIL AB$ORBTION SYS~M MAXIMUM NUMBER OF BEDROOMS MUN I ¢ I F~<~L I T¥ OF F~NC~-~3RF~GE DEPARTMENT O. HEALTH AND ENVIRONMENTAL 3TECTION 825 ' L ' STREET~ ANCHORAGE~ AK. 264-4720 LOT SIZE ~' ~ SQUARE FEET SOIL RATING ($Q FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= LENGTH= GRRYEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (~N FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAYRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). TANK S I ZE= Ot::ILLON$ PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. T~O ( 2 ) INSPECT I ON~ ARE RE(~U I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WEL~ OR 150 TO 208 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 38 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTR~CTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T E>{P I RE5 DECEMBER ! C~TIFY THAT l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELL~ AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE, 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. APPLICANT ~ /)-~ V]:. 2 DRILL LOG FOR JOHN HENSLEY & JOHN STEPHENS ,LOT 2~AIR GUARD ROAD OCT. ~, ?? BROWN CLAY GRAY CItY ! to 85 ft. 85 to ~!0 ft. GRAY TO BLUE CItY !lO to !20 ft. BLUE CItY TO SILTY CItY 120 to 130 ft.. SILTY SAND WATER BLUE CIAY MIXED130 %o 135 ft. COURSE SAND WATER BLUE CIAY ..... 135 to 140 ft.. SILTY SAND t~.0 to 180 ft. COURSE SAND TO SMALL CRAVEL 180 to 193 WATER TEN GAL. PEM. MIN. THIS DRILL L~ IS APPROXIMATE FORMATION CHANGES APPLI¢?'NT FILLS OUT UPPER HAl ONLY Mailing Addre~ ~ ~ ~/~ ~/~,.~ ?3 ~ I~ · ~ ' Zip Cod~ ,~ ~D~ ~.~/~ ~ Buyer ~ ~/ ~ Address ~ .~ ~ W~ ~.5__ __ Zip Code p~ ~ Lendingln;titution~ ~ / ~ ~' ~) ~~ /~ //5 ~; ~ ~ ~ ~ ~J Phone Address Zip Code LegalDescript~n~~ ~ / ~~~ ~ ~ street Locati~ ~ ~ ~./~? ~ ~' ? .~ ~ ~ Type of Resi~nce Single Family Multipl~ Family ~o. of godroo~ ~ ~ Othor Water Supply ~ ~ ,~ ~ Individual ~ ~ ~r~ ~, ~[;~:~ ~ ~_~?/ A~ACH ~LL LOG. A w~l 10g is required for all wells drilled since June 1975. Community ~ ~ For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility:, Sewer Disposal ~ Individual Year Indiv~ual Installed: ~ Public ~ility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE ENVh RECEIVED ( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ~ DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (3/82) '~' DA'I'i~ RECEIVED INSPECTION APPOINTMENTS ~ ~ME TIME I TIME DATE DATE DATE NSPECTO R INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE ENViROI',iML;.;i,: i, .i ~ £CTION MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ ~. , 825 L Strut-Anchora~, Alaska 99501 Mi~ ~ 0 ;~0 ENVIRONMENTAL SANITATION DIVISION RECEI EP Telephone 2~-4720 ..... - REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proceed. Please allow ten (10) davs for processing. 1. PROPER~Y~NER ] PHONE MAILIN~DDRESS PROPERTY RESIDENT (If different from ab~) PHONE 2. BUYER f PHONE MAI LIN G ADDR ESS 3. LENDING INSTITUTION I PHONE I MAI LING ADDRESS 4. REALTOR/AGENT I PHONE' I MAILING ADDRESS 5. LEGAL DESCRIPTION . z ~TREET 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 UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79, ~..~.~<.... ~ 1~/~ .¢__) - THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] TWO NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SlX 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] IN DIVI DUAL/ON -SITE I---I PUB LIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS Septic/Holding Tank lAbsorption Area [Sewer Line Nearest Lot Line [~]/~PPROVED FOR ~'- BEDROOMS [] CONDITIONAL APPROVAL (letter must ac~/X~p/any certificate) OTHER 72-010 (Rev. 6/79) -/ unicipality 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 t 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) A well 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 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMEN";'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 %his ~tter is in addition to the one of March 12, 1980. ~A~ermit'~~ for each of the above individual wells was not ~(~'J/~~-~ from this office prior to the drilling of the ~v/ ~ell~ 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 & GEt_,.~OGICAL LABORATORIES ~,_ ALASKA, INC. " ~ - ~ TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER ' /~/~,~1~ '~ 274-3364 5633 B Street //" ......~'~, Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ] ] [ J I.D. NO. Water System Name : Phone No. Mailing ~:ldress City State Zip Code Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose ) [3 Treated Water [] Untreated Water SAMPLE NO, LOCATION I I TI me Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] 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 Analytical Method: [] Fermentation Tube E:] Membrane Filter Lab Ref. No. Result* Analyst ICl F-I-] FT-] I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Ray. 1978 BACTER IOLOG ICAL WATER ANALYSIS RECORD Date Collecte(t. Source Time Received Lab. No. Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mi 0.1mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours E:MB Broth 24 hours: Multiple Tube Report: Membrane Filter: Direct Count Verlflcet Ion: L. TB Final Membrane Filter Results Reported By Broth 48 houri: 10mi Tubes Positive/Total 10mi Portions Collform/100ml BGB Date Collform/100ml Tlme~ 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 hand~ir~g may ~ead 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, b) Thoroughly flush tap or pump by allowing water to run freely with a fully opened outlet for three or four minutes~ c) Reduce flow so that small stream flows, d) Remove bottle from mailing tube, Hold bottle in one hand while removing cap with the other, Avoid touching the neck of the bottle and the inside of the cap. e) 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. f) Complete the portion of the lab form which is indicated "TO BE COMPLETED BY SUPPLIER," Fill in all appropriate blanks carefully, including your public water system identification number (~D No,). Contact the Alaska Department of Environmental Conservation if you do not know your ID numbers {Public water suppliers only) 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.