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HomeMy WebLinkAboutALDERWOOD BLK 1 LT 23 i,4ii _ iAF! J S'TE~F.iENS 80X 4-i©9i 99S09 A i N (; ..JA~D NOAC, LOT ~B BLOCK i ALDERWOOD S/D LOT' SiZe_ 34'9-1433 1BO(}O S(.~UARE FEET h'tJ.n~.mum .dis'ta~n,:::e between a weti mod any on-site sewage disposai system is IC,0 feet ~%r,r' .~ private wei. i or tSO t,:') ~00 ~ee't ~rom 8 public weii depending M{n~.'mum d{s~ance ~r'om a pn{vate weit ~o a pr{rate sewer' line {s ~S &eei: and to .a commun~.ty sewep ].iRe ~.s '7S Me].]. ~ogs are r. equ:i, ped arid mt~.~ be r-etu, r. Re<i to the depar'tmeni: w&~hxn .~0 days o~ the ~uetl E)thec r'equ{cemer,~s m4sy app:i.;:,'. Spec:i.~:[ca(&ons and constPuctZon avaJ. lab].e ~;(:) .insu. ce pr'opec .[nstai].a~J. on,, 'i cent:L-Fy t!",at i: I am ~:..~m~.i*J. ar w:Lth the r. equir'emen'ts ~or- on-site sewers and weiis as set -For't' by the !~!uni,:::ir_>ai:[t).' o-F Ancr~or'age,, ;~" ! w{i! :Lnsta].]. 'th,=. system {n accor'dance w{fh the codes. APPL.. iCANT Wi_i_tArd .'J' V4.0 Mt-IN I C I i:~L I T"r' OF F:INCHORi=IGE DEPARTMENT [ HEALTH AND ENVIRONMENTAL '-~OTECTION -- 825 264-4720 APPL I CANT ~ ' LOCATION LEGAL L-- ~l _~ Z~ ! ~~~ c~ LOT SIZE i.~~c~-C] SQUARE FEET TYPE OF sOIL RBsORBTIoN sysTEM MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS' DEPTH= LENGTH= i:~Rt=IVEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN 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 EXCAVATION (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). Ti:iNK S I ZE= OALLON$ 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. TI*lO ( 2 ) -r N~PECT I 01'-.1~; liRE REi3U 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 1Be FEET FOR R PRIVATE WELL~ OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERt-1 I T EXP I RES DECEMBER 31.- 1979 I CERTIFY THAT 1: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF RNCHORRG~ 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. ISSUED B ~ ~~' DATE__ V~. 2 Sept. 15, 79 DRILL LOG FOR JOHN HENSLEY & JOHN STEPHENS LOT 23 BLOCK 1, ALDERWOOD SUBDIVISION BROWN LOAM ..... 0 to 20 ft. BROWN LOAM TO SAND ..... 20 to 35 ft. SAND, SMALL GRAVEL & BROWN DOAM ..... 35 to 85 ft. BROWN LOAM TO GRAY CLAY ----85 to 120 ft. GRAY CLAY TO BROWN SMALL SAND COURSE, GRAVEL & WATER 120 to 130 ft. APPRORIMATELY 5GALS PER. MIN. SIGNED -~'~ ,~ ¢ " DA~'E RECEIVED o- . INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSPECTO~ MUNICIPALITY CF ANCNO~AGE MUNICIPALITY OF ANCHORAGE DEPT. C  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~viRO~ 'E 825 L Street - Anchora~, Alaska 99501 ' ":"' ENVIRONMENTAL SANITATION DIVISION ~'J}A~ Telephone 2~-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~~~ DIRECTIONS: Complete all parts on page 1. Incomplete requ~ will not be pr~d. Please allow ten {10) days for processing. 1. PROPERTY OWNER/ ~ PHONE MAI~G ADDRESS , ~ PHONE PROPERTY RESIDENT (If different from ~ove) 2, BUYER ~ I PHONE MAILING ADDRESS MAI LING ADDR ESS 4. REALTOR/AGENT I PHONE I MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION '6, TYPE OF RESIDENCE NUMBER OF~BEDROOMS,,, [] One [~ Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER S/UPPLY i~ 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) 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 [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified i--lSeptic Tank or [--1Holding Tank Size: tf 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 NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SIX [] OTHER Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line 5. COMMENTS E~APPROV ED FOR Z~ BEDROOMS [] CONDITIONAL APPROVAL (letter mus/t~ccompany certificate) ~ DISAPPROVED .---./J~,._ ~ 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 ot 22 Block 1 Alderwood Subdivision t 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 ,%'1. SULLIVAN, MAYOR DEPARTMENT (.)F HEALTI~ 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. permit for each of the above individual wells was not brained from this office prior to the drilling of the ells. Therefore, a permit for each well will need to be obtained from this department prior to approval. he 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 /~ ~ C .I~fiCAL & G~.~LOGICAL LABORATORIES .~£ ALASKA, INC. ' TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER Z,~ ....... ~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name I I I.D. N~. Phone No. Mailing Address City State Mo. Day Year Zip Code SAMPLE TYPE: [] Routine ID Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. LOCATION 3 I 4 I Time 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 [3 Membrane Filter Lab Ref. No. Result* Analyst I I-]-1 I r-m-I I *No of colonies/100 mi or No. of Positive port~ons READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ~NALYSIS RECORD Date Collected ~ource ab. No. Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mi 0.1mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Multiple Tube Report: Membrane Filter: Olrict Count Verification: LTB Final Membrane Filter Results Rebor ted BY Broth 24 hours: Broth 48 hours: 10mi Tubes Positive/Total [Omi Portions Collform/100ml BGB Collform/100ml Date Time. a.m. p.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~ essar¥~ Send to Laboratory fastest way: (i.e. special delivery mail.) In collecting samples from TAPS or PUMPS proceed as follows: a) 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 bottte 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 SUPPLIERs" Fil~ in all appropriate blanks carefully, including your public water system identification number (~D No.). Contact the A~aska 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.