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HomeMy WebLinkAboutAUDUBON HILLS #1 BLK 1 LT 5Audubon H'ill lock 1 Lot 5 015-231 -7.1 · ! ~--~%/,~ 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 IPHONE [] UPGRADE MAILING ADDRESS LEGAL DESCRIPTION NO. OF BEDRO0~ ell / ,Ti/ Absorption area Dwelling PERMIT NO. DISTANCE TO: ~W ~ Z Manufacturer Mate~l No. of compartments iUq. c~paciW in ~allons lnside length ~idth Uquid depth /O OO IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons ~ Welt Foundation Nearest lot line PERMIT NO. ~ DISTANCE TO: No. of lines Length of each line Total length of lines Trench width Distance between lines ~~ ~ Top of tile to finish grade,~--g Material beneath tile Total effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Buildin9 foundation Sewer line Septic tank Absorption area(s) OTHER REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) PERMIT NO. DEF'RRTMENT rF~ HERLTH RND b.'~¢IF.:nNMENTRL F ~TEC:TION 825 "L STREET., RNCHORRGE., RK. ~.5,.,~ 264-4728 ( 818485 ) RPPLICRNT LOCRTION LEGRL JRMES RRMSTRONG t48Z RTKINSON DOWNY FINCH LOT 5 BLK i RUDUBON HILLS LOT SIZE ~8-~48~ 488888 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS SOIL RRTING (S@ FT/BR)= 258 THE REQUIRED SIZE OF THE SOIL RBSORF'TION SYSTEM IS: ~-, E F' T I-t = 5 LEf-~ISTH= 225 GRR%-'EL [:,EF'TH= 2 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DR8INFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DIST8NCE BETWEEN THE SURF8CE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH ElF GRRVEL BET~4EEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F-:E,_]!LI I F-:E[:, SEF'T I C: TR[-4~:-'.' S I ZE= IEl£1r--I GRLLE, r-~S PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RN'¢ WELLS RDJ8CENT TO THIS PROPERTY 8ND THE NUMBER OF RESIDENCES TH8T THE WELL WILL SERVE. TL40 42) I [-~SF'EI]:TI~]I~S I::I~IE E:EL:!LII BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN 8 WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS i80 FEET FOR R PRIVRTE WELL OR ~58 TO 288 FEET FROM R PUBLIC PJELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST 8E RETURNED TO THE DEPRRTMENT WITHIN 38 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY RF'PLY. SPEE:IFICRTIONS 8ND CONSTRUCTION DIRGR8MS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. PEF..:r-1 I T E:=-=:P I E:ES E:,ECEr.IE:EE: _=--: ~l_.. I CERTIFY THRT ±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNC:E WITH THE CODES. ]:: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INC:LU[:,E MORE THRN _--': BEDROOMS. SIGNED: ISSUED RPPLICRNT JRMES RRMSTRONG 94. 8 L~xS'Ft r !~3N OOHHY F [ L~GRL LOT :5 ~K ~. FiUOI.~N H[U_'~ LOT ',;[~i~ 4~,~3~k~ $~JFd~ FE~[r ~ ~tgr~ OF $0[[. 1-36"$1.,~FII3N S%~_tTEN [$: TRENCH ~Rrr-~lr 14ILL BE '_~UBJEcr TO P~r:~EoJrfOht ~ t.: [ RM FRII[L[F~ H[TH THE REQU[REi'I~NT'$ FOR ON-~[TE E,E~X~E"$ FIND HELL~ h'~ SET FE~TH G'~ THE. r, IUNIC[F1RL[P~ OF P&J~~ ~: ( HILL £N'~TI-3LL THE '~TE:~I IN ~..-:COR~ bl[~H THE ~. ~: ! IJNOE, A"STI~ rHRr THE ON-?,[TE '~'t,~ '3Y'$TEJI t,~'d f~E~U[A!g Ei'[.RR~GEME~I' JIF THE RE_~t~NOF. [$ F~EO TO IF~tU~ H~I~ TH~N _~ L~Of~3OH~ r~F'~L I CFtNT ;~Rt.l~$ PERFORMED FOR: LEGAL DESCRIPTION: , 1 2 3 ~.' 7 8 10 13 14 16 17 20 COMMENTS ' ,,;UNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6.650, Anchoeege, Al~ka gg60~ SOILS LOG - PERCOLATION TEST WAS GROUND WATER ~/~. ~ ENCOUNTERED;? IF YES, AT WHAT DEPTH? [] SOILS LOG PERCOLATION TEST SITE PLAN ~---4 ._--~ ,.4__ 4-.-.c-.4--J._ _~.__&. .... .... .ir .... I---+---~----! .... ...... ~T'''''~---' E, Reading Date Gross Net Depth to Net Time Time Water Drop to';~' 'Z~K :~ ~ ~/~ PERCOLATION RATE '~ (~) (minutes/inch) FT AND FT ,~__oTEST~_ RUN BE'rWEEN ~ 0 "~ -- PE.,:O..E,:, .,,: o *",s ~ b ? %~r~ c_. 72-008 (7/76) Well Log Date completed .......... ~ ........ 'q..7 ..... ¢..~. ......................................................................... Depth of well. . ~ z/ ' uuu~ctCnu~ o~ AUC~O~ Size of casing ............................................................................ Distance to water. ........................... - ................................................... , .~.~,,~,~,~,,, Dist~ce to water while pumping ............. ~.-.~ ...................... ~.~.~.~~e of ................ ~..~ ....................... gallons per hour, Formation from to DELTA DRILLING COMPANY SRA BOX 394 B ANCHORAGE. ALASKA 99507 Well Log / Fo: ~ ~.~-, ~'~-~,'/~-~"-"~ ' . . . Location...~Z~.:./.. .~ _,~_ ~/ .... Date completed ..................................................................................................... Depth of well ............ ~.~..( ................................................................................... Size of ~// MUNIClPALIn O~ AN~ORAGE DEPT. OF HEALTH & Dis~naa ~o wn~e~ ............................................................................ D~.2O..~g~L.. o~ ............ ~.~.~. ...................... ~Mlo~s ~ar ~o.r. Formation [ from to 45. DELTA DRILLING COMPANY SRA BOX 394 B Date Date. / -.--~ Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Address ,,.~;,~/~ Mailing Buyer Address Lending Institution ~~ ~. ~~ ~,~'~C Phone Address ~/ Realty Co. & Agent ~~ ~ /~ ~~( ~ .... ~~~ Phone Address Legal Description ~ Street Location ~ Type q~esidence ~Single Family ~ Multiple Family No. of Bedrooms ~ Other Wate~ply ~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June ~ Community 1975. For wells drilled prior to that date, give well depth (attach log if ~ Public Utility available.) Sewag~isposal ~lndividual Year Individual Installed: ~ Public Utility When Connected to Public Utility:, ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. January 7, 10~2 James K. Armstron~ wi~hland Desiqn SRA Box 3163 Anchoraqe, Ag ~ubiect: Lot 5, Block !, Audubon gills Downy ~inch ~pproval for the individual sewer and water facilities cannot be qranted until the followin~ items have been completed: The water ana!vsis report needs to be submitted to this office fro~ the Chem Lab, 5633 B Street, for our review. The oermit for the installation of the on-site sewer system ~i!l expire December 31, 19~1. We have not r~ceived the as-builts of the installation in this office. If a private enqineer ins9ecte~ the system, please sen~ us the reoort for our files and review. Please notify this department for a reinspection when the noted ~iscrepancies bare been corrected. If there are any further ~uestions, ~!eas~ call this office at 26a-a7p0. ~incerely, ~obert C. Pratt Associate Environmental Specialist December 24, 19~9t James K. Armstrong ~-~ighland Design SRA Box 3163 Anchorage, AK Subject: Lot 5, Block 1, Audubon Hills Downy Finch Approval for the individual sewer anti water facilities cannot be granted until the following items have been completed: A well log submitted to this office for our files and review. The water sam~le could not be taken due to silt content (turbidity). The well should be flushed clear by turning on a garden hose until clear water is evident over an extended period of time. Please contact this department for a resampling appointment. Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt Associate Environmental Specialist , CHEMICAL & ( )LOGICAL LABORATORIE~ ~F ALASKA, INC.~ TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER ~ 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria ~ TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name I.D. NO. Phone ~o. Mailing Address City State ~ip Code MO. Day , Year SAMPLE TYPE: [-I Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. ; I 3 I LOCATION 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 ~ Membrane Filter Lab Ref. No. Result* Analyst I I I-'I-] I ~ I *No of colonies/100 mi. or No. of Positive port~ons. 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Date Collecte~l Source Date Received Time Received D.m. Lab. No. Presumptive 10mi 10mi 10mi ],0mi 10mi 1.Omi 0.]*mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Membrane Filter Results Rel3or tlr By Broth 24 hours: Broth 48 hours: 10mi Tubes Positive/Total 10mi Portions Collform/~00ml BGB Oltl Collform/100ml Tlrne~ - * * a.m. I10o /00" IqSSE/ME~C~ EL£VWTION 3'C~ L ~ I'/--- ,5'0 ' L~ T£ ~ ,z;~(_,,'G. ~ /.98/