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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/