HomeMy WebLinkAboutBENITO BLK 1 LT 9 (gertifieh Drilling DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 . TELEPHONE 688-2759 OWNER OF LAND ADDRESS ~ '~ LEGAL DESCRI~ION DATE-Started ~/~6 Ended PERMIT NUMBER / I)EPTH OF ~ELL /~ ~'b C~' SI-Al'I(' LEVEr. OF W..\TER Fr, // DRAW DOWN FT. GALS. PER HR /~'O E} KIND OF FORMATION: From_~__/ Ft. From cz~ Ft. From ~'7., Ft. From __ Ft. From /7 Ft. From From. l/-;~ __ Ft. From [.:C.~ . Ft. From~q t _Ft. From~t~ FL From Ft. From ---- Ft. From __Ft. From .... Ft. From .... Ft. From ..... Ft. to -~ Ft. OOE~o~O~ From__~_ to J~,. Ft. '~)~ &~f ~=< <~ From to _ Ft. /'~ ~.~ From to ~ ~ Ft. ~ D/v~) From to//.~.~ _Ft .ff~ ~°0 ~' (~ ~g From to t~.Ft.~tQ~ ~"~ From tol4t Ft. C~OO ~. ~'~~ From to ....... Ft.._ to .... Ft to .Ft. to .... Ft. to ........ Ft. to ..... Ft. From_ ___Ft. to ........... Ft. Ft. to ........ Ft. , Ft. to., _Ft _ Ft. to .... Ft. FI. to__Ft.__ Ft. to Ft. to .......... ._ Ft. to~ Ft. to Ft. to__ Ft. to .... From ...... Ft. to___ From_____Ft. to__ From___Ft. to ...... Ft.._ From ....... Ft. to From ....... Ft. to From ............... Ft. to ...... Ft ...................................... From ......... Ft. to MISCL. INFORMATION: Dli:]]:'ARTMIENT OF HEAI...'T'H AND ENVIRONMENTAL F'ROI"ECTION 825 I .... S]'REb;;T, AIxI[]HORAGE, Al< 99501 264-472() C:) P',,.H ........ .~.:.~':~ ][ 'T' E: NEE L.,. i ...... F" E']E: F4 P"t Il:; "'r F:'ERM I "F lxl[): D A"I" E :1:. S S LJ E D: 860()80 03/25/86 A F' P L I C A N T: A D D R Iii!: S S: COI',ITACT PHC)NEE: JOIqN J FALCONE: BOX 248 EAGL. E RIVE:R, AK 99577 2.79-()5 :L 1 LEGAL. DESCRIP: L,.OT !3IZE: SLIBDIVI SION,~ BENITO SECTION: 8 'T'OWNSHtP: 14N 18750 (SQ,, F':'T. OR ACRE;S) LOT: 9 BLOCK: 1 RANGE: 2W I cer'tiFy that: :1.., I am Fami].:i. aP with the requiremen'Ls For on-site seweps and wells as; set Forth by the Murlic:i. pal:~ty oF Anchorage (MOA) and the State of Alaska. 2. I w:i. ll install the system in accordance with all MOA codes and regulatic)ns, and in compliance with the des:i, gn criteria of this permit. 3,, I will adhere t(~ all M[)A and State of Alaska requirements For the set back distances From any exist:i, ng well, waste~ater disposal, system or public sewerage system on tl"~:i.s (~n any adjacent ~n neanby lot. .~ ] ( ~1 I~ I) DATE:: AF I: L Z CAN]" ~Hlxl J FAL. CONE IS S U D BY DATE: unicipa yof Anchorage P.O. L ,196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES June 23, 1986 John J. Falcone Box 248 Eagle River, Alaska 99577 Subject: Lot 9 Block 1Benito Subdivision On-site Well Permit #860080 - Issued March 25, 1986 On May 20, 1986, The Anchorage Assembly approved a new ordinance regulating on-site wastewater disposal systems (septic systems). Ail septic systems constructed after the effective date of this ordinance are subject to the provisions of this ordinance. Our records show that you currently hold a permit for the installation of a septic system. We strongly urge that you contact this office prior to constructing your system. Any changes in the code that could impact the construction requirements of your septic system will be identified and brought to your attention. Please contact the Environmental Services Division at 264-4720. Thank you for your cooperation. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/SSM/ljw GAAB-HD- I Gl' '~TER ANCHORAGE AREA BOROr H D~-~'ARTMENT OF ENVIRONMENTAL OUALI, ,' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: LEGAL DESCRIPTIONj DISTANCE FROM WELl '7~2. / //~ , NUMBER OF MATERIAL . ~J~/(~'~ -Z~.' - / COMPARTMENTS :~.z, .- 7~' 47 LIQUID LIQUID CAPACITY ~/~)'____:) ~' GALLONS. INSIDE LENGTH. INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS . _J/ _OUTSIDE DIAMETER NEAREST LOT LINE '~/'~ / JO ~' OR WIDTH__ ~'~-~ / / - , LENGTH ',~ ~' , DEPTH DISTANCE FROM WELL BUILDING FOUNDATION__ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION , NEAREST LOT LINE NUMBER OF LINES_ /.~// DISTANCE BETWEEN . LENGTH OF EACH ABSORPTION AR.E,A' SQ. FT. LINE TRENCH WIDTH TOTAL LENGTH OF LINES I hJ./TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE /~.)l~.'~''l'~;:Z) DEPTH ~_.~I~ LOT LINE ~'~"/,7~, -~- NEAREST ~ SEPTIC SEWER LINE , TANK DISTANCE FROM ~,'" WATER __., BUILDING FOUNDATION SAMPLE ,,/('t~/l~:'z:: , NEAREST '~Z'" / SEEPAGE /' OTHER , SYSTEM ///c'~ , CESSPOOL ~ , SOURCES~ DIAGRAM OF SYSTEM DISTANCES: DATE N 4 APPROVED GreAl'Er ANCHORAGE AREA BOkoUgh DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH ANCHORAGE, ALASKA 99502 TELEPHONE 27~)-8686 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT INSTALLATION LOCA ON : I ' ' ~' ~ ~ ' INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~ DRAIN FIELD OTHER FINANCED THROUGH ~-~ ~-~ ~ TO BE INSTALLED BY so~ ~Es~ ~Es~s NOT~ THI~ PERMIT I~ NOT VA~I,D WITHOUT ~1~ COMPLETION DATE ANTICIPATED ~ FINAL INSPECTIONz 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE: HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SE T,C TANK s, E DIAGRAM OF ~YST~M MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK~,~// FOUNDATION TO SEEPAGE PIT . DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALL /~--- SEPTIC TANK , SEEPAGE Pit (~_~J, DRAIN FIEld TO NEAREST LOT LINE. DRAIN Field ALSO CO~SIDER~a~FTEA~~WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE Pit DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT ., DRAIN FIELD TO RIVER, Lake. STREAM. EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND BEEPAGE PIT FITTED WITH AIRTIGHT rEMOVABLE caPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULA/TIONS REGARDing INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF I CERTIFY THAT I AM FAMILiar WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCR]BF.D SYSTEM IS IN ACCORDANCE WITH SAID CODE. i~%,') GREATER ANCHORAGB AREA BOROUGH. · Department of Environmental qualztv 3500 Tudor Road, Anchorage, Alaska 99507 ~79-8686 Date Received ~1 Time of Inspection RF. QUBS/ FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. A~proval Requested By: /'~A~'~4 [-/I~L(~ ~ I 2. Prooertv ~ner: ~~ 3. Legal Description: ~o~ ~ ~ ; 5. Type of Faci1~y ~o be ~spected: Numbe~ of Bedrooms: ~ Phone: Phone: 6. Well Data: C. Construction O~ 9. Depth.~ lOT' .. Manufacturer Tot,al. Length of Lines Sewage Disgosal System.' C. Septic Tank: 1. Size I~LgJ 2. ~. Seepage E. Disposal Field: Distances: A. Well To: -~-! , Absorption Area 117-I Septic Tank , Nearest Lot; line ~ , Other Contamination Foundation to Seotic Tank ~[ ' ~0' , ~ Absorption Area Absorption Area to Nearest Lot Line ~O ~ Sewer Lines Request for Approval of 1 ~vidual Sewer & Wa%er Facilttte Page Two 9. Comments: ADnroved Disapproved Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Dep~rtment of Environmental Quality I certify that the information contained in this request for approval to be a true and accurate representation of %he subiect sewer and water facilities located Signed Date : ~,~1 Form Approved ~lllll~j[lr~il ( '--PARTMENT OF HOUSING AND URBAN DEVELOPMENT , FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R0296 - HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA ~RING OFFICE MORTGAGEE SERIAl. NO. .~chorage, Alas~ ~e First National B~k of ~chora~e 111-013422-222 M~OA~ ~ S~NSOR ~E~ ADDRESS River, Alaska Jesse H. & Ma~ A. Hall Lot 9, Block 1, Benito S/D, Genora, Eagle I (If Yes, how m~) ~ ~blic system ~ ~uni, system ~ Individual _~ ~blic system ~ ,~mmunity system ~ Individual ~ ~ Y. ~ No PART ..--TO CO PLmO BY . ALT. DEPARTMENT ~ ..... ~ ~-~---~ ......................... ~-__~. ~ ' __ . . .-~.~ ~- --~ - ~.___~ - ~ ~ ~ ..... ~__ ....~ ~ .... : --- , ] ~ ~ ..... ~-~ It is the opin~n o~ ~e ~ Sate ~ Coun~ ~ ~al Department of Health that this individual water-supply system ~ is ~ is not satisfactory as a domestic water supply for the subject proart. It is the opinion of the ~ State ~ County ~ L~al Department of Health that this individual sewage-disposal sys- tem with proof maintenance: ~ is not likely/o c~at an i nit~ condition ~nnot be exacted to run.ion satisfactorily ~ ~ exp~t~'~nction satisfactorily, and ~ an inff~ 5/12/72 .! Env~ r'0nmental Speciallst NO The he au~od~ should complete the appropriate o~nlon statement above and affix date, signature and rifle In the ~ p~vi~d. /