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. /
