HomeMy WebLinkAboutSUNDI LAKE BLK 2 LT 5A011
A
i~ ~ MUNICIPALITY OF ANCHORAGE ~¥...z
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
',ll.~! ~.l~ ,~ ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAM E ~~LL~ ~f O~/] P~'~-N E ~NEW
~PGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO, OF BESOMS
DISTANCE TO: [
Well
~ Absorption area Dwelling PERMIT NO.
I
7
~h~<h z Manu facture~ ~ ~ateria~ / ~o. of con~artments
Liq. capacity in gallons Inside length Width Liquid depth
~ IF HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
~_~O Z ~ Manufacturer Material Liquid capacity in gallons
Q Well Foundation Nearest lot line PERMIT NO.
~ DISTANCE TO:
~ Z No. of lines Length of each line Total length of lines Trench width
Distance
between
lines
~ inches
~ Top of tile to finish grade Material beneath tile Total effective absorption area
OTHER
.EMARKS ~ ~
72-013 (Rev. 3/78)
PERMIT NO.
'DEPBRTMENT OF HEBLTH BND ENVIRONMENTFIL PROTECTION
825 "L' STREET, RNCHORRGE., RK. 995E15
254-4720
( 8:~8727 )
RPPLIE:RNT
LOCRTION
LEGRL
P & D CONST. SR 9:~05 HI-LRND RD,., E.R.
82]:5 EDNICOTT (OWNER:DON LOCKMRN)
L5FI B2 SUNDI LFtKE S,.-"D LOT SIZE
6D4-.-4248
~0000 SQURRE FEET
TYPE OF SOIL. RBSORPTION SYS'f'EM IS: TRENCH
MR'XIMUM NUMBER OF BEDROOMS = 5
SOIL RFITING (S~;! FT,."BR)= 100
THE REE~U!RED SIZE OF ]"HE SOIL RBSORPTION SYSTEM IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURFRCE OF THE
GROUND FIND THE BOTTOM OF THE EXCRVR-I"ION (IN FEET).
THERE IS NO SET WIDTH FBR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRMEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE E',:<CR'¢FI"FION (IN FEET).
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTFILLF4TION INSPECTIONS OF FINY WELLS RDJRCENT TO THIS PROPERT'¢ FIND THE
NUMBER OF RESIDENBES THRT THE WELL WILL SERVE.
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION hIND RPPROMRL BY THIS
DEPFIRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN ~.r~ WELL RND RNY ON-SITE SEt.,.IRGE DISPOSRL SYSTEM tS
-1_00 FEET FOR B PRI'v'FITE WELL OR :].50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTRNCE FR. BMR PRI'v'RTE W. ELL TO R PRI',,,'RTE SEWER LINE IS 25 FEET
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQIjIREMENTS MR"r' RPPLY. SPECIFICFITIONS FIN[." CONSTRLICTION DIFIGRRMS RRE
R',,,'FIILRBLE TO INSURE PROPER INSTFILLRTION.
I CERTIFY THRT
1: I RM FFIMIL. IF!R WITH ]"HE REOIJlREMENTS FOR ON--z, ITE _,EHER_, RND HELL_, RS CbT
FORTH BY THE MI...INICIPRLITY OF RNCHORRGE.
UO[. E_,.
2: I WILL ].Nz,]HLL THE :,t=,]EM IN RCCORDFINCE HITH THE .... '=
s, ....................
ISSI_iED , _~.~ ............... - ....._~=~. .... V4. 0
ALASKA I nuIRonmfl]TAL CONTROL SI RUIC S,
~ncjineerin§ 8 ~nuironmento[ $1udies
InC.
7/2/81
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PF,'OTECTION
JUL 1 ? 1981
RECEIVED
DON & NANCY LOCKMAN
8235 ENDICOTT
ANCHORAGE AK 99502
SELLER - DON & NANCY LOCKMAN
SUBDIVUSIO N-SUN DI LAKE BLOCK-2 LOT-5-A
THE TYPE OF ABSORPTION SYSTEM 3~ A PIT WITH AN UNKNOWN AREA.
THE SYSTEM ]~ CAPABLE OF ACCEPTING 750 GALLONS OF WATER PER DAY.
BASED UPON THE TEST DATA THE SYSTEM ]B ACCEPTABLE FOR A ....
5 BEDROOM HOME. /"
THE SEPTIC TANK WAS PUMPED ON 7/2/81 .
THE AVERAGE FLOW RATE WAS 3 GPM FOR A 3.5 HR TEST. Cl~-//)~'
THE SEPTIC TANK SIZE IS 1000 GALLONS.
1220 LUcst 25th/~uenue. Anchora§e, Alasb 99503 · (907) 276-~361
¢ ~ D ~_.~ RECEIVED
: ~ iNSPECTi 'ON~N APPOINTMENTS
TIM'~ \ TIME TIME
DATE DATE , DATE
INSPECTOR INSPECTOR I NSPECTOF~ J:E:3~0J
~UNICIPALITY OF ANCHORAGE
~UNICIPALITY OF ANCHORAGE DEPT· OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ONMENTAL P~OTECTION
82B L Street - Anchorage, Alask~ 99501
{ ENVIRONMENTAL SANITATION DIVISION JUL 2 ? 1981
Telephone 264-4720 RECEIVED
REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing.
1, P OPERTYOWNER PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER / PHONE
3, LENDING INSTITUTION I PHONE
MAILING ADDRESS
JE, LEGAL DESCRIPTION
iTREET LOCATION
TYPE OF RESIDENCE
~SINGLE FAMILY
~ MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One [] Four
[] Two [3~ Five
[] Three [] Six
Other
7. WATER SUPPLY
E]~l NDIVI DUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach Icg if available.)
SEWAGE DISPOSAL SYSTEM
(~]~'iN DI V I D UA L/O N-SI TE * *
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
~'~, INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified iNSTALLER
[]Septic Tank or []Holding Tank
Size:_ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AR EA MATERIAL
4. DISTANCESwELL TO: Septic/HoldingTank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
J i;PROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/70)
P~O~E~IoN
Donald H. and Nangy A. Loc~an ~ ' J m 276-3440
N/A J
: ~ R~fi~n~in~- property s~e ' -
Alaska Mutual Savings Bank ATTN: Debbie Johnson j274-3561 ext.
Po 0. Box 1120, Anchorage, Alaska 00510
:49
_L 5 ,_ ]~_2_.b ~.u_u._d.~_ ~Ake _Subd~:r. vis-t ou
SINGLE FAMILY
MULTIPLE FAMILY
,,~
COMMUNITY
PdBLIC UTILITY
INi}IV{ DUAI_/ON-SI-FE' *
PUBI_IC UTILITY
99502
NUMBER OF 8ED~IOOh4S
,_rz] One FJ :our
[] Two ~-1 '=ive
[-3 Three ~,~ Six
[] Othe~
,q( ..... I hE IIqSPEC'F{ON FEE ~.tlUST ACCOMFANY EACH qEQUESi' BEFORE PROC~S$IFJG CAN GE INITIATED.
ATI'ACH WELL. LOG. P, weiJ iou ~s ;equh'ed fo~ ali weU., driHcd
since June /975. Fo~ wells drilled Brior to that date, §iw; well
dm)th (attach lo9 [ available.)
'-if indi ~,iduai/on-she. ~ive ihstaHation aa,e ~= ~_¢~
if system Is over two [2) years o!d all adequacy ~csr Is required
1. TYPE OF I{ESIDENCE ...................
~i SINGI.E FAMII.Y E~J ONE ~ TlflREE L%~ ¢IVE [~ OTHER
[~ MUI_TIPI_E FAMILY F~ TWO L%I FOUR ~ SIX
PERMIT NUMBER
2. WATER SUPPLY
~ INDIVIDUAL DEPTR OF WELl.
[~J COMMUN TY
f~} PUBLIC UTILITY
Cocu;ec[io~ Verified LOG RECEIVED
3. SEWAGE D'ISPOSAL SYSTEM PERMIT NUMBER
L, [N D~k, IL tJALiON -SITE ~E INST~E~G
I;7i PUBLIC U'¢I L!YY
Connection Verified
, - ........... INSTALt. ER
[_ JSr:plic 'Fa~fi( et ~ Ho d'llg T
Siz(~: .......... If Ta ~ ( is homemade SOILS RATING , .
APPROVED FOR ............ BEDROOMS
CONDITIONAL APPROVAL (letter must accompany certificate)
825 "1 "STR[E-F
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEOBGE vi. SULLIVAN,
MAYOR
July 23, 1979
~J2)
(3)
(5)
Donald M./Nancy A. Lockman
8235 Endicott Street
Anchorage, Alaska 99502
Subject: Lot 5 Block 2 Sundi Lake Subdivision
Approval for your individual sewer and water facilities
can not be granted until the following items have been
(1) Exp6se the well for our inspection to determine proper
construction, also to insure the minimum distance
requirements are met b~tw~en your well and~ewer system.
The water analysis report be delivered to this office
from Chem Lab, 5633 B Street, for our review.
The septic tank pumped with a receipt submitted to
this office.
A four(4) inch cast iron cleanout needs to be installed
in the septic tank and/or leaching area.
A percolation test be performed on the existing leaghing
area. This test will determine if the system is adequate
according to National Standards. A listing of private
firms performing the test is enclosed.
Please notify this department for a re-inspection when the
noted descrepancies have been corrected. If there are any
further questions, please contact this office at 264-4720.
Sincerely,
Robert C. Pratt, R.£
Associate Specialist
CC:
Alaska Mutual Savings Bank
Attention: Debbie Johnson
Post Office Box 1120 99510