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Home My WebLink AboutT12N R3W SEC 22 LT 40A ~ . MUNICIPALITY OF ANCHORAGE · ,//~,~ ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 11~,,~¢'~2)) ENVIRONMENTAL ENGINEERING DIVISION ~ ~-~'~/~ 825 L Street- Anchorage. Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION DISTANCE TO: LOCATION Liq, capacity in gallons I F HOMEMADE: DISTANCE TO: Well Manufacturer Well DISTANCE TO: No. oftines Length_of ac I' Top of tile to inis gra e Length Width DISTANCE TO Budding foundation Type of crib Crib diameter Well DISTANCE Class Depth Absorption area Dwelling Material Insidelength Width Dwelling Material Foundation Nearest 17(~e~ Trench width inches tPHONE , ,~J E~NEW NO. O F~2~.~ROOMS No, of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERM'TN02¢ ,' ? Distance between lines Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ~_~.~.~, SOIL TEST RATING INSTAELER REMARKS 72-013 (Rev. 3/78) PERMIT NO. ( 8~0025 ) RPPLICRNT ROGER E. WILLIS LOCFITION BIRCH RORD LEGRL LOT'40R SEC 22 T12N R~N TYPE OF SOIL FIBSORPTION SYSTEM IS: X C: I F'RL I T%'" DEPARTMENT HERLTH AN[:, ENVIRONMENTRL JTEuTIJN 825 "~--¢ STREET., RNCFIORRGE., AK. 264-4728 BOX 247~ F'RLMER, RK blRXIMUM NUMBER OF BEDROOMS TREN _.H SOIL RATING '-- .~ 43:560 SQURRE FEET LOT _,I_E ,,= ' i I =,. THE REQI_IIRED SIZE ElF THE SOIL FIE,_,ORFTICN SYSTEF1 '-' [:,EF'TH= .::k2 l_ Et'-~ L3 TH= 4;2 E~RR%.'EL DEF'TH= ¢-' THE LENGTH DZrlEN_,ZuN ~=, THE LENGTH .~N FEET~ ~-JF THE TRENCH F~F' DR~ZNFZELE. THE DEPTH OF R TRENCH OR P~T ~S THE D~STRNCE BETWEEN THE SURFACE OF THE uRU_IND AND THE E, uTTCN OF THE E;,<CRVRTD]N (ZN FEET..',. THERE Zb NO SET WZDTH FDR TRENCHE-. THE GRAVEL DEPTH ~S THE MZN~MUH DEPTH OF GRFIVEL BETWEEN THE OLITFRLL F'ZPE AND THE E, uTTCM OF THE E~<CRVRTION (IN FEET). /~ 9~ PERMIT HFFL. I..FIN1 HH_. THE RESPONSIBILITY TO INFORM THIS DEF'FIRTMENT DURING THE INSTFILLRTION INSPECTIONS OF FIN'¢ WELLS FIDJt~CENT TO THIS PF.:OPERTY RND THE · ' ' q " '1-' q ~' "' NLMBEF. OF RE_I[.EN_.E- THFIT THE WELL WILL _EF.. E. TI--~O ,:: 72 -'-, I P-ISPEC:'f I nZll'-.tS RF-:E REDS!L! ][ E:FICKFILLING OF RNY SYSTEM WITHCIUT FINFIL INSPECTION FIND RPPROVFIL BY ]'HIS DEPRRTMENT WILL BE _-.IJB~EuT TO PRCSECUTION. MINIMUM DISTFINCE BETWEEN R WELL FIND FINY ON-SITE SENRGE DISPOSAL SYSTEM IS :~E1EI FEET FOR FI PRIVRTE WELL OR 158 TO 200 FEET FROM FI PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTFINCE FROM FI PRIVFITE WELL TO FI PRIVFITE SEWER LINE IS 25 FEET FIND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MFIY FIPPLY. SPECIFICATIONS FIND CONSTRUCTION DIFIGRRMS ARE FIVFIILRBLE TO INSURE PROPER INSTRLLFITION. PEF:D1 I T E::-::F' I RES [:.EE:ED1BEF: -'::--: 1-. 1 .... ::L I CERTIFY THRT 1: IRM FRMILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPFILITY OF ANCHORAGE. 2: I WILL INSTFILL THE SYSTEM IN FICCORDRNCE WITH THE CODES. -~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MFIY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. RPF'L~:A~ R. OGER. E. WILL MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-6B0, Anchorage, Alaska 99502 276-222~ SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: ~---~.. LEGALDESOR,PT,O.:'~'~--40~' ---~=:' ~--~' 2 3 4 5 6 7 8 9 10 11 ~12 13 14 15 16 17 18 19 2O SLOPE SITE PLAN ENCOUNTERED7 OL Gross Net Depth to Net ReadingDate Time Time Water Drop ~1~ ,~:l~ ~:~/o -<" ,o John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 NEW PHONE NUMBER 276-4113 SOIL ABSORPTION SYST~ TEST P~R~ OP~M~D FOR: TELEPHONE: ~4~ DATE O~ TESTS: _ ~AL DESCRIPTION:[~w-~ -r~Z~,~x~/ .,0. OF ~ECORDS ON FIL~. .., CRIB~/Y~ DRAINFImLD~ ~ OTKER TEST PERFORMED IN ACCORDANCE WITH ~L STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ANCHORAGE, DEPT. OF ENVIROnmENTAL QUALITY ON ?iiTH THE ~LLOWING MODIFICATIONS: SURGE C~°ACITY: SOIL ABSORPTION SYST,~M (SAS) SEPTIC TA~ PLUS SAS ABSORPTION RATE AVERAGE 2~ hfs ~9, d~ ~/a~7 OBSERVATIONS: / "/~,~.~L~ ~ ~, STEADY STATE , @ RISE NOTmS: TEST DATA ATTACHED ~-~ ~ ~"~.,..'/~' DEPTH BELOW I METER READING 7-7 ~ ~ 777D 7 - +" " 4 78 77, GALLONS PUMPED T'Ii~.E S'34_ John M. Lambe, P.E. 4303 North Star $~ Anchora~, Alaska, 99503 907-279-2056 DEPTH I~EFERENCE EXISTING DRAIN FIELD TEST - PERCOLATION ADEQUACY LEGAL DESCRIPTION: Z~z--~ / ~-/~z-/ ~.~/ ~ B~0W ~ MET~ ~ADING G~LONS P~ED TIME 3; o7 /! t/ GAAB-HD-I GR:~TER ANCHORAGE AREA BOROI,~'~r"~ DI:rA'RTMENT OF ENVIFIONMElYTAL 0.UALI, ,' 3500 TUDOR ROAD ANCHORAGE, ALASKA ggs07 27g-8585 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING .,~'~ J' ..,/~¢' ADDRESS LEGAL DESCRIPTION DISTANCE FROM WELL J LIQUID CAPACITY /'~'~, ~'"'-~> GALLONS. NUMBER OF MATERIAL ~'~-~'2~.,'~-~-~'~ ~"~6'/~)~'~"=~"-'~'~-' COMPARTMENTS INSIDE LENGTH ~ INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: NUMBER OF PITS / OUTSIDE DIAMETER ~ OR WIDTH LINING MATERIAl /~'~"/"~ ~'~')///~"~"~'~.'/,'¢/"~J' · DISTANCE FROM WELt //-~"Z~ NEAREST LOT LINE /~z~ ~.-~/~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SEEPAGE PIT: , LENGTH. , DEPTH BUILDING FOUNDATION TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE // ~ ~ ~ TOTAL LENGTH · NEAREST LOT LINE_ , OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH ~'~ '~ IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ./.....~_ J/ DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE TYPE ~')..~/~-/~-'~'-~*~' DEPTH ../,~'~ / NEAREST ~,,~ d~" / SEPTIC LOT LINE '/'~"'~ z SEWER LINE TANK DISTANCE FROM WATER · BUILDING FOUNDATION. ~ / SAMPLE -~ , NEAREST ~,~ / SEEPAGE . SYSTEM /'~-*~O · CESSPOOL //*/,~ /, OTHER s o u R C E S./C"M--~',~'// DISTANCES: DIAGRAM OF SYSTEM APPROVED _ "~'G.A.A.B. ~ GAAB-HD-2 GREATE['-'. NCHORAGE AREA :' )ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case No. // NAME OF APPLICANT ~',..,T, ~I~'Z-~ 1,/,£k MAILING,ADDRESS //~' ~ HONE NO?..S4 RESIDENCE ADDRESS ~¢/~ ~¢~d ~N~]/~A~OCATI~OF INSTALLATION APPLICATION TO INSTALL: SEPTIC TANK. ., SEEPAGE PIT ,DRAIN FIELD ,OTHER BELOW TO BE FILLED gUT BY HEALTH DEPArTmEnT THIS ISTO SERVE AS AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED . SEPTIC TANK sIZE ~ TYPE c.~c/'e/~EEPAfiE AREA 'T DIAGRAM OF SYSTEM I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. /~/ ~5~ DATE p~//'' /~' /9 :/ APPUCANTS SIGNATURE . ~'-~' GREATER ANCHORAGE ArEA BorOUGH 3~00 TUDOR ROAD POUCH 6-050 aNCHORAGE. ALASKA 99502 DEPARTMENT OF ENV RONMENTAL QUALITY February 2, 1972 SubJ¢¢C: C'lur~ca d. F~nwick Proper~y on BL!4 Lo~ 4D~ .Section Y~2. ~ a ~tt approxf~ately ]0 feet fr~m the house four, claris)n, Th,, l,~n4 lcv~]~ Cons'hJ~r<,!~ the~.u~ cJrcm~/star, ce$, ~ '"" ~ystem to the wel I are met., Bank anu ~t Company Pe',;'fo~med £'o~ C.N. Fenwich ~ '*' 7/13/71 L~g ..... ~ :. ,,~i~C2~i.~.~.w_~ ............... =.- Date Per. o.,,aed Deo+h ..... Fee~ Soil ,m ,; .... ... 12-- 16~- Brown sand silt & gravel Gray silt-sand mix (ML) with poorly graded sand below 7~ intermixed with gravel by 8' Location Sketch ~n~t,=ltat~on: Leepage i'~,t X ¢ ~ .................. )eptn ~o ~o, tom Of Pit Or 220 s uare feet of dra' · Test Performed Bv' R E Drain ~D. eptb To ,H20 Net Drop GR[ATER-ANC~ORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL OUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA, 99507 279-8686 DATE RECEIVED: I~SPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR APPROVAL REQUESTED BY: /~jO/~ '5 ~r,//.z~z~_ e~ I,~-~ ADDRESS: ~/~ ~ 7 PHONE: ,~ 7¢ - S~// 2. PROPERTY OWNER: ~/~.¢=f//7~..¢~ 3. LEGAL.DESCRIPTION:,&~f~/~ 4. TYPE FACILITY TO BE INSPECTED:,~/~/f ~.~,~/STREET: BEDROOMS: 5. 6, NUMBER OF WELL DATA: A. TYPE B. DEPTH C. SIZE ~ '/ D. CONSTRUCTION E. BACTERIAL ANALYSIS SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON 1. SIZE I~ S 2. AGE :Tm/ z, 3. MANUFACTURER BACK) 4. INSTALLER AP?FRO¥~L REQUEST FOR SEWER & WATER FACILITIES PAGE TWO B. · SEEPAGE PIT 1. SIZE 1. ~UMBER OF LINES 2. TOTAL LENGTH 7. REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT C. WELL TO SEWER LINE D. WELL TO PROPERTY LINE E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK G. FOUNDAT.ION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE ,5'0'+' E.., U.], COMMENTS:. APPROVED'¢'-x//~-~ ' L./' ~/' DATE: ~/~/TJ~ DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL =7 QUALI August 14, 1978 Roger Willis Star Route A Box 1654 Anchorage~ Alaska 99507 Dear Mr, Willis: Enclosed you will find the State Regulations which makes reference to the pit wells. I hope this will be of some help to you. If theme are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pkattt Sanitarian RCP/ljw Roger A~lchorage, Alaska 99507 ,~%m3e.: TI2N Sec.. ~ 22 LOt 40A Sinc, e th~n pit we. ll~ ar~. mo lon%-er approved by the stat¢~ or legal heat~..~, co6i~s. office at 264-4/~0. P, obart C. Pratt, Sanitarian RCP/!Jw 7007 99510 T12N, A~ thspectim~ of the subject properCy reve~led that the ~ell ~am located i~ a pit ~pproxi~ately lC feet fro~,) ~he hous,~ foundation. The land slopes a~,~ay frm~ the ~:ell pit a~d the soil comti~tons arocm~ the ~ell drair~, ~ater a~<ay from the foundation of the house an:~ al~e a~ay from ~4el 1. system to the well ~re met. to contact this Sincerely, Lynn S. Coed ~t cc: People's ~ank and Trust C~p~ny Clarence ~. Fenwtck 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264~4111 GEORGE M, SULLIVAN, MAYO[? DEPARTMEN £ OF HEAl_TH AND ENVIRONMENTAL PROTECTION February 27, 1981 TO: Whom It May Concern Subject: T12N R3W Section 22 Lot 40A The well on the above subject property is presently in a pit and the top of the well casing is below ground level. In order for this to meet State and Municipal codes, the well will need to be raised twelve(12) inches above ground level and capped with a sanitary seal so that it is water tight. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C, Pratt, R.S. Associate Specialist RCP/ljw ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES )IRECTIONS: Complete all parts on page 1. Incomplete requests will not Be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER PHONE Roger Willis 349-3284 MAILING ADDRESS SPA Box 1654~ Anchorage, Alaska 99507 PROPERTY RESIDENT (If different from above} Same 2, BUYER Ray M. and Phyllis Brown PHONE Same PHONE 344-5240 MAILING ADDRESS SRA Box 1653A~ AnchorAge~ Alaska 99502 3. LENOINGINSTITOTION Peoples Bank & Trust Co. PHONE 279-7511 MAILING ADDRESS Pouch 7-007, Anchorage~ Alaska 99510 4, REALTOR/AGENT N/A PHONE MAILING ADDRESS N/A 5. LEGAL DESCRIPTION Lot 40A, T12N, R3W, Section 22 STREET LOCATION NHN Fenwick Circle, Anchorage, Alaska 6, TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUI~PLY [] INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY BE OOMS NUMBER OF ~F [] One our [] Other [] Two [] ~Five ~ ~<,J [~] Three [] Six * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE*'~ [] PUBLIC UTi LITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. $.LN3~O3 'q UOH&O [] au!q ~o'q lsaJeeU o$ eeJV uo! dJosqv J L L. A]IRVd 3-18 Ilq fl[Al [] Aq I V~IV:I 3qgNIS 3DN3OISBIJ 40 BaA1 'L XlS [] UnOd 72 OM± [] 3Aid ~7] BOUH.L L~ 3NO [] HO.LOOdSNI ................... ~q S.LNO~NIOadV NOI.LOOdSNI A]NO asn ]VIOl:ldO UOd HClIS SIH.L :SNOIlOatJld ~JOlOaaSNI Od_Va