HomeMy WebLinkAboutT12N R3W SEC 23 PARCEL 26F ~ 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
D & B GENERAL, INC./ WARREN SANDERS
PHONE []NEW
349-6965 E~UPGRADE
~A'Lp].~.~O~S~0-1349, Anchorage, Alaska 99511
LEGAL DESCRIPTION
Lot 26 F T12N R3W S23 ~)~- ~.~I-~Z)~
LOCATION NO. OF BEDROOMS
Ridgecrest Drive 3
L
Manufacturer G:;ceez'
I000 ............... :
Manufacturer
D,STANCETO: IWe" .06'
No. of lines Len§th of each line
Class
DISTANCE TO:
IAbsorption ~r~ea Dwelling
Width 30'
Material
Inside length
Dwelling
Material
STL
Liquid depth
PERMIT NO.
Foundation ~6' I Nearest lot line~.~
Total length of lines ] Trench width
70' I 24inches
Materiel beneath tile
60 inches
Depth
Crib depth
Building foundation
Depth Driller
Sewer line
PERMIT NO.
810361
No. of compartments
Liquid capacity in gallons
PERMIT NS10361
Building foundation
Distance between lines
~/~
Total effective absorption are~
PERMIT NO.
Total effective absorption alea
Nearest lot line
Septic tank
Distance to lot line
70o
OTHER
PIPE MATERIALS
SOILTEST RATING
INSTAELER
D & B GENERAL, INC.
REMARKS
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
PERMIT NO.
DEPRRTMENT C,~. HERLTH RND ENMIRONMENTF~L ?~OTECTION
825 "[ STREET., RNCHORt~GE., RK.
264-4720
( 8i0~6i )
RPF'L I CRHT
LOCRT I ON
EuRL
NRRF-:EN SRNDEF.:S 175G SCENIC I.',IR'¢
RIDGECREST DRI
'= -' '-'.:' ~" 'p LOT -,I,.-E
Ti2N R3M -,EL.=-=. FHR_.EL 26-F "-' TM
272-0-.57'1
iE000 SQIJRRE FEET
lYF_ OF =,OIL RE,_,uRFFION =,~-=,TEM IS: TRENCH
MR:,..',IMUM NUME, ER OF EE['.,ROOMS = =,
'--]OIL RRTING ,::SQ FT,.'BR)= 214
THE REQUIRED .=,I~.E OF THE '~OIL RE,=,OF-.FTILN ='rz, TEM
[:.EPTH= E L,E ~'-4 L3 T H ..... 5
~.._ G F-:R %."EL [:.EPT[4= 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRR',/EL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE E:,,',CRVRTION (IN FEET).
---- E,-- -- G R L L 0 ~'q":';
PERMIT RPPLICFtNT HRS THE F..E=,FLN_IE, ILIT'r TO INFI]RM THIS DEPRRTMENT [:,LIRINI3
INSTRLLRTION INSPECTIONS OF RNY WELLS RD.fRRENT TO THIS PROF'ERT~' RND THE
NUME, ER OF RE=,I[ENuE_, THRT THE MELL WTLL SERVE.
THE
T ~..~ C~ .:'. ="--" .':. I F~qP E,-: T_ _ I b~ i'-~_=--. RF~:E F-: E L]~. IJ T
BHL. k. FILLINL~ OF RNY _-,~=,TEM WITHOUT FINFIL INC, PECTION RN[:, RPPR. OVFtL B'¢ THIL-]
' '- 'TI-'
DEPRRTblENT WILL BE =,UB..E_.T TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN ~ WELL RND RN¥ ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE MELL OR t50 TO 200 FEET FROM ~ PUBLIC MELL DEPENDING
UPON THE TYPE OF PUBLIC NELL
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 ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MRY BPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS 8RE
RVRIL. RBLE TO INSURE PROPER INSTRLLRTION.
I CERTIFY THRT
i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND 14ELLS RS SET
FORTH BY THE MUNICIPRLIT9 OF RNCHORRGE.
2: I MILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE COPES.
3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN % BEDROOMS.
,I uNE[ ...........................................
RF FI.I _.FINT WRRR. EN _,RN£ ER_
ISSUED BY_ ............................... [:'RTE-~-~l-~,-~l ..... ',/4. 0
--- /~-'!NICIPALITY OF ANCHORAGE
, Department o~ Health and Environmental ~otection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT
~\~ WELL ANiON-SITE SEWER PERMIT
Location: ~~ ~/~ Phone Number: ~Qk- ~ (
Legal Description: '-~%~k~ ~3 ~J~ ~not Size: / d
Type of Soil Absorption System Is:
Trench: ~.~_ Drainfield: Seepage Bed: __ Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) ~/~
The Required Size of the Soil Absorption System Is:
DEPTH LENGTH ~' _ GRAVEL DEPTH 'DA--' WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /6'~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days Of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 1 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more ~that 3 b~rooms.
Applicant Date: ~ ;~ ~ ~ I
SWP/024 (1/81)
~'"' SOl LS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
PERCOLATION
TEST
SOILS LOG - PERCOLATION TEST
4
5
6
7-
10-
11
12
13
14
15
-16
17
18
19
20-
COMMENTS
DATE PERFORMED:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
S{TE PLAN
0
P
E
PERCOLATION RATE ~/ (minutes/inch)
TEST RUN BETWEEN ~ FT AND (~O FT
Gross Net Depth tO Net
Reading Date
Time Time Water Drop
-~3 n ~:~o tO , ~0 o.oq
~ ~ . ~:~ tO .7~ o,oH
CERTIFIED BY:
72-008 (6/79)
*This well is producing
gallons.~.,water per hour.
INVOI~E
MOON DRILLING
SR BOX 668, BOGARD RD.
PALMER, ALASKA 99645
TELEPHONE 745-4071
Lot BIk Sub
Set pump
WELL LOG
CASIN FORMATION
PLEASE PAY FROM THIS INVOICE
ANCHORAGE, ALASKA 99501
(907) 264 4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENTOF HEALTR AND ENVIRONMENTAL PROTECTION
September 4, 1981
Warren Sanders
724 East 15th Avenue
Anchorage, Alaska 99501
Subject: T12N R3W Section 23 Parcel 26F
Approval for the individual sewer and water facilities
cannot be granted until the following items h&ve been
completed:
i~U[!~(1)v~ The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
(2) Exposed electrical wires to the well head are in
violation of the Municipality of Anchorage codes and
must be encased in condiut.
(3)
The depression around the well casing needs to be
filled in with impervious type soils so that it slopes
away from the well.
(4) We have not received the as-builts of the installation
of the on-site sewer system. If a private engineer has
< inspected the installation, please have them send us the
report for our files and review.
Notify this office for a reinspection when the noted descrepancies
have been corrected. If there are any further questions,
please call this office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Alaska Statebank
310 East Northern Lights Boulevard
99503
- DATE RECEIVED
"~" ~ INSPECTION APPOINTMENTS C~C4-~-~2-'/--('~-P-~ _ ' ~
TIME TIME TIME '
DATE DATE DATE
INSPECTOR INSPECTOR iNSPECTOR ~r~,
~UNIC~PALI~ OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVl RONMENTAL PROTECTI~VI~ONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION AUG S 8 I981
Telephone 264-4720 R E C E i V E D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete ail parts on page 1, Incomplete reques~ will not be processed, Please allow ten (10) days for processing.
PROPERTY RESIDENT (If different from above) PHONE
MAI LING AD DR ESS
3, LENDING INSTITUTION PHONE
MAI LING ADDR ESS
4, REALTOR/AGEN~ PHONE
MAILING ADDRESS
S. LEGAL DESCRIPTION
6. TYPE OF RESIDENCE
)~' SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER ~,BEDROOMS
[] One ~ Four
~ Two ~ Five
~ Three ~ Six
Other
7.WATER~PPLYiNDiViDUAL. ~ ~'0/z'/~-~ *ATTACH WELL LOG. A well Icg is required for allwells drilled ·
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI I~ITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE~ ~',// YEAR ON-SITE SYSTEM WAS INSTALLED,
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
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
Connect[on Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~INDIVIDUAL/ON -SITE DATE INSTALLED
EDPUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or []Holding Tank
Size: __ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCESwELL TO: Septic/Holdina Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[~'~APPROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED d~
DATE BY~
72-010 (Rev. 6/79)