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HomeMy WebLinkAboutT12N R3W SEC 25 S2SE4SW4NW4NE4 ,'IUNICIPALITY 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 PHONE [] NEW NAME ~IAI LING ADDRESS S.~,~, 599 v LEGAL DESCRIPTION LOCATION '~ 'Itl I')U') 'J~-/ /')f '/'-/ NO, OF BEDROOMS ILiq. capacity in gallons IF HOMEMADE ~,S,A,C,,O: I"~'' Manufacturer NO. of bnes I Length of each line Top of tile to finish grade DISTANCE TO Budding foundation Type of crib Crib diameter DISTANCE TO: Well IAbsorlStlon area Dwelling Material Inside length Width Material-l~ ~O F°undati°n~l 0 I Nearest lot line Total length of lines Trench w dth inches Material beneath tile ] ! { ~n~ inches Depth PERMIT NO. Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance between mines Total effective absorption area PERMIT NO, Crib depth Building foundation Driller Sewer line Total effective absorption area Nearest lot line Septic tank Absorption area(s) Distance to lot line PERMIT NO. OTHER PIPE MATERIALS SOl L TEST RATING iNSTALLER REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3~78) F'ERMIT NO. ( 788588 ) DEPRRTMENT OF HERLTb;' RN[~' ENVIRONMENTRL FF. ET~_.flCN ,-,o= 'L" c '--' ...... 99501 o ...... TREE F.,. HNCHOf*.~OE., 264-4?28 FIPPLIC:RNT F-E2 STE:WRRT_ SRR '~88',/ LQCRI'ION G~I NF~r~[- LEGRL ¢o~. ~, LOT SIZE :,=~, T'I.2N R]:W _,E, LM ~c44 ~, ,_,4 0 St:.!URRE FEET THE REE'.UIRED :,I~-E OF THE :,uIL HB_-,CRPI'I_N SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH '::tN FEET) OF THE TRENCH OR DRRINFIE]-D. THE DEPTH OF R TRENCH OR PI]' IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE E>';CR"/RTION (IN FEET). 'FF~E TRENCH [.-I I [:.TFI I S b]. *Z~E~i~ ECEZE%' THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIF'E RND THE BOTTOM OF THE EXCRVRTION (IN FEE~). .... · =:; '-- %L ;=--"i -=Z; ~ ...... ' "--:' PEF.:MIT RPPLICRNT HFt=,'~ THE RE_-,PON_,IE, ILIT~' ~ ~ " " TO INFORM THIS [>EPRRTMENT D. F'I[',I3 THE IN=,TIqLLHTION INSPECTIONS OF RNY WELLS RDJRCENT TO THI--, FR_FERT~ RND THE NUMBER OF RE_-,IDENUE_, THRT THE WELL WILL _,ER,E. BRCKFILLING OF RNY _,T_,TEH WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEF~SIRTMENT WILL E:E SUBJECT TO F'ROSECOTION. 'IlNIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL. SYSTEM IS ~L00 FEET FOR R PRIYRTE WELt.; OR 150 TO 200 FEET FROM FI PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MRS' FIPPLY. SPECIFICRTIONS RND CONSTRUC'rION DIRGRBMS FIRE FIYRILRBLE TO INSURE PROPEl;.'. INSTRLLRTION. I CERTIFY THRT :1~: I AM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RN[:, WELLS RS SET FORTH BY THE MUNICIPFILITY OF RNCHORRGE. 2; I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-.SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. .~ I Gr~.': ..... ~--~==~----~ ........ --=~-~- - CONSULTING GEOLOGIST sOX 476-M, STAR ROUTE A - ANCHORAGE, ALASKA 9950? SOILS LOG Performed Location 16 18 2O Soil Type Water Level Remarks si\¥ / Total Depth of Excavation Groundmat er ~ Not Reached Depth, if Reached Classification Method O0 Visual ( ) Sieve Analysis () /0' Material at Total Dept]L Bedrock ( ) Not Reached Depth, if Reached I)~-N~'eS ~"--> ~ Gary F. Player, Consulting Geologist Gt~TER ANCHORAGE AREA BORO~-~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME I'v,?i, LOCATION SEPTIC TANK: MAILING ADDRESS LEGAL DESCRIPTIO~ YN DISTANCE FROM WELL. .MATERIAl ~-O/Y~j~ LIQUID CAPACITY J-~o (~) GALLONS. INSIDE LENGTH NUMBER OF COMPARTMENTS / INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF FITS / OUTSIDE DIAMETER LINING MATERIAL NEAREST LOT LINE. OR WIDTH ~/ DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)~ , LENGTH O DEPTH BUILDING FOUNDATION ~. CO ~L SQ~ FT. TILE DRAIN FIELD: DISTANCE FROM WELl NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE , FOUNDATION DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE NEAREST LOT LINE TRENCH WIDTH DEPTH OF FILTER MATER AL BENEATH TIL~ TOTAL LENGTH , GE LINES IN. TOTAL EFFECilVE IN. ABOVE TILE__ WELL: LOT LINE TYPE , DEPTH NEAREST · SEWER LINE SEPTIC · TANK DISTANCE FROM , BUILDING FOUNDATION SEEPAGE . SYSTEM WATER SAMPLE CESSPOOt NEAREST OTHER , SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE APPROVED HEALTH AUTHORITY ~*^"-~'-~ C,I{EATEK NCHORAC, E AREA ,__,')ROUC. It C~No. ~ HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-25 ll ~AME OF APPLICANT ~/~////~/~/ -'~'~'d//O~//- MAILING ADDRESS~)~ _~d-N PHONE NO. ~ES]DENCE ADDhESS (,~?~ ..~, £~%/Z,~,O LOCATION 0E mSTALLATmN APPUCAT~ON T6 INSTAk~L: SEPTIC TANK V/ , SEEPAGE PIT. ~ , ~A~ H~LD , OTHE~ TO SERVE THE.FOLLOWIN~.~CILITY '~Op ~,~ ~,,~,~ ,'EST RESULTS~ 4- - / ANTICIPATED DATE 0F COMPLETION . r ~'~ : ~ELOW T~BE FILLED OUT BY HEALTH DEPARTMENT [HI8 18 10, SEB~[ ~8 ~ P[B~II lfl 1~81~kk A SEEPAGE DIAGRA~ OF SYSTEM // ~.~;~th-~uth°rit~ I certify that I am familiar with the requirements of Greater Anchorage Area Borough~Ordinance ND. 8-68 m~fl that~e above described system is in accordance with said code. DATE ¢/t/~ APPLICANTS SIGNATURE ~'- '//~'/~~ -.~a~: ~! - '~ DATE'RECEIVED ~-~ >~ INSPECTION APPOINTMENTS ~ ~ V~'ME ' TIME TIME DATE DATE DATE .NSPECTOR ,.SPEDTOR .NSPBCTO% MUNICIPALITY OF ANCHORA~ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & 99501 ) ENVIRONMENTAL SANITATION DIVISION ~ ~ ~ Ig81 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts orl psge 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. MAIEIN~ ~DDR ESS I PROPERTY RESIDENT {If different f[om above) ~ PHONE 2. BUYER PHONE B. LEOAL DESCRIPTION~ C'~'~ ;TREET LOCATION ~ / / - NUMBER OF~BEDROOMS, ' 6. TYPE OF RESIDENCE ~ One ~ ~o~;~ ~ Other~ ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six ~,~,DIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ~ COMMUNITY ~ since June 1975. For wells drilled prior to that date, give well [~] PUBLIC UTI LITY depth (attach log if avaiJable.) ~ INDIVIDUAL/ON-SITE** /¢ T~ YEAR 0N-SITE SYSTEM WAS INSTALLED. ~ PUBLIC UTILITY NOTE: THE iNSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010/~ev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER ~"~ULTIPLE FAMILY [] TWO ~" FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [~ iNDiViDUAL DEPTH OF WELL [~MMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON DATE I NSTALLE~D · ~ ~ []PUBLIC UTILITY ,'~.2~5~ c~'~l~~.:.~ Connection Verified INSTALLER ~ ~, _~ / ~ []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING f--' ~ give dimensions: TYPE OF TANK MANUFACTURER r TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line_ I Nearoat Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~'~APPROVED FOR 4~ BEDROOMS [] CQNDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev, 6/79) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264.4111 GEORGE M. SUt LIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION June 18, 1981 J. Michael/Judith Crowe Bundy Star Route A Box 2388-V Anchorage, Alaska 99507 Subject: T12N R3W Section 25 S½ SE¼ SW¼ NW¼ NE¼ Approval for the individual sewer and water cannot be granted until the following items completed: (2) facilities have been The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street; for our review. The septic tank pumped with a receipt submitted to this office. If there are any further questions¢ please call this office at 264~4720. Sincerely, James::S. Roberts Environmenbal Specialist JSR/ljw CC: Carol Maker % Realty Center Inc. 8301 Arctic Boulevard 99502 #1: Time Date Insp · /"~-NUNICiPALITY OF ANCHORAGF-~ .. DEPARTME /F HEALTH AND ENVIRONME~' ~ROTECTION .... ,82~ L Street, Anchorage, AlasKa 99501 · ,, "264-4720 Date Received: 2: 3~ ~.m. #2: Time /~'~ #3: Time ~781'/ ~ Date ~~L~ Date Pr~_t Insp ~; ~#~ Insp February 22, 197~ REQUEST FoR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Mailing Address: Phone: 2. Proper~y Owner: Ed Stewart Phone: 344-8319 Mailing Address: Star Route A Box 393X 99507 277-865]./w 3. Legal Description: T12N R3W Section 25 ~ ~ ............... 4: single Family Residence: ( ) Number of Bedrooms: Multiple Family Residence: (x) Number of Bedrooms: ~our Well System: Permit # Construction Individual well (~ Community/Public System ( ) Depth of Well 127' Well Log on File B~cterial Analysis ( ) Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (z) Public Installed Installer utility ( ) Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ,~ i, ,, .~UNICIPALITY OF ANCHORAG'~ //~/ ' ' 825 L Street, Anchorage, Alaska 9~50! ~ -"~"~'~quest for Approval of Individual Sewer and water ~lities ~' Property Owner: Mailing Address: Phone ~k Name of Buyer: -- Mailing Address: Lending Institution: Mailing Address: Phone: Phone: Realtor/Agent: Mailing Address: Phone: Legal Description: Street Location: Single Family Residence: Multiple Family Residence: ( Number of Bedrooms: (~ Number of Bedrooms: Water Supply: * Individual Well ~/Public/Community System If Individual Well, well depth If Community System, name of system ( ) Sewage Disposal System: *~n-sJ.te System ~ Public System If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 p~l~ TW3O. 'Department of Healt~ and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: T12N R3W Section 25 S½ SE% SW¼ NW¼ NE¼ Comments: I~ c ~ , n (, -TWa. ff. Affadavit Attached: Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: ~( April 24, 1978 File senior Enviro~u-aental Specialist ~12N R3W Section 25 S½ SE{~ S~.~ Ed Stewart Property Review of the subject property, ioe., well quality and on-sit~ sewage disposal, ~s conducted between this department, Kyle Cherry of the Department of ~nvironmental Conservation, and Earl Clabo, exeavator and agent for the upgrading, ~esulted in the following: (1) Well - analysis results in ooliform bacteria. Currently a chlorinate i~ in service. The contam~natio problem must be resolved or a new ~ell risked. (2) Sewer - a holding tank is the °nly viable method agreed upon. Location must be eighty(80) feet from the wello Depending upon outcome of tt~e well, the holding tank will necessitate a llft ~tatton if the existing well is utilized. Les N. Buchholz, Senior EnvirOnmental Specialist I2-..u~/I J h DEPT. OF ENVIRONMENTAL CONSERVATION SOUTII£E,~ITflAL REOIOIVAL OFFICE / $3B OE~VALI STOEFI' / MacKAY OUILDI~YG, ROOM 1~ A/VCIIORAOE ~9591 April 19, t978 Mr. Joe Blair, R.S. Environmental Services Manager Anchoarge Municipality Department of Health and Environmental Protection 825 L Street Anchorage, AK 99502 Subject: T12N, R3W, Section 25, 5 1/2, SE 1/4, SW 1/4, NE 1/4 Ed Stewart Property Dear Mr. Blair: I am writing in response to your letter of April 11, 1978, which was concerned with the well and sewage disposal system on the subject property. Contrary to the statement in your letter, Mr. Clabo was informed that the only way we would become involved in this problem was by your invitation and that the only way a waiver would be considered was through the normal process with us acting on your department recom- mendations. I am confused and concerned by this apparent departure from the long standing policy and procedure we have used. It is not our intent to become unilaterally involved in this issue and would expect the normal procedure to be followed for any waiver you feel would be in order. If no waiver is ~% order as you know better than I your decision is the one of record in this matter and we would expect not to be involved at all. Sincerely, Kyle J. Cherry Regional Environmental Supervisor cc: Earl Clabo sv  Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received _~/~'fl~ ..//~ ~-$ Time of Inspection ~ =~ ~ Date of Inspection /~ REQUEST FOR APPROVAL OF FOR ' o o 4. 5. 6. Approval requested by: Mail ing Addres Phone: Property Owner: ~--~'/-~' ~~hO ne Mailing Address: ~ ~o~ Legal Description: ~ Location: ~/~ Type of facility to be inspected Well Data: C. Comstruction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal 1. Size 1.' Absorption Area Field: Total length Of lines, B. Installer ~,/'/Z. /~~ 2. Manufacturer 2. Material Distances: A. Well to: Septic tank , Absorption area Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank ~/' , Abs6rption area C. Absorption area to nearest lot line EQ-03~ (1/74) Page 1 of two pages 'GREAI'ER.,ANCH'ORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: ~Jq ~. ~-~R~{ cZ-_, ~-~-I-- Mai,lin9 Address: Day Phone, CONV ~' 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or.Agent: Mailing Address: Day PhOne Phone ,~' ,~ ¢');s,-o/ Phone ~"7-7-~oI23 Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual~: depth of well ]~0 9. Sewage Disposal System Type of System:. Public Utility If Individual, date of installation Individual (on-site) eq-037 ()/74) · '~P~ge '2,,of two pages - ReK~-'~'for Approval of Individual :--"-'x& Water Facilities Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) £~ln Stewart Anchorage, Alaska 99507 SUBJgCT: Duplex located on the S 1/2, $[1/4, Sg 1/4, ~d 1/4, HE 1/4, Section 25, 712H, R3H, Oear Hr.' Stewart: An Inspection of the wa:er and sewer systems serving the subject property was made on ~ove~ber 2&, 1974. The inspection revealed that the distances to the semi-public well are not adequate. The distance Cro~the well to the septictank ls approxt- mt~ly §0' and the dtstance to the mtddle of seepage pit ts 75'. The required distances are 80' fro~ an existing sam1 pbb11¢ well to the septlc tank and 120' from the well to the ~qses~edgd_jL~Of the seepage pit. The water sample taken at the time of the Inspection proved to be unsatis- factory. After the wel~ has been disinfected as discussed tn our telephone conversation of December 3, 1974, the ~ater will have to be resampled. Samples will have to be taken weekly for · ~onth to insure that the well does not become recontamlnated. The well dtstance~ will have to be obtained by either moving the sewer system or relocating the well to be tn compliance with State and Borough laws. To prevent legal action, please notify this office wtthtn 30 days of re- ceipt of this letter ~tth a compliance schedule concerning the relocation of the sewer o~ the well. Sincerely, Lynn Coad~ Sanitarian IX LC/ko cc: Jean.Smith Realty Certified ~o, 740413 SENDER: BeWare fo follow insfractlons on other slde PLEASE FURNISH ~RVICE(S) INDICATED. BY CHECKED BLOCK(S) , Showto whoni, date and address De~iver ONLY ~ where delivered ~ to addressee ~ec. 25, T12H, ~[4eiv~ejf~'e RECEIPT numbered article described below Stewart/Coad CERTIFIED 740413 ko ~ 2/4//f4 Department of Environmental Quality 3330 C. St. Anchorage, Alaska 99501 Att, Mr. Lyn Coad: This letter is in response to your request to move either our well or the septic leach tank. After reviewing the situation with the builder as well as an engineer, we ~eel that the best solution is to move the leach tank. We will contact the Department of Environmental Quality to obtain a permit as soon as breakup allows a person to actually get into that area. Considering the amount of snow that we have had this year, I don't think that we will be able to dQ much on moving the septic leach tank until about June or July, I will be in contact with you as this develops. If I can provide you with any other information please don't hesitate to ask, Sincerely, Ed C. Stewart St. Rt. A Box 393-X Anchorage, Alaska 99507 DEPT. OF ENVIRONMENTAL CONSERVATION / June 9, 1975 Mr. Lynn Coad Department of Environmental Quality Greater Anchorage Area Borough 3330 C Street Anchorage, AK 99503 Subject: S 1/2, SE 1/4, SW 1/4, NE 1/4, SEC 25, T12N, R3W (Ed Stewart Property) Dear Mr. Coad: If the filter and chlorinator are installed on the water sup- ply on the subject property, we have no objection to the continued use of this supply. It is not our intent to inter- fere with the decision to move the septic system, but based on the information we have seen, it would be well to thoroughly investigate the bedrock situation before moving the system to a new location. Yours truly, yle J. C y, ~. Regional Environmental Supervisor U ~-£0~£ 'ON // / o~ I LL] I