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