HomeMy WebLinkAboutT12N R3W SEC 33 LT 30Sep_16.2022 02:41 PM Anchorage Well & Pump Service Inc 9072430742
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MUNICIPALITY OF ANCHORAGE
Development Services Department - Phone: 907343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: Date of Issue:
11
Parcel Identification Number: 01 �� -
Legal Description Block I Lot
II TI 2N R3W SEC 33 1 1 30
I Pump Installation Date: 09 - 12 - 2022
Pump Intake Depth Below Top of Well Casing: _
Pump Manufacturer's Name- FRANKLIN
Pump Model: 10FRD07P4
IPump Size: .75 hp
Property Owner Name & Address:
WEISS CASEY EUGENE
14102 FEJES RD
ANCHORAGE, AK 9951E
125 feet
Pitless Adaptor Burial Depth: 10 feet
Pitless Adapter Manufacturer's Name: MARTIN ON
iI Pidess Adapter Installer:
Well Disinfected Upon Completion? Yes 0 No
Method of Disinfection: PELLETS
Comments:
Pump Installer Name:
Company:
Mailing Address;
City:
ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
ANCHORAGE, AK 99518
907243-0740
State:
Attention: The pump installer shall provide a pump installation log to Ora -site within 30 days of pump installation.
R ANCHORAGE AREA BOR
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
'GH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME /4?Z:Z/~
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL. ~:'-~'~
INSIDE LENGTH
MANUFACTURER '-~-/¢'/¢ ~/'/(;
TILE DRAIN FIELD:
/ / / TOTAL LENGTH /
DISTANCE FROM WELL/~¢ _FOUNDATION /~' /- NEAREST LOT LINE ~'~_ _OF LINES / · ~'
NUMBER OF LINES '~ DISTANCE BETWEEN LINES TRENCH WIDTH~"~z~IIN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE ¢ ~,//~-/'/'¢/Z:-~'-' ~L~ '(~ -/
DEPTH: TOP OF TILE TO FINISH GRADE. ~ [[ DEPTH OF FILTER ~ //
MATERIAL BENEATH TILE IN. ABOVE TILE__'~'~ // IN.
WELL: /
TYPE //~/~ / ~//'~/?':~ ' CONSTRUCTION ~ ~' ~ '
~' '"~'~,'..~//'//~- '2 DEPTH //~-~ DISTANCE FROM:
BUILDING NEAREST / NEAREST /~/D
FOUNDATION~/~,j LOF LINE '-'~2'z"/'~- SEWER LINE
CESSPOOL ~ OTHER SOURCES ~
APPROVED._~ ~ DISAPPROVED_ REMARKS
SEPTIC / SEEPAGE /~¢~,
TANK'/~/~Z¢. SYSTEM '
INSTALLED BY: ~ '~:~//:~s'T"'-~
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SkOPE:
REMARKS: _
',' ' GREAIER ANCHORAGE AREA BORudGH
· '~/ ~/J~ DEPARTMENT OF ENVIRONMENTAL QUALITY
PERMIT NO,
'-?"
PHONE / /
LEGAL DESCRIPTION
INSTALLATION Of: SEPTIC TANK /IV
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH ~'~'/'~:~'
SOIL TEST RESULTS /~'~?'''~l:
COMPLETION DATE ANTICIPATED
SEEPAGE PIT /~
TO BE INSTALLED BY
, [)RAIN FIELD
OTHER.
NOTE= THIS FERMIT 15 NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION~ 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INBPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSE{~UTION.
TYPe SEEPAGE AREA SIZE ~. /I' .
DIA6RA~ OF 8YSTg~
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~ ~
FO"ND^T'ON TO SE~P^~e "IT ~:' /
SEPTIC TANK -- ~) /
-- SEEPAGE PIT
TO NEAREST LOT LINE.
DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, ./~-/ , SEEPAGE PIT ' DRAIN FIELD
TO RIVER, LAKE. STREAM.
GREATER ANCHORAGE AREA I~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
GRAVEL BACKFILl.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
.E^LTHAUTHORIT
LICENSED DESIGNER
J CERTIFY THAT I AM FAMILIAR WITH THE REQUIRE~i
DESCRIBED SYSTEM ~S IN ACCORDANCE WI%H SAID
DATE APPLICANT'S SIGNATURE
DEPAR1HEtlT OF !Hi/fRON!!EhlAL
3500 TUBOR ROAB
ANCHORAGE, ALASKA 99502
CASE
Performed For Allau Chasj !)ate Performed__?/~7/k?
Legal Descrintion: Lot_ 3~O__Block ....... Subdivision~am_33_~]~&ft3NSE
This Form Reoorts Soils Loq ........ ~ ........... Percolation Test
qeoth
Peet Soil Characteristics
9--
SW well graded saud & gravel
(~t~)
666
....... bottom of hole
Was Ground
I~ Yes, At
Water Encountered?~
what Death?_ 10'
Date Grass Time Net Time Death to 1{20 Het Dron
Percolation Rate !Ii nute
Praposed Installation: ~eenaae Pit Drain Field
,Oeeth of Inlet Der, Fh~o BolFtom Of Pit
CnM~ENTS: olient ~n~ndwat~a~lO~ ~en dig6ing-sept~ tank-hole.
He was informed of the neoessit~ ~_B~e a ~a~f~9~iD~hia~cas~. .~e~sbh~
Test Performed Bv ~¢~., ~ G~/ Para Certified ~V: ,gate:
DF'PAfCII'!I'flF OF [N//[RDFiI'!Eli]~;I OUAI [Tf CASE
35fid TLIf)OR ROAD
ANCHORAGE, ALASKA 99502
Performed For__ AL.i.e~aa ............ I]ate Performed y~.~f~_ .....
Leqal Oescrintion: Lot JO _Block Subdivision~e~3.Zl~12 N I~L~ ....
This Form Re~orts Soils Lop ........ ~ ....... Percolation Test ....
qenth
Feet
Soil Characteristics
3 -- Li,t4.. si£~y sanay gravel
5~ ....... ~---Oo'gto~'¢,. oi' ~o±e ~/
Was Ground Water Encountered?
I¢ Yes, At what Denth?
no
Date Grnss l'ime Net Time []enth to 1420 Het
Percolation Rate !iinute
Proposed InsC~]lation: Seni3aqe Pit Drain Fie'Id
Deoth of Inlet Den~Ii'~ ~)t~om flf Pit
Test Performe(I t~v_~'~c~ ~¢ Para rertif'ier,
Da te:
Uecemb(.~r 29, 1972
Mr. Allen Chase
SC. Rt. A, ~ox 2L~6-.t
^nchorage, Alaska ~J9507
b ul).i ect;:
Insta]'Jation of on-site sewage ~iisposal syste~,,
T12~;, R3~I, Section 33.
Dear Hr. Chase:
Earlier this month H~Is office contacted you regardin? an
on-si~e sewage disposal permafit taken out on Auto, st 17, 1971.
At ~he time of our t~lephon~ conversation, you state~ that the
system nad been lustalled in the su~m~mr of 1972.
Since our office made no final inspection of the syste~,, you
are in ¥io'lagion of the ~orougn Ordinance 28~,6~, Section 9.-71,
Paragra])ll A~ sub-,paragraph 4. which states: "~,[o septic tank ....
seepage pit or ces~;pool shall I>e backfilled without perlnlssion
of tt~e i~ealgi~ authority".
As previoosly requested, we again remind you ~o brtn9 to our
office by January 15. 1973 a co~pleted dtagra~u of the system,
including all ;;masure~entS fro~ foundation ~o septic tank, seepage
pig and well. Also included silould be septic. ~ank and st~epaue
pit size as well as '1o~ line allowances and distances fro~J founda~io'
Lo septic ~ank and seepage pit.
If, t~owever, no ~fforg is ~ade to co~p'ly wi~h ~orou(;h regular, ions,
~his office will be forced go treat your sewage system as an
illegal one and we will be ~orced to start court proceeuinss
a~!alnst you.
J~, diagram has been enclosed for your convenienct~. Any questions
in this mag~er may be directed to ~;his office.
Sincerely,
Deborah A. ~arr
Environumntal Control Officer !
I~b
Encl.