HomeMy WebLinkAboutT12N R3W SEC 33 LT 192
· ~ ' MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALT~ & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOCATION
Well /. O Absorpti a / Dwelling (
~' ~Li~c~y in gal,o~ IF HOME,DE: inside length ~,,~Width Liquid depth
DiSTANCE TO: [Well /f / ~ JDwelllng PERMITNO.
Manufacturer / ~ ~/~ Liquid capacity in gallons
[] NEW
NO. OFBEDROOM&..~
No. of corffpar[ments //.
DISTANCE TO:
IWe. /Z /-/ ¢
Length o~aj~_~ n e
Material
Fou~o~.~ /' Nearest I~l~ne /_ PE~vl~[~?.~.~,.~_TNE]. ~
Trench ' th t~
T°tal leng~Q~jnes I ~-~t~ inches I DistancJ bet~lq ~¢~
M ri I ben h t'le Total effectiv absorption ar
Depth , PERM T NO,
No. of lines
Top of~.~ t~'f~.~h grade
Length
Type of crib
DISTANCE TO:
DISTANCE TO:
Width
CWrll~ d,ameter~//~
Crib depth
Building foundation
Driller
Building foundation Sewer line
OTHER
PIPE MATERIALS
Total effective absorption area
Nearest lot line
Septic tank
Distance to lot line
~sRo r~it~o~ea (si
DATE LEGAL
~IUNICIF~ALITY OF= ANC]~]F~AGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
264-4720
PERMIT NO:
DATE ISSUED:
ON--'S ]~ TE
07/16/$4 ~ .~
SE~EF~
APPLICANT: C/O S & S ENG~G. MIKE COGOER
ADDRESS: SRB 196X
EAGLE RIVER~ AK 99577
CONTACT PHSNE: 694-2979
LEGAL DESCRIP: SUBDIVISION: NA LOT: 192 BLOCK:
SECTION: 53 TOWNSHIP: 12N RANGE: 5W
LOT SIZE: 2.5A (SQ.FT. OR ACRES)
LOT LOCATION: 4100 RABBIT CREEK ROAD
NA
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES~
]'HEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUS~ BE OBTAINED; (2) AS-BUILTS
WILL NOT BE AFFROVED~ITHOUT AN ELECTRICAL INSPECTION REPORT, AND (.~.) THE
APPLICANT ~/O~S & S ENG'G. MIKE COGGER
I certify that:
1. I am familiar wi'Lh the requirements for on-site sewers and well~ as. set
forth by the Municipality of Anchorage (MOA) and the State of AlaskaJ
2. I wilI install the syste~ in accordance wi{h all MOA codee and regulations~
and in compliance with the design criteria of this p~?'mit.
5. I will adhere to all MOA and State of Alaska requirements fop the set bask
distances fr()m any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nea~'by lot.
PERFORMED FOR:
LEGAL DESCRIPTION:
1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION
826 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
SLOPE
DATE PERFORMED;
SITE PLAN
[] PERCOLATION
TEST
10-
11
13--
14-
15-
16-
17-
18-
20-
COMMENTS
WAS GROUND WATER ~ i~
ENCOUNTERED? pO
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
ill_"
PERCOLATION RATE
TEST RUN BETWEEN
72-008 (6/79)
/ ,,~ .... (minutes/inch)
APPLI('-'~IT FILLS OUT UPPER HAI~'~,ONLY
Buyer
Address ~//~R ~,ZiP Code
Legal Description % J ~ M ~3 ¢ SEC -~3 LT J ~ 2
~ Public Utility ~
s~, .i,.o~ /¢¢~5
72-023 {31~)
TELEPHONE"(907) 562 5633 B Street
Drin i lYsis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
//
Water System Name
I.D. NO.
Mailing ~.~dress
City
SAMPLE DATE:
SAMPLE TYPE:
~loutine
.El Check Sample (for
with lab ref. no.
[] Special Purpose
Mo. Day
routine sample
)
[] Treated Water
[] Untreated Water
SAMPLE
NO. LOCATION
4 I I
Time Collected
Colleoted By
06.1220 (b)
Rev. 1978
TO BE COMPLETED BY LABORATORY
Ana ~/SlS shows this Water SAMPLE to be:
Sa~isfactory -
[] Unsatisfactory
[] Samole too long in transit; sam 31e should
· ~,.,--.mot.be over 48.,-h0urs o~d ~at- examination
to ~ndlcate reliable results. Please sene
new samDle,
Date Received I - c~ ~) :'~ ~
Time Received /,(~04)
Analytical Method:
[] Fermentation Tube
'~ Membrane Filter
Lab Ref. No. Result* .~t~yst
I
I r-Tq
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Date ColleCt e¢l Source
a.m.
Lib. No.
ROBERTA, SHAFER
CiViL ENGINEER
694-2979
January 22, 1984
ADEQUACY TEST
WATER AND SEWER INSPECTION
WELL INSPECTIONS AND
FLOWTEST
SITE PLANS
ROAD DESIGN
SOILTEST
O N S~TE WASTE WATER
DISPOSAL SYSTEM DESIGN
EXCAVATION WORK
Mr. Mike Cogger
4100 Rabbit Creek Road
Anchorage, AK 99516
Re: Lot 192, Section 33, Township 12N, Range 3W
Dear Mro Cogger:
A field inspection was performed on January 17, 1984 of the
waste water disposal system located on the referenced property.
It was determined that the septic tank required pumping. Pumping
of the tank was performed on January 19, 1984 and the tank was
verified to have a capacity of approximately 750 gallons. Located
apprsximately 30 feet from the septic tank was what appeared to
be a pile of logs beneath the surface that made up an absorption
area by the tank. Visible indications were that this absorption
area had failed. The results of this inspection have concluded
that the absorption area will require upgradi~ to accommodate
your two bedroom residence. However, the septic tank appears to
be adequate.
The horizontal distances from the septic tank to the existing well
are more~than adequate to meet the minimum requirements established
by code.
If we may?be of further service, please do not hesitate to contact
me. /
/
Sincerg~,j~ //~/
RAs:blg
Municipality of Anchorage Department of Health and
Environmental Protection
SR8 196X EAGLE RIVER, ALASKA 99577