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Home My WebLink AboutTALUS WEST #2 BLK 4 LT 11LoT ' ~) '~? [VlUNICIPALITY OF ANCHORAGE '~ f DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ ENVlRONMEN'I'AL ENGINEERING DIVISION , 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT , '~ UPGRADE MAI LING AD DR ESS I0~ OI 14-~c1~.,,.,~-'3 /..~k'~ LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS Well I Absorption are~ Dwelling PERMIT NO. I,,~~ Well ' Foundation Nearest lot line /~ PERMIT NO. ~ ~O Q DISTANCE TO: /~ ~ ~ ~o. of lin,s / kenoth o, each~ Total lon,tho,~ Trench ~i~t~ .p ,.thes ~ DISTANCE TO: t0~ / OTHER " ' APPROVED DATE LEGAl i!'"'"II I1_..1! I1%11 [I[ E'&. DEF"ARTMIEIqT OF 14EAL. TH AI',I~ E. I I. ].ROI' 'I_4 A,_ t',~.~1 .b, IL.,I a,=d I_ ST'REET, AixtCHC!Fb'~6E,, AK 995~ '1 2 6/:I,-- a 7 2"'. O PERMIT NO: DATE ISSUE]D: C-.~ 1t*,41 .... ~ "If" EE 840867~D.~ = 1()/1 1/ElZl- ,a, , ,_ICA,.tT. A~. DI ,E.S .... CONTACT I:::'H 0 Ixll:]:: DAL. E I:::ORSYTHE 10801 HIDEAWAY LAI<E DF.:. AN[_'.I'IOF(AGEE, AK 995 16 274-4582 ........ <-'.'":'- :' 'f ~'~ "'¢.' "- IA[...IJo WEST ~,.o ,..(,], 11 L..EGAL DE.,.CR] I .... iLI~;..}.. ¢~.~,].ON. "" c, .~ ' "'- ~., ,.. ,._Y::" q.,,..."'."". -/I. SECT I ON: ')') ' TOWNSH I F'D ...... I I RANGE: ..;,IA! LOT SIZE',: 43183 (SQ.FT. (iR ACRES) I certify 'Lhat: For'th by 'Lhe Iflunic:ipa]'itv of Anchor'age (MOA) and the.¢,.,~.;:'c::'1'~'!'¢ ..... I' al.~.l.- ,=.~* i will :i. ns'Lall t. he sys'L~m zn accot-danc::e ,¢,ui.t. ln all M ..... codes and , ....... ,.:.~,.,~=*--* i~....,:)[,,=, ........ ~n_., in c:Oml:i].iance ~A, ith 'Lhe design cPzter'ia of this pepm:i.t.. :::,,, I ~,~il]. adhePe t.oa,.' ~ ~ MOA ar:~d ~.= ..... Alaska -e]. iPems~n'Ls fop the ....... '-.dis'Lances t'r'(]m any ex:i.s'Ling well,, waste~.~a'Ler' dispersal. ',x ...... *..= ...... cop public:' ~;2wenatge !~iy?Lem or'l this c]l' any ad...jac:eryL oP near'by ].ot.,, IF A LII::'T STATIOIq IS INSTAI_.I,..IED IN AN AREA COVERIED BY MOA BUILDIIxlG CODES, THEN (1) AN E~LE]]'i'RICAL F'ERMIT AND ]:IqSF'ECTZON MLIS'T BE OBTAINED; (2) AS.-BUZL]-S ,WILL NO'T BE AF'F'ROVED WITHOUT AN E]_ECTRICAL INSF'ECT]:OIq REF'ORT; AND (3) THIE IEI_EC"I'RICAL. WORt< MUST BE DONE BY A I_ICENSED EI_E:CTIE~ICIAIq,, :~ ~'~l.lE: D BY DATE: ^L^$K^'~liUIROI~me~T^L C0rlTROL se~'01ce$, IiX. ~nqin~eri~q ~ ~nui~onm~nlaJ MUN~CIPAI.I~ OF ANCHO~G~ D~PT. OF HEALTH ENVIRONMENTAL PROTE~IO~ 1200 ~esl 33rd ~uenue. ~uiJe. B * AncNoraqe. Alaska 99503 e(907) 561-5040 TO AN'~(IORAGE, ALASKA 99502-0650 TONY KNOW~ ES. MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION November 29, 1984 Ron Godden, Operations Manager Alaska Environmental Control Services, Inc. 1200 W. 33rd Avenae, Suite B Anchorage, Alaska 99503 Subject: Lll, B4, Talus West #2 Dear Ron: The inspection report/as-built for the Dale Forsythe (Kelly) property septic system upgrade has been received by the Department and has been reviewed. Prior to approval of this report and of the upgraded system, the Department must receive the following information in accordance with the last permit stipula- tion: 1. Water table monitoring results for both the Kelly and Driscol properties demonstrating the effectiveness of curtain drain operations~ (Engineer) '2. Documentation of~a recorded easement, with all ingress and egress rights, for the curtain drain system serving both properties. (Property owners) Monitoring results must show that both property septic systems are no longer in violation of the 4-foot separation distance to ground water, in accordance with AMC 15.65.060 (A) and 18AAC 72.026 (a) (3). Please provide this information to the Department within fifteen days. Thank you. Sincerely, Keith E. Bandt Environmental Engineering Manager ce: Dale Forsythe 10801 Hideaway Lake Drive Anchorage, Alaska 99516 KB4/ra/d4 CONST , CTION' · ~I .~,,' TES T LAB PERFORMED FOR: JOHN MATUS LEGAL DESCRIPTION: Lot Ii Block THIS FORM REPORTS: ~Visuol Soils Examination 180O.,/W. 48TH AVE. STE. 'C' ANCHORAGE, ALASKA 9950:5 248-1553 DATE PERFORMED: Subdivision Talus West 7/13/81 1:3 Percolation Test DEPTH SOIL FEET DESCRIPTION NOTES v OVERBURDEN PEAT 2 ' ~//~'~Y/' ~;~ SANDY GRAVELLY -- SILT (ML) Damp - 10' ,O, , :, -- ., FINE SAND, TRACE _ :FA.,, GRAVEL (SP) 150 sf/br -- 14' ',~-; ", "./.'! SILTY SAND BOTTOM OF HOLE WAS GROUND WATER ENCOUNTERED NO IF YES, WHAT DEPTH LEGEND ~D -- Parc zone ~S- Sample token m -- Frozen zone ~ ~'- Woter robie Kinney R. GENERAL SITE SLOPE ;READING DATE GROSS TIME NET TIME DEPTH TO H20 NET DRAINAGE PERCOLATION RATE: :PROPOSED INSTALLATION: COMMENTS: DRAINAGE REQUIREMENTS: 150 Sq. Ft./Bedroom SEEPAGE PIT ]~, DRAIN FIELD 0 OTHER TEST PERFORMED BY: Kevin Braun DATA CERTIFIED BY: Kinney R. Baxter, P.E. DATE: July 13, 1981 '?' '~ ENVIRONMENTAL ENGi'NEERING DIVISION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 . ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME Jo ."°NE MAI LING ADDRESS ~¢ '~¢~ 7 ~ UPGRADE LEGAL DESCRIPTION ~ ~ DISTANCE TO: J Well //~ 21 Absorption ~ea Dwelling PERMIT NO. I~ ~ ~ ~ ¢1~ 71~ ~ ~ Manufacturer Greet Mate~e e/ N°' °' c°mpartments2 Liq. capacity in gallons I ]~ ~ ~ IF HOMEMADE: Inside length ~/~ Width Liquid depth ~ M ~ DISTANCE TO' Well Dwelling ~/~ ~ ~ ~ · PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well ~ ¢ Foundation ~ ~ Nearest lot line Nc. oilinGs ~ Lengtho, eachline Total length oflines Trench width Distanceb~ee~in~~ -- nish grads: ¢ ~ ~ t ~ ~ ~ ~ ~ inches ~bsorption area ~ ~ ~ Top of tile to Material beneath tile Total effecti Length Width ' Depth ~ PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth ~ ~ Total effective absorption area ~ Well DISTANCE TO: Building foundation Nearest lot ~ine ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER ~ ~ ~ ? ~ PIPE MATERIALS ~ SOIL TEST RATING /~ ~ REMARKS 13¢ ¢,1. ~ ~ , . ~_% ~ II / DEF'FIRTMENT OF HEF~LTH FIN[:, ENVIRONHENTiq. L PROTECTION 825 '"L'" STREET', RNCHORRGE., RK. 9950± .... 264-,$728 PERMIT NO. ( 8107i~: ) RFFLZ_.HN¥ JOHN F. MRTII,;-; _RR E,u,.., ~5-Z LOC:RT DIN BRRGRH & - - F H~=,MUE LEGRL. LOT ii BLK 4 TR[ I1~ HEz, T .... qUB T'YF'E OF S~II RE~ORFTIuN ~,,c .. , ,.-. · p -,~-,]EH I=,. ~REN_.H MRXII'tUM NLIMDER OF E:EDROOMS = ~: SOIL RRTING TH~ REQUIRED SIZE OF THE '~- -.,c ,,..- - _uIL flB..,ORF] IoN c,,,- - , ,- _,~:,1 EH I:,: LOT _,I~E · -... ~q-.. 4._.±_.~. SL.]LIF]RE FEET ,::S.g..! FT, 8R ....±50 D- KEF' ]].4 =;~ sL,% L E ~'-,~ 12-i ]- H == ,,4 ,~ ,3 F4: R '-¢' E L_ E) E~ F" T H == 4. ' '= I '~ THE LENqTH PtHEH_ION , THE LENGTH (IN FEET> OF THE TRENCH O~ DR~INFI~LD, THE [:,EF'TH OF R TREN_.H FiR PIT I=, THE [ I.oTHNCE E:ETklEEN I'HE SURFRC:E OF THE GROUND RND THE E,U]TuM OF THE E,..,-.H~RTI]N <IN FEET). THERE IS NO SET HIDTH FZR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETHEEN THE OtlTFRLL PIPE RN[:, THE BOTTOM OF THE E2;CRVRTION (IN FEET>. - PERtt~T FIDF_~CHN] HH_ THE RESPONS~B~L]T'%, TO ~NFORM THfS DEF'RRTMENT Dt~E'~NG THE ~NST~LLRT]ON ~NSF'ECT~ONS OF FINV HELL: RDJ~CENT TO TH~S PROPERTV RND THE .~Utl~ER. OD RE..,IDENL. E~ THRT THE HELL H~LL _,ERIE. T ~-.~,], < --:- - . ,,: · -- ERCkFILLING OF ~N'Y S'T'STEF] HITHOUT FINAL IN:FE_,TION ~ND ~PF'RO',/~L 8%' THIS DEP~RTMENT HILL E,E -UEJEL, F TO PRCSE]UTION, MINIMUH DISTBNCE DETHEEN ~ HELL ~ND ANV GN-SITE ,;- -. _,EH~uE DISPOSSL 1.08 FEEl" FER R .......... 14ELL r , q' p~'f~,'¢~T~ 3~. !58 TO 200 FEET FRJM R PUBLIC HELL DEPENDING UPON THE TVF'E OF PUBLIC HELL MINIMIJ~ DI~TRNC:E FRJM R PRI","RTE HELL TO R F ..... ,"~'~F ~ - · TO A COMMUNITY SEI.,.IER LINE I5 7'~ FEET. ~.z~n~_ SEHER LINE I=, Z5 FEET RND HELL LOGS ARE REQUIRED RND HtJST DE RETURNED TO 1'HE DEPRRTMENT HITHIN OF THE WELL COMPLETION. OTHFR REQUIREMENTS I',1R~¢ RPPLV. = ...... .... -,FE~.IFILRFI_N=, RND CONSTRUCTION [:'IRGRRMS ARE BVRIL. RBLE TO INSJRE PROPER INSTRLLRTION. I CERTIF'¢ THai' i: I BM FBMILIEiR HITH THE REQUIREMENTS FOR ON-SITE SEHERS BND HELLS BB BET FIRTH B%' THE MUNICIPRLIT'Y OF F~NCHOR~GE. I NILL INSTRLL THE q,,c' · -~-JEM IN RCCOR[:,~NCE HITH THE CODEB. OFIN F. MRTI 1~ .............. O O O O O O O O O O O n- D: D: n- D: D: D: D: D: D: n- O O O O O O O O O n.O O APPLIC _ FILLS OUT,UPPER HAL Zip Code Zip Code Ad~Jress Lending Institution ~'J~-:~ ~; ~-'~ '% X ~ '~'~ ~:~--t:: Phone Address "::::~t . ~ .. ,.. ~ ~ .'~..~- ,~ ~ ~ . ~ Zip Code Address ~ ~2--O i ~(' ~ -- ~- ,' ' Water Supply [] Individual [] Community [] Public Utility Sewer Disposal 1 FA~-i'ACH WELL LOG. A well Icg is required for all wells drifted since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available). [] individual [] Public Utility [] Holding Tank Year Individual Installed:_ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ~2~ ~]~ J~.. (._.~) APPROVED BEDROOMS ) DISAPPROVED ) CONDITrONAL APPROVAL' CATE //-- /~'-~ '~ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONM2NTAL PROTECTION RECEIVED 'CONDITIONS OF APPROVAL Soils Rating Cate Sewer Installed IWell To Absorption Area ¢~ ~,~ ~ Well to Tank ¢'~ 4) ~ ~Date * J Date Date [- Date ~stalled Permit No. Septic Tank Size /O ~/ Holding Tank Size Soils Rating Well To Absorption Area ~O~ Well Log Received / ~ Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~Oh~ ~, ~ ~/~U~ A, ~'V~A~~ Phone Mailing Address ~ ~ ~~ ~0~ ~ ~0~ ~-~ Buyer Address ~oally ~o. & ~oont Phono Address ~e.~,.~.~d.,,on ~o~// ~/o~ ~ ~ 7~/~s Type~f Residence ~ Single Family ~ Other Wate~upply ~ individual A~ACH WELL LOG. A well log is required for all wells drilled since June ~ Public Utilit~ availabl~.) SewaCe Disposal Year individual Installed: ~ Holdin¢ Tank NOTE: THE iNSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.