HomeMy WebLinkAboutT15N R1W SEC 19 LT 16T15N R1W
Sec. 19
Lot 16
#051 - 241 - 09
Mark Begich
Men
Development Service: Department
Building Safety Division
On -Site Water a Wastewater Program
4700 Brogaw Street
P.O. Box 196650
Anchorage. AK 99519-6650
acomuntatthnslin
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number:
Parcel Identiflcatlon Number:051 -$ -0 — 000
Date of Issue:
Legal Description
T/SN (e, SEG 19
Block
Lot
/6
._
7 N, uyfakct
(Iqg a q q kLonc//kt Sf
Chli3 aka Ak 995-47 6759 -
Pump Installation Date: 04 - O -
log
Casing:
37 feet
Pump Intake Depth Below Top of Well
Pump Manufacturer's Name Ay /"/UbrI
n a a
Pump Model: a-3o5oksH
/
Pump Size by
feet
-
A
Fides* Adapter Burial Depth: Nin
PItlen Adapter Manufacturer's Name:
Pities, Adapter Installer: N�
N
Well Disinfected Upon Co nt X Y
Method of Disinfection: L SP' hO p'
0 No
to t3°,1
Comments:
Pump Installer Name: il)L° S L rey P a gnen
Comms: l.4et-4 S'njetpris es
Matting Address: PO. &'X 77/236
c ity:Eta5LG lam).- stat: /4k zip: 9957?
Attention: The pump installer shall provide a pump installation log to DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
•,
-i
�'y?�- "'•
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
NAME . - , �/� /q /� {
//9n �'// A #7 -r � , / I_ lin/�!
PH (�j(,E ,p��(,q
(l g—1 ou+
❑NEW
UPGRADE
MAILING ADDRES _0 /j
S
4s /OH0 2 11 a
LEGAL DESCRIPTION
r/ 4 Sec l 9 TKA./ RI&
LOCATION // ti/C4ke
NO. OF BEDROOMS
SEPTIC I
TANK
Well 7o /
DISTANCE TO:
Absorpti�orea
JJ
Dwelling 29 / t
Material
PERM ITr I .i r 7//��
MLT I J
i
No. of c artments
Manufacturer1167-NtI
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid
o Y
J 0 2
0�F
DISTANCE TO:
Well
N
Dwelling
PERMIT NO.
Manufacturer
SAY"
•
Material
Liquid capacity in gallons
TILE
DRAINFIELD
TRENCH
DISTANCE TO:
Well
/d 2 . f,�
Foundatione#7,
Nearest lot line !t
,�
PER 1�(�I Ij
! 26 3
No. of lines .Z
/
Lantly1 e 1,61,1.4
Total lenJh%f iF es„1
Trenc widthrr
0 inches
Distance between lines
--..
Top of tile to finishgrade/ f
4 m5 -
Material beneath tile f!
. LdCr A'dLT 14,1`.--3inches
Total effec iv a.;nrppti area
/ /&o 6
SEEPAGE
PIT
Length
Width
Dep)e/S71/06-^ lath J/
PERMIT NO.
Type of crib
Crib diameter
Crib epthd
Total effective absorption area
DISTANCE TO:
Well
Building foundation
Nearest lot line
w
Class
Depth -
Driller
Distance to lot line
PERMIT NO.
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
Gry
t)
PIPE MATERIALS
0
f'
C3
SOIL TEST RATING Q �'
2S1
/ �
54
INSTALLER
6/ 4 6-
`'t,
12-3
/ �c
cp
REMARKS /%/ / y-��f ��/
Sr'(:)S/c 7 k saris c
�.
t
8/L
NI
ti S41
t /J r '� r
rt.ICeUrile
•f.1j1
N
re , ' s
.epi(
a
fer At ;.4
APPR$ ED /J/�///�/ DATE /_L/�LEEEGAL
OS
72 017IR bv: 3/78)
,
MILNINLIFC "Fs ire C)FE Fmncl-tc Br::DCFLE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 /L' STREET/ ANCHORAGE. 99501
264-1720
clivA �MTIFIE JENEEF:IN1TEr
PERMIT NO. ( 790263 )
APPLICANT ALLEN M WILLIAMS
LOCATION KLONDIKE ST
LEGAL LOT 16 SEC 19 T15N R1W
BOX 185 KLONDIKE ST. CHUGIHK 688-2638
LOT SIZE 55000 SQUARE FEET
TYPE OF SOIL HBSORBTlON SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 289
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
�����H— n IFE[GuilKiEFH=
EIEI FP EVE =
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
srEr-ric �Fltrmittc: sramE= fLoora onLonir-A--,;
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
1-0,4 COI ��)1 I F,WEE IT I 0:MN; FED RAE: gIa FnEI 115i -
GHCKFILLI NG OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IF
100 FEET FORH PRIVATE WELL/ OR
150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND C[MTRLICTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F° Efl DRI7LP11 I If EE Ds Ei ND FE CI: EIC E3 PEE P.! !r.731��
I CERTIFY THAT
1: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
]: I UNDERSTAND THAT THE ON SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SlGMED:_
HPPLICHNT AL LEN M WILA_ IEMS
ISSUED BY
-DHTE __- V3.2
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-2221
PERFORMED FOR:4I/Grl bI
SOILS LOG — PERCOLATION TEST
ialtans
DATE PERFORMED:
1
SOILS LOG
❑ PERCOLATION
TEST
S chat/ 77
LEGAL DESCRIPTION: Zo riZ tie / 9, r /.s "`i * / u
SLOE SITE PLAN
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(FEET)
•,V
014
`La
i
—171,
Top
/ Lary ANo i GCe,tzwS
2 Z
p5ec0Ls7/o?U `%&'s
Ct )k767 C,e g
Sm/n / 27s"-3da ��f�
f�rdh
/o 7-rro/14
I/0 IS
COMMENTS
WAS GROUND WATER Ow % ° S
ENCOUNTERED? L'
IF YES, AT WHAT
DEPTH?
--
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
/
31079
J"; 3a (r
SME
_____
—
lir
s(as
ti
■
30cit/dl
62`/
1 "
/1
6,J8
iathto
62 7yt
/� ,/r
`3
174
if
g;20(
/0AY/ b
Cz'/
/At
6-'
1,
6 30
/ocai;o
02.3'
/„ te
citt
ft
t
WAS GROUND WATER Ow % ° S
ENCOUNTERED? L'
IF YES, AT WHAT
DEPTH?
--
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
/
31079
J"; 3a (r
' I"
_____
—
2
ti
6 eop
30cit/dl
62`/
1 "
/1
6,J8
iathto
62 7yt
/� ,/r
`3
174
if
g;20(
/0AY/ b
Cz'/
/At
6-'
1,
6 30
/ocai;o
02.3'
/„ te
PERCOLATION RATE
40
(minutes/inch)
T RUN BETWEEN r FT AND --4-- FT
1 T /"5 /N nFr
PERFORMED BY: -5d /Afl.-/44"V%
Pe
72-000 (7/76)
r4
k
1
2597 c
Be Mine e Fxis ri.JvC- see/ sf
CERTIFIE
DATE:I iff-71
3330
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
Street, Anchorage, Alaska. 99503 274-4561
Date Received July 15, 1976
t_doDLn.
Time of Inspection 1:,30 P,TYL
(lam/ Date of inspection71c2=--Oa ./ �o
al
REQUEST FOR APPROVAL OF
NDIVIDUAL SEWER & WATER FACILITIES
FOR
Pay ,D4 Ami
Approval requested by:
,lose : ,LA
Mailing Address: - Phone: bi I 0 P
LA Olt
Property Owner: Ronald L. Coleman, Jr. Phone`. 688-2030
.;Mailing Address:
Legal Description: T15N R1W Section 19 Lot 16
4. Location: Klondike Court off South Birchwood Loop Road
5. Type of facility to be inspected No. of bedrooms
6. Well Data: Individual
A. Type B. Depth 40'
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: On-site system
A. Installed B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank (J 3 , Absorption area /6 3 , Sewer Lines
Nearest lot line , Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area tonearestlot line
EQ -034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE.
GREATER ANCHORAGE AREA BOROUGH DEPT. OF HEALTH &
Department of Environmental Quality ENVIRONMENTAL PROTECTION
3330 "C" St., Anchorage, Alaska 99503 - 274-4561 159976
REQUEST FOR APPROVAL OF RECEIVED
INDIVIDUAL SEWER & WATER FACILITIES L V L
1. Type of Inspection: CMRO VA FHA CONV
2. Property Owner: 6'on41cQ L Colevnak Jr.
Mailing Address: Day Phone 4 88 x.0 3 0
3 Name of Buyer: noel .� E 4 P. SAlidli4frws
Mailing Address: Day Phone
4. Name of Lending Institution: O nem -lvionce-ck
Mailing Address: Phone
5. Name of Realtor or Agent: crtfe 1i��nme I 8 3232 /1
r_4yI•
Mailing Address : 7 o Box Io 6s Phone 6 99- 9521 0.
6. Legal Description: T/5 Al /3 I a1 Sec. 1 9 Lot- /6
Location: Klov,e Ke c --c So- 13.1 Awoocx loop
7. Type of Facility to be inspected: No. Bdrms.
8. Water Supply
Type of Supply: Public Utility . Individual X
If Individual, number of dwellings presently served 2
If Individual, depth of well Y,21
9. Sewage Disposal System
Type :of System: Public Utility Individual (on-site) X
If Individual, date of installation
cel. ° ppa.
Low ` ` " e)“,,
x
Page 2 of two pages - Req t for Approval of Individual S(r & Water Facilities
.egal`Description Lot 16 Section 19 T15N R1 W
Comments
Approved
Disapprove Ar _Date
'Approval ;Valid for one ye r from date signed
Greater Anchorage Area Borough, -Department of Environmental Quality
DIAGRAM. OF SYSTEM
I 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 -
areoperating satisfactorily.
SIGNED.
EQ -034 (1/74)
Date
S&S ENGINEERING
MECHANICAL ENGINEER JCIIANICAL ENGINEERS CIVIL ENGINEER
DAVID SLtNKAMP CIVIL ENGINEERS ROBERT A. SHAFER
' 694-9055f SRB 196X Eagle River, Alaska 99577 694-2979
MUNICIPALITY O: ANCHORAGE
DEPT. 0: •. .
ENVIRONMLNTAL �'ZCTION
RECEIVED
Allen M. and Roberta -J. Williams
185 Klondike Street
Chugiak, Alaska 99567
June 5, 1979
REF: Government Lot 16,
Sec 19, T15N, R1W
Per your request, a sewer system adequacy test was attempted for the
referenced property on May 31, 1979. The septic tank was pumped and
found to have a capacity in excess of 1,000 gallons.
-
The seepage pit was completely full of water and there were signs of
percolation through the ground to the surface. As a result of this
inspection and the pumping of the septic tank, it can be concluded,
that the septic tank is adequate for the three bedroom residence;
however, I regret to inform you that the seepage pit has failed.
Also, per
attached)
necessary
system in
2 Inca
as
your request, a soil test (copy attached) and a permit (copy
for upgrading the system has been obtained. It willnow be
for you to arrange with a local contractor to upgrade the
accordance with. permit specifications.
��R BERT A. 'SHAPE'/ P.E.
CF: Dynamic Realty, 501 W. Northern ights Blvd,
ATTN: Valda Drake, Anchorage, AK 99503
Alaska USA Federal Credit Union, ATTN: Diana Gibbs,
777 Juneau Street, Anchorage, AK 99501
Municipality of Anchorage, Dept of Health $ Env Prot
(')LUhS �-air-i9
MUNICIPALITY OF ANCHORAGE MUNICIPALITY
•- DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT
L Street - Anchorage, Alaska 99501 tiWJRONt
OF ANCHORAGE
G 'SIT -; &
ENTAL . _ ..--CTION
1 v:y?0
[[ II ,/,
C6TI_t i 0
/825
•
" f 11 ENVIRONMENTAL ENGINEERING DIVISION MAY
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days fo processing...'
1. PROPERLY OWNER / iN /4- / /// 4" 4iS
P//HONEn"(, (l
MAILINGADRESS/
/ I -S iC..e-> LALI '`"te6,
PROPERTY RESIDENT (If different from above)
�cY/G�`-'7'7---C�
PHONE
2. BUYER
irea IO&k
PHONE
333- 74.L
A6
MAILING DRESS
3. LENDING IN TITUTION /�
/fir--- /� -c ).--7-7/A) g-te,e- �
PHONE
2-76- /as
MAILING ADDRESS
4. REALTOR/ ENT (J -
PHONE
igt-c-67. //4116,67,--,
MAILING ADDRE
/C &---14--4-/:
.y fYtraUg
7 / /q/, % /��.-c_
5. LEGAL DESCRIPTION
�/
�6/Le...
. A /la a � c/ �/ As --4/ „e /W
STREET LOCATION /
,,Cz-71--'� 3 MX)
c . .4) •
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
• One • Four
• Other
SINGLE FAMILY
• Two ■ Five
O MULTIPLE FAMILY rig Three
■ Six
7. WATER SUPPLY
Q7- INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
0 COMMUNITY since June 1975. For wells drilled prior to that date, give well
0 PUBLIC UTILITY depth (attach log if available.)
8. SEWAGEGE/DISPOSAL SYSTEM
C INDIVIDUAL/ON-SITE** **If individual/on-site, give
If system is over two (2)
installation date ti
D.
c
ears old an equac t
666
E PROC SSING CA
st is reed
• PUBLIC UTILITY Department.
by this
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST Bf`F
I T
i
2J79 4721 =2 4e
i.� AGO
e i
THIS SIDE FOR OFFICIAL USE ONLI
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
• SINGLE FAMILY
O MULTIPLE FAMILY
NUMBER OF BEDROOMS
• ONE ■ THREE 0 FIVE ■ OTHER
• TWO • FOUR • SIX
2. WATER SUPPLY
OINDIVIDUAL
O COMMUNITY
■ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
Lin
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
OINDIVIDUAL/ON -SITE
■PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INj$T,)ALLED
( X1( �-,t_L3r- (A Lori" n� nn� -1,1 ---1 ex
I �tz�
INSTALLER
• Septic Tank or • Holding Tank
Size: If Tank is homemade
SOILS RATING
give dimensions:
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL TO:
Septic/Holding Tank -
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest L
Line
Q Q �a
5. COMMENTS pp
t ry)t n A I nn p N\ trw� �1m1ll ci- ci -1 co- t r...,, P f cC� . t-c, kL a C l ‘ �CLfl
1 j 1
4 ,1FF. P (n fl r kA - I 11dAkk_A LY, 9 St r.� S)0 1/t 9 o� U.5. Lett 1..,J-d�•l Li_sei1.v°II
-� 0
y�to �o -\
(.�
e r c A n4 d� 4 4 G r M P . W 1 4/�' s S) Q..0 #pJ' me em-Qtr./ — ytu 4
-'--- tJ Lf 6 r llV// -_- /r (1
GI APPROYED_EO.R-------BEfettrO S----
)(
O CONDITIONAL APPROVAL (letter must acc�y certifi.
&I— DISAPPROVED �
4�� K
/�-
_.-
, , r A
DATE
G -I
BY (Title)
--Cittd7
0 V
LEGAL DESCRIPTION-0
72-010 (Rev. 3/78)