HomeMy WebLinkAboutMAJESTIC VALLEY ESTATES BLK 3 LT 8 MUNICIPALITY 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
ON ../' / ~Z /
// J Well Absorption area Dwelling
j I I
Manufacturer ~ .... ~---- . ~. Matera
I
ILiq. capacity in gallons IF HOMEMADE; Inside length W dt ~
DISTANCE TO' Iwell ] /" I Dwelling
Wall --
.......... I ,¢ ~. /,~ Foundation ~earest Io~e_
No. of lines Length of h I~n~ Total I ~f.¢es Trench idt ~
JTo~fCetofinishgrade - Ma r'a ben ~h.tile . w
Depth = ~
Length
Type of crib ,,~ r.
DISTANCE TO:
Class ~ ~/
DISTANCE TO:
Width
Well
Crib depth
Building foundation
Driller
Building foundation Sewer line
OTHER
PIPE MATERIALS
SOILTESTRAT,NG
8TAL .~Lr~'
REMARKS
PHONE
I~EW --
XUPGRADE
P,~IT NO.
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERIVd-T-NO,,~-)
Distance %~/~ ,~¢e,
Total eff.e,.~t~a~)sorption area
IPERMIT I~O.
Total effective absorption area
Nearest lot line
Distance to lot line
PERMIT NO.
Absorption area s
Septic tank
MUNICIPALITY OF ANCHORAGE
Department f Health and Environmenta' ?rotection
825 ~ Street, Anchorage, AK. ~9501
264-4720
~¢~ * * * HANDWRITTEN PERMIT * * *
Permit ~ . .~im:A~ ON-SITE SEWER PERMIT
Applicant: ~ ~> ~ Mailing Address:
Location: Phone Number:
Legal Description: /-,O'7"-' ~' /~/A A /,,~/_~¢7~cL.//~/~ Lot Size:
Type of Soil Absorption System Is: ~ /
Trench: Drainfield: F ~-- Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: ,~ Soil Rating(sq. ft/br) /~--
The Required Size of the Soil Absorption System Is:
DEPTH ,-~ ! "
LENGTH /'~/ GRAVEL DEPTH _~' WIDTH
S/
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a 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 grave], between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = ////'/~ GALLONS * *
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.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling 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 is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER i 9 8 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Munic~ipality of Anchorage.
(2) I wi~-t~nstall the s~tem in accordance with codes.
(3) I L~Sder~t~ that ~e on-site sewer system may require enla~rgement if
'~odeled to include more t~at... X.~~'~-' '
Signe~l: Issued by: ~
SWP/024(1/81)
~.~.. GRE ,,~,, ANCHORAGE AREA BOR.~ JH
~t,, ~,~' Department of Environmental Quality
~ 3330 C Street
Anchorage, Alaska 99503
NAME' ( INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER
NUMBER OF
COMPARTMENTS ~.--
INSIDE LENGTH INSIDE WIDTH
TILE DRAIN FIELD':' ~-/t./.4,~L
DISTANCE FROM WELL'~/'/O0 ~FOUNDATION
LIQUID DEPTH
.NEAREST LOT LINE
LIQUID CAPACITY_~/¢¢¢ GALLONS.
gl OTAL LENGTH
OF L,NES
NUMBER OF LINES
DISTANCE BETWEEN LINES
TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT.
DEPTH: TOP OF TILE TO FINISH GRADE
LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE
_IN. ABOVE TILE IN.
WELL:
T PE _ C ONSTRUETION
BUILDING NEAREST NEAREST
FOUNDATION__ LOT LINE , SEWER LINE__
CESSPOOL ., OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH
SEPTIC SEEPAGE
TANK____ SYSTEM_
DISTANCE FROM:
DISTANCES:
INSTALLED BY: ~. ,'~'
SEWER LINE DEPTH:
PIPE MATERIAL'
LOT SLOPE: '~)~
REMARKS:
DIAGRAM OF-' SYSTEM
DATE
7-5~''/%PPRovED I_Z_. (,
AB
Form EQ-032
PEF.::F~ I T NO~
FIE'I:::'L. I CRNT GFIF.'.'¢ F'O(]iRNY E',O',:.::
L(]CRTiON S P F.:UC E-TJd~7,j~'
L. EEiFtL L..8 8_-'..". MRJESTIC 'v'FtLLE'¢ SUE:[::,
T'¢F'E (IF SOIL FIBSORBTION S¥S]"EM I:E;: TREI'.,tl.']H
L.[' 'f' S I ;~E !Zb::i. 4.E;4 L:: E~LI¢I[;:E; F'EIE'I"
I"lFl::-4II"i IM NLII"IE~EF.i OF :': "' ":' ' ...... .-., ...... ~
~ IbE[.F. ..... bi ....... .7: SOIL.. F.:FITII'.~6~ ,:;SQ F1,-.B~ ...... .;I .....
f'HE F.:E([!U I RED c; ..~ ..
... I,,..E Cfi= THE SCi :1: L.. FIE:SOF.:E'T I ON S'¢E;TE]','I 1:5:
THE LENGTH DII,1ENStON IS THE I...ENCriTH ,::I1'.~ FEE:T) OF THE TF.'.ENCH OF.: DRF.IINF!EL.I:).
THE [)EPTH OF FI TF.tENC:H OF.: PIT IS THE DISTFtNIL':E: BE'I'HEEN THIE SLIF. tFFtCE OF 'f'HIE
GI~OUND RN[) THE BOTTOM OF THE IE;,.,',CR',,,'FrI'ION < IN FEET).
TI-.IIERE ]:S i'40 ?,ET HIDTH FOF.: TF.:ENCHEE;.
THE: GRRVEL DEPTH IS THE 1'4INIML.It,'I [:,EPTH OF GRFtVEL. E:ETHEEN "I"HE OU'T'FF)L.L F'IE'E:
FIN[::, THE BOTTOM OF: THE E::-0Z:R',,,'RTIO1'.,I ,::IN FEIET).
f'iII'.~IHLIM DISTRNCE BET!.4EEN R [,.IE'IZ. RND RNV ON-SITE SEklFIEiE DISE'OSRL. 55'¢'.~l"l:J~M IS
tOO E'EET FOR R PF.,'I',,,'RTE HELl. (."Il;;..' 200 FEET FOR E1 PI...IE&..]:C HELl_.
HEI..L.. LOGS R~E F.:EI'..::!U~F.'.ED FIND MUST BE F.:F..TURNEC, "ro
OF THE WELL. COI'tF'L. ETION.
SE'EC I FI CRT IONS RN[:, CON%I'RIJCT I ON E.', I RGF..'Rf,'I:;E; RR!E: Fi'v'EI I L. FIE:LE TO i 1'4SURE F:'ROE'ErR
:[ NSTRt_L.RT I ON.
E:EF.:T I F'¢ THFI'r
FIM F IdflILIHF.. HITH THE F..'EQUIF.:Ef,'IEf.,IT.9.q FOF.:: E~I'.,I..~'.'(;I"i"E :SEI.,.IERS FIN[) klEL. LS ElS :~;ET
Ei"r' TNE ["II. JN I I]; I F'FIL. I T"r' OF EINI'] HiE F.'F:I[~E.
1.4ILL ]:NS't"RLI_ THE,""11,-- ..... ,
..... · .=, I EM ]: N I=IE:COF.:DRNCE I.,.I ! TH THE COl)ES.
INDEF. 511'F.I ~ _
.... I'][. THRT THE --IN~q]'TE SEHER SI~.%TE[,'I I',iFl:.~: F.:'.E[::!UIF.~E ENL..F~F.:GEZIIENT ;IF THE
F..L=,II]:EI'.]CE I_, F.~E[,'If.]DELED TO I I'i]L'.:LIJ[~E [,iEIF.'.E THFIN E: BEDRE"~M'RL
O Er E MENT CO.
RusseH Oyster
694-2774
Soils 8 Foundations
Performed for:
GEO'. _CHNICAL 8- DEVEL
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Name=
Mailing Address:
Legal Description:
Depth (feet).
0
SOIL LOG
Tel. No,.
Soil Characteristic)
Earl Ellis
688-2280
Land Development
10
11~.
12~
16
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit__
Comments:
No
If yes, what depth
Drain Field
Performed by: Date:
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 694.2589
OWNER OF LAND e///4A,4E$ I� 10DCJ#-JV DEPTH OF WELL cI� a I / C
ADDRESS STATIC LEVEL OF WATER FT. t 0 '
LEGAL DESCRIPTION 4D % Ynig4o5 e_ 0RcI.0YRAW DOWN FT. ;)D.
DATE -Started Ended 9!/ 5� �7 GOALS. PER HR aao
PERMIT NUMBER 9 !p KIND OF CASING G -7 a n
KIND OF FORMATION:
From Ft. to—tfFt.
14-
From
Ft. to
Ft.
From Ft. to PY Ft.
'F141
/L
b7/
From
Ft. to
Ft.
�g
From�L_Ft. to!IS'S_Ft.
C4 -J f
' * �R,4✓t From
Ft. to
Ft.
From4K Ft. tot ]'�' Ft.
eZ.Pfe
4w0f4AEC * BorXO4;'�rFrom
Ft. to
Ft
From 175' Ff. to1 '74- Ft.
SIMRATED alff f ' 6trom
Ft. to
Ft
From M/ Ft. toa�Ff.
SX -J Q
4064� K cu4_rz_7K From
Ft. to
Ft.
From Ft. to Ft,
From Ft. to
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
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From
Ft. to
Ft.
From Ft. to Ft. From Ft.
DI ISC L. I NFORIM AT10N:
Aw AicuE40/9E4
/�✓.nP
70 BE `1.'yfcEO /FfY / /=ilo�+
cP of c.�s��✓ G . _
^ n
DRILLER'SNAME
APPLIC NT FILLS OUT,.UPPER HAl. ONLY
Property Owner ,~;~ ~l~ (~ ~ LX =_t
Mailing Address /~/ ~ j j~l'
Buyer
Address
Lending institution
Address
Realty Co, & .Agent
Phone
Zip Code ~'~ /'.~_,~ -/;/
Zip Code
Zip Code
Phone
Phone
Legal Description L.
Type
Residence
x~lngle Family
ultiple Family No. of Bedrooms
[] Other
Water Supply
~ Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975.
~ Community For wells drilled prior to lhat date, give well depth (attach Icg if available).
[] Public Utility
Sewer Disposal
[] Individual
[][] Public'UtilitYTank
Holding
Year Individual Installed: \(~
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN 8E INITIATED,
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
( p APPROVED BEDROOMS...~ 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
Soils Rating Date Se/~ye~,~r In. lied Well To Absorption Area Well Log Received
Well to Tank Septic Tank Size
EXCAVATION
ROBERT A. SHAFER
WORK
May 15, 1983
CIVIL ENGINEER
694-2979
The Alaska Pacific Ba~
ATTENTION: Laurie Holtz
101 West Benson Boulevard
Anchorage, Alaska 99503
MUNICIPALITY OF ANCHORAGE
DEPT. OF H~/~iLi-t,i o
ENVIRONMENTAL PROTECTION
MAY .2,
.RECEIVED
Dear Ms. Holtz,
Reference: Lot 8: Block 3: Majestic Valley Subdivision
A sewer system adequacy test was performed on the system located
on the referenced property, as you requested. The septic tank
was pumped and verified to have a capacity of 1000 gallons. The
absorption trench was tested by a continuous flow of water over
a period of 48 hours. During the first 24 hour period, approximately
500 gallons of water was added to the system. During this time,
it appeared that approximately 200 gallons of water had backed into
the septic tank. The test was repeated for a second 24 hour
period. At this time,337 gallons of water was added to the system
by continuous flow and after a period of 24 hours it appeared that
the majority of the water had been accepted by the absorption trench.
It can be concluded from this test that the septic tank is adequate
to serve the three bedroom residence. However, the absorption
trench appears to only be adequate for approximately two bedrooms.
It will be necessary to have the trench upgraded for an additional
one bedroom before it can be considered acceptable for this residence.
I~..,,Qe'~ay,~e of/f r service, p ease do not hesitate to contact
U~c~~/S~erkins Realty "
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
#1: Time
Date
Insp
DEPARTMEN']
825
11:00 a.m.
6-29-77 Wed.
Pratt
MUNICIPALITY OF ANCHORAGE
F ItEALTH AND ENVIRONMENTA~
L Street, Anchorage, Alaska
2'79-2511, ext. 224 or 225
2ROTECTION
9950].
Date Received: June 28, 1977
#2: Time #3: Time
Date Date
Insp lnsp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: Alaska Mutual Savings ]Bank
Mailing Address: Post Office Box 1068 99577 Phone:
2. Property Owner:
Charles/Pogany Development
688-2390
Phone:
Mailing Address: Box 323 99577
Legal. Description: Lot 8 Block 3 Majestic Valley Subdivision
4: Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms: ?
Number o[ Bedroonts:
+
Well System:
Permit ~
Censtruction
Individual We[L]. kx~ Conm]unity/Publie System ( )
Depth of Well .... ~%,~.. ..... Well Log on I,'i].e ~'
Bacterial Analysis
Sewage Disposal System:
Permit #
Septic Tank Size
Absorpt J on Area
Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
to Nearest Lot Line
On-site System (xk Public Utility )
Installed 1977 Installer
Manufacturer
Soils Re'he Material
to Absorption Area
Absorption Area
Request. i[o~ Approval o~' Individual Sewer and Nage)r Facit~t:;Les
A?fadavik A'kt;ache~: (~ Let:Le~: Ak'Lathed: ( )
Depa:chment: Workslleeh:
,dNICIPALITY OF ANCHORAGE
Department of Health and Environmental Protect.~.
/[~~ 825 I, Street, Anchorage, Alaska 99~gl.
279-2511,
ext.
224,
225
- ~equest for Approval of Individual Sewer and Water
1. Property Owner: CJ~a ~ I~-~~, _~z~c' ~ ~.[o~.~eF~
Name of Buyer
Mailing Address:
Phone:
Lending Institution
Mailing Address:
Phone:
4. Realtor/Agent:
Mailing Address:
Phone:
Legal Description:
Street Location:
Single Family Residence: 0q) Number of Bedrooms:
Multiple Family Residence: ( Number of Bedrooms:
Water Supply: *Individual Well ~)
If Individual Well, well depth
If Community System, name of system
Public/Con, unity System ( )
Sewage Disposal System: On-site System ~ Public System ( )
If On-site System, date of installation:
*NOTE: A well log is required on ALL wells drilled since 6/75.
3/77
O6-12201ol Rev. 1973
DATE
ALASp~ DEPARTMENT OF HEALTH AND SOCIAL SERVILcs
DIVISION OF PUllLI£ tlEALTIt
INDIVIOUAL AItD SEMI-PUBLIC .
BACTERIOLOGICAL WATER ANAI. YSlS
SEMI-PUBLIC [] CHLORINE RESIDUAL PPM
- REPORT RESULTS TO
Lab No._
OFFICE
Satisfactory
[] Un~alis foctop/
INDIVIDUAL
AODRESS__ z '- L'
CITY
ADDRESS
OF SOURCE
[~] Quesliongble
[] Su~ple leo ~ong n transn sample-should no be over 48
v,,~ ..... - ~ ~ 'Bo t ebrokenJnlransit please send new son p e
(. ' ~ 4 ~ / ..... ~ {'~ L/~ ~1~ - -
~ · , [ .......... '~)~xr-`. ' SAN]TAR AN'S REMARKS
/ , '-L~ ': .' --
COMPLETE T~I~~ SECTION
ONLY IF WATER ISAN INDIVIDUAL SUPPLY ~-- ' ' :-- ~ .... : - ~ ----
DATE COLLECTED -- " '' (~ )
Sonlple Collected From [] Kilchen Toy
Well--[] Dug [] Driven
SOURCE [] Spring [] C~slerl~
WoHs-- [] Wood [] Concrete [] Metal ~. T,,e Br,ckor
~[ou -- E Wooc [] Concrele [] Metal L:J 'O~en Tel) [] Concrme
LOCATION:
[] n Yard [] OIh~
DISTANCE TO 'or Olher Drmnoge Pi[~e __Feet Tank__ Feel
Tile Seepage Cess
Field - Feet. Pit . Feet Pool Feel Privy .Feet
MATERIAL: Budding Sewm [] Cast Iron [] Wood [] Tile [] F~bre [] Asbestos
GENERAL Does Wa~er Become Mudd )r D~scolored? [] Yes [] No
When?
SAMPLE COLLECTED BY J ( ·
. ~ //, -: :._. :: -.
) /? t~. - . -~--~-~- , -- . .
_TIME COLLECTED. '
~ , ?:~ ~,.-.~ . .:, . _ ~ ,
[]_ Drilled [] Bored __~ , _, _ -- ~. . . .
[] In Bosc, n ~n~ [] Room
Well Casing
Length of
Offset in
PUMP LOCATION [] * Wel, [] Basement
On To[~
[]Of Well [] Other
PURPOSE OF EXAMINATION: Illness Susoecled?
New Sgurce al SUDDIv'~ [] Yes [] No
READ INSTRUCTIONS
ON
[] Yes E Nc " t
Reoors oSvslem? [] Yes [] No Signolure. d
06- 1220 lb
Rev. 1973
Dote Recelvea
Loctose Brolh
24 Hours
48 Hours
Br om Green
24 Hours
48 hours
BACTERIOLOGICAL WATER ANALYSIS RECORD
_AGAR _
REVERSE SIDE
EMB
BEFORE Lactose Broth 24 hrs.
MOst probable No Der lOOcc)
Cob form DensH
Mr Results
COLLECTING SAMPLE