HomeMy WebLinkAboutMOUNTAIN MANOR BLK 2 LT 8
MUNICIPALITY OF ANCIIORAGE
Hea' and Environmental Protc'~
Pourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
........................... i'N-~-P'EcTION REPORT ON-SITE SEWAGE DISPOSAL SY-S"fi:A ..................
SEPTIC TANK:
DISI'ANCE ~.OqL, X ~
FROM WEL.L ........... MAi'JLJI AC iUJt[ R
INSIDE LENGTF! .................
# of Lines
A[]SORPTION AR[:A .... ~ ,.~_~. S(). f I. l [NGTH OF t ,\Ctt LIN[_
L)EP]II ()t t I[ i'LR
DEP]tt: -lOP OF IILL lO t'INISIi
SEEPAGE: PiT:
DI/'sMETER
Log Crib Rings_ Crib Size: LHAMETt R .... I. ff_Pl'H .... I)IS'TAtNCF FROM: WELL
'IOI,~L Ell EC'[IVC
BUILDING f:OLJNDATION ........... NEARESff LOT IINE ......... AI-/SORPTION ARFA (WALl_ AREA) .................
Well
Class: ~_~ Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe Materials:
~ of Bedrooms: _-~
Installer:
Remarks: _. ,%r~, /'
· . [
F'ERMI'I" NO.
laPPL i CAN'T'
I_ 0 C Iq T I 0 N
L..EGAL.
MC:I...EOI:) CONST
RI:.'.',S. END. CR.
L.T. 8 BL.K. 2 MT. MANOR
PO. BX ?'E~5 ER.
I_OT SIZE
8887~.-,:.'. S[::!I...IFtRE FEE'T'
'FYF'E OF SOIL FtBSOREFTION SYS'T'EM IS: TRENCH
MAXIMUM NIJME:I:.ZR OF BEE:,ROOMS =
SOIL.. RATING (SQ F:T/SR)= 1.2(!!~
'T'HE REQUIRED SIZE OF "['HE SOIL. ~E.~SORPT'ION SYS-:;'I"EM tS:
[) iS:Z: IF::' T' FI := :::~}' L.. E: i'-,I I:]i ']t- !-I == ]]~.: ]::" C~i F-.'. fa %,' [~: I. ..... [:" E] P 'l- tt--~ := ~
'I"HE L..ENC~TH DIMENSION IS THE L. ENG'TH (IN FEET) OF 'T'HE TRENC:H OR I::'RAINFIIEI_[).
THE DEPTH OF FI 'T'RENCH OR PIT I'S THE DISTANCE 8E~f'NEEN "['HE: SURFFtCE OF THE
GROUNI::' AND THE BOT'TOM OF T'HE EXCAVATION <IN FEET').
THERE IS NO SET NIDTH FOR TRENCHES.
THE GIE'.A'v'EL [."EPTH IS THE MINIMIJM DEPTH OF GRFIVEL 8El"NEEN THE OI...ITFFII_I_ F'IPE
FIN[) THE BOT]'OM OF THE EXC:BVATION '.':IN FEET::'.
F'RCI<:R[~E PLAN'1" MAY BE :I:N::2';TRI_I_IE[:, A"l" THE PERM ITTEE'"S OF'TION SUSJEC'T' "ro THE
FC)LLOW I NG E:ON[:, I ]" IONS:
:.1... EITHER R C:L.~$S-"; I OR I I NSF' RPPRO'v'EI::, PLRNT I"IRY BE: ~N.STRLI_EC,.
2. R C'ONTZNUOIJ$ MRINTENRNCE RGREEMENT ~S RE[.:!I...IZRE:I:). IF R MRINTENRNCE
RGREEMENT ~$ NOT KEPT CURRENT YOU MRY BE: REQUIRED TO ENLRRGE T'HE SOIL.
RE,'$ORPT'ION SYSTEM RN[:,,.."OR YOU MAY BE SUB...TECT TO PROSECUTION
'l- &--It (:] ( :.:Z.-': ::, I f4 ~:5 F' E: C: "T' I ~:) f4 :F_"; A I~ E: t~-': E: [::! k.# }:: ~.'. Ei: [:::: .........
BRC:KFILLtNG OF ANY SYSTEM [,J :[ ]"HOIJT F':I:NRL IN.SPECTION AND RPF'ROVRI_ BY THIS
[.':,EF'RRTMEN'T' WILL. BE SUB,.I'EC]" TO PRC~SECtJTION.
M:[NIMIJM [.~iS'I"ANCE 8E'T'WEEN A WE:L..L AND ANY ON-SITE SEWRGE [:,tSPOSAL SYST'EM ]:S
t.E.~E'.~ FI':TET FOR R PF.'.IVRT'E: WE:L.L. OR 21~!) FEET FOR R PUBL. IC: 1.4E:L.I ....
WEEL. L. I_[:)[.~S FiRE REQU:I:RE[:, RND MU'.5"f' BE RETURNED "1"O 'THE DEF:'ARTMENT NII"HIN ::4:L;) DAYS
OF 'T'HE WEL. L [:::OMPLETIE~N
OTHER RE[:.).UIREMENTS MRY APPLY. SPECIFICRTIONS RN[:, CONS'I"RL.ICT'ION [:,IFIGRAI"IS~ RRI:.-'.':
F/',,,'la I I_A[.~LE TO I NSUF.'.E PROPER I NS'T'RL. LR"F I ON.
]: C:ER'T'IFY 't'HRT
::L: I Rf,1 F'AMIL.:I:RR WITH THE REQUIREMENTS FOR ON-.SI'TE SEt4ERS f~N[.', NEL..L.S A!i:4 SET'
F'C~RTH B"r' THE MUNICIPR[..ITY OF RNCHORRGE.
2!:: I NILE INST'AL.L. 'rile S'YSTEM ZN RCCOR[:,RNCE I.,.IITH THE C:CK::,E$.
ii:: ]: UNDERSTRNI:) ]"HI:IT THE ON-$Z'I"E SE[4ER SYSTEM MRY REQUIRE ENLRRGE:I',IENT IF' THE
RI:.-:St[::,ENCE IS REMO[':,ELED TO I NCL. U[:,E MORE THRN L::.: BE[:,ROC~MS.
S I G N E [:,: .~~~ .......................................
T '~: '::: El", I:.:::"r' . ........... I::'R'T'E ....................... i..
E GEO 'CliNICAL Er DEVE[ ~MENT CO.
Box 90, Davis St, EaUII~ River, Alaska 99577
694-2774 or 6LUJ 2280
Russell Oyster £ad Ellis
694-2774 SOIL LOG 688-228o
Soils ~ Fourldat~ons Land Development
Performed for:
Mailing Address:
Legal Description: /..> - ::'/ .!~/ /.~ ; ~ / i:,~.',..,, ....
Depth (feet)l
Soil Ch)racteristic$
Ground Water Encountered: Yes
No 1." If yes, whet depth_..___.
Proposed Installation: Seepage Pit
Drain Field~
Comments:
Performed y' .... , : ,'~ '~( ~: f,/,.. ,
This well is producing
MOON DRILLING
SR BOX 668, BOGARD RD.
PAl~l?. ALA.~ 99645
TELEPHONE 74S-4071
gallons of water per hour.
INVOICE
Set ~ump @
Lot , BIk, ,Sub. WELL LOG
INVOICE NO.
DATE
YOUR P. O. NUMBER
TERM8
SALESMAN
DEPTH DEPTH DEPTH
IN FT. OASIN FORMATION IN FT. CASI~ FORMATION IN FT. CABIN FORMATION
~1 101 201
pS 103 202
~3 108, 203
__4 104 204
~-.6 106 205
~6 I(M 206
~7_ 109 207
~8 108 208
m 9 109 209
__lO 110 210
mll 111 211
..18 118 212
~18, 113 213
14 114 214
~15 118 215
__17 117 217
__18, 118 218
~19, 119 219
._20, 120 ~220'
ms1, 121 221
~28, 122 222
._~8 128 223
~24 124 --224
~25 125 225
~26 126 226
_.27 127 227
..._28 128 228
.__29 129 -229
mso 180 -230
....81 131 231
*' ~2 282
DEPARTMEN
825
MUNICIPALITY OF ANCHORAGE
DF HEALTH AND ENVIRONMENTA_. PROTECTION
Street, Anchorage. Alaska 99501
264-4720
91: Time 10:30 a.m. #2: Time
Date Received: April 20, 1978
#3: Time
Date 4-25-78 Tuesday Date
Date
Insp Pratt Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Mailing Address:
Lending Institution Request: First National Bank of Anchorage
Post Office Box 4-2090 99509 Phone:
2. Property Owner:
Duncan Mc Leod Phone:
Mailing Address: % Jo Davis, Executive Realty, 276-7777
3. Legal Description: Lot 8 Block 2 Mountain Manor Subdivision
4: Single Family Residence: (~
Multiple Family Residence: ( )
Number of Bedrooms: Three
Number of Bedrooms:
Well System:
Permit #
Construction
Individual Well ~ Community/Public System ( )
Depth of Well Well Log on File"~ ~
Bacterial Analysis
Sewage Disposal System:
Permit # 77680
Septic Tank Size
Absorption Area
On-site System ~ Public Utility ( )
Installed %q~A Installer ~l~n~
~a(~ ~0 ~ ~ Manufacturer .~, ,~
~ Soils Rate ~ Material ~
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
Page Two
Department of Health'and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 8 Block ~ Mountain Manor Subdivision
Comments:
Affadavit Attached: ~ Letter Attached: ( )
Approved: ~,~ ,~/~ Date: ~/ ~,~/
Disapproved: Date:
Department Worksheet:
RECEIPT FOR CERTIFIED MAIL--30<~ (plus postage)
SENE TO
POSTMARK
STREET AND NO. - OR DATE
O[~IONAL SERVICES EORADDITI0~IAE FRS---
RETURN ~ 1. Shows to whom and date dell~e~
RECEIPT ~1~ With delivery to addressee A , ' .........
SERVICES ~ 2. Sho~.to whom ,ate and where~,;~'~'~"
DE[IVER TO AD~. ..... ~,hJelivery to {ddressee only .......:.:
A~r. ~97~ 3800 NO INSURANCE COVERAGE PROVIDED--
NOT FOR INTERNATIONAL MAIL
(See other side)
GPO: 1972 0 - 400-743
1. Type of Inspection:
2. Property Owner:_
MUNICIPALITY OF ANCHORAGE
DEPAF~TMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage. Alaska 99504 276-2221
REQUEST FOR APPROVAL OF ~-'~¢ ~ ~15 ?- ct dl
~ND~VIDUAL SEWER and WATER FACILITIES
CMRO .................. VA .............. FHA .......... CONV ...........
Mailing Address: .................................... Day Phone:_,_
3. Name of Buy~ ....
Mailing Address:
Name of Lendin§ Institution.
Day Phone:
Mailing Address: ............................................. Phone: __.
5, Name of Realtor or Agent: ........
Mailing Address:. Phone:~
6. Legal Desc,~pt~o' ' n' .... ~''~ ................................................... -.-
Location
'Type of Facility to be Inspected: ....................................... No. Bdrms
Water Supply
'Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well_
Sewage Disposal System
Type of Syste m:
If Individual, date of installation
Public Utility_
Individual (on-site)
72-.003(3/76)
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
,u.L,c WATER SYSTEM'
Public Water System Name
Mailing Address
City ' State Zip Code
SAMPLE DATE:
Mo. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
1
2
3
4
5
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
LABORATORY:
NAME
ADDRESS
CiTY
Date Received
Time Received
Analytical Method:
~ Fermentation Tube
[] Membrane Filter
Lab Ref. No.
Result* Analyst
J I-~
I ~11
Jill
NO. of colonies 1100 mL or No. of Positive portions.
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Form No. 18-310 (3-78)
06~1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev, 1978
Date Collected r' ''/ 'i ,;,/ Source
a.m.
Date Received ~/ , ~, ', Time Received p.m. Lab. No.
Presumptive 10mi 10mi /0mi 10mi 3.0mi 1.0mi 0.1mi
24 Hours
48 Hours ;
Confirmatory
24 Hours
48 Hours
EMB_ Broth 24 hours:.
Multiple Tube Report;
Membrane Filter: Direct Count
Verification: LTB
Final Membrane Filter Results
Reported By
Broth 48 hours:
1Omi Tubes Positive/Total 1Omi Portions
Collform/3.0Oml
BGB
Coliform/100ml
Date
Time; a.m.