HomeMy WebLinkAboutHOMESTEAD HILLS #1 BLK 3 LT 4Lq-
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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
NAME PH oN'-g
MAIL,N ADDRESS £
~EGAL DESCRIPTION
LOCATION ~ NO.
We,~~ I Absorption area , Dwelling
~ DISTANCE TO: ~ I ~ ,
~ ~ Manufacturer ~ '
Liq. c~,~ IF HOMEMADE: Inside length~ Width Liquid~
~O ~ DISTANCE TO: Well Dwelling PERMIT NO.
O Well Foundatio~ ~O ~ Nearest lot line t PERMIT NO.
No. ~es wi~ ~ches
~e~ Total ~1~ ~°f lines Trench Distance~betw~e n/olin~/
~ ~ ~ ~ Top of tile to finish grade ~ ~ Material beneath tile
Length Width Depth PERMIT NO.
~ ~CE TO:~~ ~oundation I~rest lot line
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
-
PERMIT NO.
APPLICANT JAMES FOSTER
LOCATION
LEGAL LT4 BLK~ HOMESTEAD HILLS
HLi~ICIPALITY OF ANCHEIRAGE
DEPARTMENT F~\HEALTH AND ENVIRONMENTAL .~ITECTION
825 ~L STREEL ANCHORAG& AK. 99.-1
264-4720
Or4--SITE SEWER PERf4IT
· 42 E 42 #4
LOT SIZE
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
FEET
MAXIMUM NUMBER OF BEDROOMS = 5
SOIL RATING (SQ FT?BR>= 280
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
D~PT, · ....... LF,~GTH= 'l 20 GRR~/EL DEPTH= ?
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 FEETX
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 E~CAVATION <IN FEET)°
RE~LI I R~D SEPT I I:: TANK S I ZE: 1500 GP, LI Ot-4S
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 ) I t~$PECT IONS ARE RE~.I3 I RED
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,
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PER~ I T E×P I RES DECEMBER ~l~ 1~80
I CERTIFY THAT
t: I 8M 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 5 BEDROOMS. _/~
SIGNED:_.
ISSUED __-_DATE_- V4.0
APPL I [:ANT J~MES
L.~r ~ON
L~3~L LT4 8LK3 Fa3~IE'3TEi~ H[LL~ L~Ir L~[g~
SEPT ]: .9_ T'i~tNK S I ZE~a' :L§,Ota t:iF~LLON~
P[f;:l~I I: T E.XP [ RE5 DE~:E,M~ER ?~L-.
PERFORMED FOR,
LEGAL DESCRIPTION:
THIS FORM REPORTS:
CONST ,F,F,F JCT ION
TEST LAB
J.C. Foster
Lot 4 Block 3
E] Visual Soils Examination
180O~V 48TH AVE. STE. 'C'
ANCHORAGE, ALASKA 99503
248-1333
DATE PERFORMED: 7/1'7/2/80
Subdivision Homestead Hill
~'Percolation Test ACTL 80-1381
DEPTH SOIL NOTES
DESCRIPTION
~' TOPSQIL , ~,
~. BROWN SILTY GRAVELLY SAND " SM "
~ DRY
~' . . .... .-
BOTTOM OF HOLE
WAS}.GROUND WATER ENCOUNTERED NO .
IF YES, WHAT DEPTH N,/A
LEG[ND
® -- Perc zone -
Sample taken GENERAL SITE SLOPE
~ ~Frozen zone~
· ~ Water .lUUl~=
REA[~iNG -, DATE? GRO~S TIME.-, :.,.t '-NEi~.~'~.IME .~'? DEPTH"TO H20 NET DRA~NAGE ,.
r._ 7/1/8D' 'SA~ORATION ~pE~ IOD .
~" -:7/2/8'0 ' '"" ' , '0 'hrs. 3"
" 7/2/80 . ' fi' ' '~.b hrs. 8 1/4" 5 1/4"
'~' 7/2/80 , '~ :" ' 3'~'~ h~s. -'9" ~ 3/4" ~
'- 7/2/80 ~ .... 4'.~'hrs. 9 3/4.." 3/4" .
DRAINAGE:.;REQUrEEMENTS'- ~-80 SF/Bedroom
PERCOLATION R/~T.Et 40 rain/inch .....
PROPOSED NSTALLATION: QSEEPAGE- PI~;-· I~ DRA1N:::-F1ELD; O"OTHER
COMMENTS .
TEST PERFORMED-BY: L~ ~ ' ~-~ m~ '
DATA CERTIFIED BY~
DATE:
James R. Ringstad, P.E.
7/2/80'
20 C~A
I I t
~'~' ~' I:~ "1/
20' 8d~DF 14/u~/,~/,,,~.',~ /1f77.~2 I ',
S S ENGINEERINO
(907) 274-9397
5610 SILVERADO WAY, SUITE A-7 ANCHORAGE,ALASKA 99502
S~ALE: /': .:0 I PLOT PLAN: I A~-BUILT; ~{~ IGRID: >~,~ I DRAWN BY:,~:'7':': l CHECKED
I hY:..:....,. %. ::.'X::, (! /Z ~' surveyed~he following ~e,cribe~ property,Lot ~ ,BIk,.~
~,by certify that, I have, , :,~/4'~ A.choroge Recording Precincf,Alaska ,a,d ~hO~
the improvements situated thereon are within the property lines and do not overlap or ~.~?-
encroach on the property lying adjacent theret% that ~oimptovemeMs on property 'lying ~.~'~,
transmission lines~or other visible_~_/easements on s~id property except os indicated hereon.
Dated this J~O "~1/'.'~,, :':> ,
day of ~ . 9 ....... , Anchorag~ Alaska.
Il isthe responsibility of the owner or builder~prior to conslruction,~o verify proposed
building grade relative ,o finished grade end utility connections ~nd to determine the
existence of any easements~oovenonts,or restrictio'ns which donot appear onthe recorded
subdivision plat.
unicipa i of
nchor ¢
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
December 31~ 1980
James Foster
3420 East 42 Avenue #4
Anchorage, Alaska 99503
Permit ~ 800245
Subject: Lot 4 Block 3 Homestead Hills Subdivision
A permit issued by this department for well and/or sewer
system has expired as of this date.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for
our files.
If there are any further questions, please call this
office at 264-4720.
Sincerely, / / /~
Les N. Buchholz, R.S.~/
Senior Environmental ~p~cialist
LNB/ljw
enc: Copy of Permit
SWP/057
~ ~" DEPARTMENT ~'HEALTH AND ENVIRoNMENTAL?~'~OTECTION
825 ~L' STREET, ANCHORAGE, AK. ~9~01
264-4720
'~ LqELL PERt4 I T
PERMIT NO. ( 800245 )
APPLICANT
LOCATION
LEGAL
JAMES FOSTER
OMALLEY RD
~420 E 42 #4
LOT SIZE
272-5420
48000 SQUARE FEET
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
i00 FEET FOR A PRIVATE WELL OR i50 TO 200 FEET FROM 8 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 THE DEPARTMENT WITHIN .~0 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T EXP I RES DF, C~MBER ~._~l~. 1980
I CERTIFY THAT
l: I 8M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS 8S SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2~ I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
SIGNED: ....
APPLICANT
ISSUED BY__.
JAMES FOSTER
V4. 0
' 264-4'720
F'ERMIT NO. ( ~0 ~'~'l.~ ,'
APPLICANT
TYPE OF SOIL RBSORBTION SMSTEM IS:~
MAXIMUM NLIMBER OF BEDROOMS =
i"lLJhl I 13 I F'AL I T~' C)F- ANC:HC~F?F~GE
".- DEPARTMENT ,,"~: HEALTH AND ENVIRONMENTAL /"<~OTECTION
o2~ L STREET, RNCHOF. tRGE, AK.
F'ERI9 I T
LOT SIZE ~( o~ SQLIRRE FEET
SOIL RATING (SQ FT/BR>=
THE REQ_IIFED SIZE OF THE SOIL ABSORPTION SYSTEM IS
C>EPTH=
LENGTH=
GRAVEl-_ C, EPTH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF 8 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 OLITFRLL PIPE
AND THE BOTTOM OF THE ENCRVRTION (IN FEET).
F."E:Q U I RED SEPT I C: TRNK S I ~E=
m3RLLCmlqS
PERMIT' APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTRLLRTIOH INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
'.~UMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TI-.IC~ (2) I[4SPECTIm]~4S I-3RE REQLIIREB,
BACKFILLING ElF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECLITION.
MINIMUM DISTANCE BETWEEN R WELL AND RNY ON-SITE SEWAGE DISPOSAL SYSTEM IS
200 FEET FOR 8 PRIVATE WELb OR
i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERF1 I T EXP I RES [:.ECEMBER _.~..?-! .. lB 80
I CERTIFY THAT
l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH 8Y THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
RPPL I CANT
ISSUED BY ~'~*
V1 2
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE - Started
PERMIT NUMBER
ger -,fie Drilling '£oa
by MUNICIPAL~ OF ANCHORAG[~
DEPT. OF I~ :,"d.T'i ~t~
DOC CO. cma FNVIRONM[JNL'~,L ,~ 'iLCTION
SULLIVAN WATER WELLS ,
DEPTH OF WELL
Ended
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR
KIN D OF CASING
K1NDOF FORMATION:
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 _Ft,
From- Ft. to _Ft.
From_ Ft. to__ _Ft.
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-- FL
MISCL. INFORMATION: