HomeMy WebLinkAboutSKY RANCH ESTATES #1 BLK 4 LT 8Loq
MAILING A D D~.~,SS
EGAL DESCRIPTION
LOCATION
MLINICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAl.TH & ENVIRONMENTAl. PROTECTION
ENVIRONMENTAl. ENGINEER NG DIVISION
82.,5 L Street- Anchorage, Alaska 9.9501 'relephmte 2.64-4720
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELl_ INSPECTION REPORT
-' 27i5'
Well
DISTANCE TO:
Manufacturer
IFHOMEMADE:
Well
Liq. ca
DISTANCE TO:
DISTANCE TO:
No, of lines ·
of tile to finish 9r, ~,~
Length
Width
Crib diameter
Well
Type of crib
DISTANCE TO:
Class Depth
Building foundation
DISTANCE TO:
UPGRADE
Absorption area Dwelling j'/
Material
Inside length Width
Dwelling
[ Material
Foundation 22 E?r-~st~°tline lO
Total length of li~e~ ~-~ I Trench widt~ A
/JO- L /~(.)inclles
Material beneath-- ----/--~-~tile.____~'~
inches
Depth
NO, OF BEDROOMS
PERMIT
No, of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERM,T NO.p;g
Distance between lines N" ~"
Total effective absorption
PERMIT NO.
Crib depth Total effective absorption area
Building foundatioe Nearest lot line
Driller Distance to lot line
Sewer line Septic tank
L_M_ I T NO.
OTHER
PIPE MAT~0Lb
-~OIL TEST RATING
INSTALLER
REMARKS
APPROVED
72-013 (Rev. 3/78)
DATE
-f'HE i:;i:!:S:(;:!l..J ]7 i:;;:ED 5 7[ ZE OF' 'T'HE :ii;O :[ !.. RE',5!!;OFi:F'"F :£ O1'4 :i~;'.?5'TEF! ]: :5:
El::,, E!E; ii:::::'" I!" !1',--'~, ......
THE LENGTH E:, :[ HEN:ii; :i: OH :[5 'THE: i....EhldiTH ,:: ~£i",! FEET::, OF' '/'HEi: "I"F;E:NE:I-I
THE: E:,[EF:TH OF' FI 'TREi'.,IE:I."I Ot:;i: I:':I:'T' ]::~i; "f'l-lE D:E:5;T!qhICE:; E?,E"I'HE:EN THE 5;~;I..If;i:F:'?,(Ti:[E {:)~:: TI.!E
(:~i[;i:OIJi'.,l[) FIND "FHE EH:I't""?O["I Cd:::' "f'HE i}5:::':;E:!::¢v'f::I"I'J:CIN ':: :(?',i
T~'i!E GRF:I'v'F:!... [)EF'TH :[5; THE H:!:i'.,!)'.l'il..iH E:,[:~:F:'TH OF' (:~iF~:F!'v'!~L.
FIHD "FHE Ea:)'T'"FOH OF' "f'HE E:;:'::E:F1VF:t"I" :[ Ol"J ,:: :t: t",i FEET ::'.
?EETi" I::'O[i: f~ F:' R :[ V !:::i 'T' I::: HE:L..I.. OF:i: ;]..~!:jl;~l 'T'CI
"f'FIE 'T'?'F'E: O1:= F'UE',L.:i:I.E: HELl .....
HUH E:, :£ ::.V'f'FIHCE 1:::'!:;:.:Oi"! ,~::I F"F: :[ 'v'F:ITE HELL TO
COHHLIH]:T'v' :il;EI,.IEF: L.;[?',hE :(5i; ';:~".5
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F'GF:"?'H i!i?,'~.' THE HU!'.,! :!: E: ]: F'FIL. ]: T'.? Ot:::'
~!:: ]: !4 :i:!..L. :,r. N!iSTFIL..L. "fT.lf._:: :i~;"r':iii;"i"!:ii:l"l :[!'4
:51:: ~: !...IHE:,EF~:'.ii;'i"FIHE:' 'TT'IF!T TFI!i!i: Oi",!'"":~:;:[TE
i:,?E:i~;:i:E:'E:i"4E:IE :I:5; F:EHEH:::'I'.~%EE:' TO ]:HCL. U[::'E
January 4, 1982
Judy Lamb
8200 Barnett
Anchorage, AK 99502
Permit il 810896
Subject: 1,8 B4 SKY RANCH ESTATES
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
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 all engineer inspected the installation of tile 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 ~. Buchholzz/R/S.
Program Manager~/
Sewer and Water Program
Enclosure: Copy of Permit
F! F:' F:'L ;I; C: F:1!"4 T
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GI:ROLIH[) FIN[::, THE: E~O"I'TOH
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I'.,!L,IHF3[!:Ft OF:' F..'[iiZ5 Z !?,[~NCE'S THF!T THE HELl... I.,I ]: LL.. t.:.'.;E':F:',,,'[~:.
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:[ C:I!:~:F:'T' :[ F'~" TI..'IFI"f'
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I:::O[;t'.TH B"r' THE I'"!L.tH :[ C: Z F'I:::IL.. ]: T'~"
:?: :1: 1.'.!:i: L.L. :[ I"..!'.::;TFILL TI--IliL' :!!;'~":.:.';"f'E:I'"I
:~:' ]: I...IN[)[EF.'.:i!!;TFtN[::, 'T'HI::IT THE: "' FI-<::: ]i T[:'"':
F?E[iE;]:E:'!!E!",IC[.':': :!::ii; Fi:E:FIOE:,E:!...E:[)'T'O
MUNICIPALITY OF ANCHORAGE
Department ~ Health and Environmenta ?rotection
825 L Street, Anchorage, AK. 99501
264-4720
* ~ ~ HANDWRITTEN PERMIT * * *
WELL AND~t~ ON-SITE SEWER PERMIT
Applicant: d (.3'-'~ t'~ ~J.._ ~V~ 4 '~- Mailing Address: ~>C::~'0~ ~'~' £ ~ '~f
Location: ~_~e~c~o~ <~obe~, Phone Number: -~ ~ q~ _~-/ ~ c-
Legal Description: C ~ 6 cf ~ ~_~.-~, Lot Size: / ?~-6 ~
Type of Soil Absorption System Is:
Trench: Drainfield: / Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) ~ ~ The Required Size of the Soil Absorption System Is:
DEPTH :~[--- LENGTH . ['~4/,.. GRAVEL DEPTH .~Z~. WIDTH ~'
~he length dimension is tAe 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 gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /O-dx~ 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.
**0
* * * 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 1 9 8 1 * * *
I certify that:
(1) I am 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 codes.
(3) I understan~ that the on-site sewer system may require enlargement if
the reside is remodeled to include more that 3 bedims. ,
Signe~: >~. '~./~ . ,,~L Issued by: ~ _ ~-',-~ ~ ~
~.:./ Date: ~ '-~-Q~--%~
SWP/024(1/81)
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
3
4
6
7
8
9
10
11
12
13
14
15
16
17
t8
19
2O
SLOPE
WAS GROUND WATER S
ENCOUNTERED? ?~ ' L
O
P
E
IF YES, AT WHAT
DEPT~? h/,~
Gross Net Depth to Net
Reading Date Time Time Water ~a~ Drop
.~ 13 '~ 3. ~ o /' 7 ~ o , ~ 'I
PERCOLATION RATE ,~/', ~. (minutes/inch)
?-/// TES~ R~ .ETWEE~ ~Z' , ~ A~o ~ ~
PERFORMED BY: CERTIFIED BY: I Z'--/ DATE: ~ '--:~/
72-008 (6/79)
LOT
ll-I
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
LO'[ ~ LO1 ~ LOT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
LOCATION OF WELL (Please complete Dither lo, lb or lc.) A.D.L. No.
Feat 8claw
WELL LOG Sur face
Material Type Top Bottom
Slot/Me~h Size:
B~ckfHling
I$, PUMP: (if ovoiloblo) NP
Length of Drop Pipe
I~. REMARKS:
16, WATER WELL CONTRACTOR'S C~RTI~ICATION',
Signed:
Authorized Representolive
MUNICIPALITY OF ANCHORAGE WATER WELL RECORD
DFPT OF HE."I.TH °, STATE OF ALASKA
FNVIi¢ ;ilM!f'hA. F:;O E fl dEPARTMENT OF NATURAL RESOURES
Division of 6eological 8~ 6eophysicol Surveys
Merldion
,t. WELL DEPTH: (fl~ol) I 5. OAT~ OF COMPLETION
~ A~ger ~detled ~ Bored ~ Other:
[~ Public Supply [] Industry
[~ Reaherge [] Commerlcal
(~ Other:
[] Threaded [] Welded
____in. to'?-// fi, Oepth Weight /~ Ibs,/ft.
__in. fo,__ ff. Depth $tickup
Diameter:
Length:
ft. end
Gravel pock
ft.
~t ?
'0. STATIC WATE" LEVEL: ft.
Dote
[] Above or ZJ]elow lend eurfeco
Equipment used: /~+cl/~,= "~
II. PUMPING LEVEL below land surface end YIELD
.... ft. after ........ hfs, pumping__ g.p.m.
ff. offer hrs. pumping g.p.rn.
12.GROUTING Well Grouted: [] Yes [] No
Motoriel: ~_~] Neat Cement [] Other:
ff. capacity g.p.m.
Centrif[col [] Other
L~c
Form O2-WWR (11/81} Copy Distribution: WHITE'State DGGS~ PINK-Driller, CANARY'Cuslomer
January 4, 1982
Judy M. Lamb
8200 Barnett Road
Anchorage, AK 99502
Permit % 810358
Subject: LOT 8 BLOCK 4 SKY RANCH ESTATE
A permit issued by this depart~nent for a well and/or sewer
system has expired as of December 31, 1981.
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,
Sewer and Water Program
Enclosure: Copy of Permit
F'EFd'"I I T NO.
FIF'F'L. I CI::INT
b (]1 i[:: FI T I t:li'.,~
L. EOF:IL
t>E:F'1;:IRTMENT OF' HEEFILTH FIN[:' Ei",I',,,'II;b]Ii'~HEi',ITI::IL P~;itEFf'EC'TION
.jr ... [- "r' H. L. FIH D
NFl i :SF'ER I I'.,h:3 'L;F'RUCE
6:;200 E:FIRNETT ROFID
27'6 ~-. 2 F 61
'"' F..HN ..H E':_:";TF~ T E
LOT ::, BLOCI-::: 4:51-:::'.r' '- '"
[..OT :,i,:::.E :1.650EI 'Sf;![..ll::l~:E F'EE"f'
H I I'.,I I HIJM C, 1:5]"flt'.,ICE DETHEEN FI HELL FIN[:, Fli",l"r' Oi',t-S I TE '.E;EI.,.IFIGE [.'." I ~':;PO:F:;FIL. S;'~.':E;'TEI'"I I '-:~;
iOO FEET FOR FI F'1;RI',/FITE HEI...L OR :1..5E~ TO ;2OE~ FEET FROH F:I PUE:L. IC HELL .r.:,EF'ENF,',ING
UPOI',I THE T'-/F'E OF PUF:LIC HELl_.
MINIHUH [:,ISTRI'.4CE FF.".OH R PF..'I',,,'FFI"E !-,.IE~LL TO F:I F:'RI',,,'FITE :..:T,E,qER LINE :[:~-~; ;;25 FEET RN[':,
TO FI COMMI...INIT'.¢ ::::EP.!ER LINE IS 7'5 FEEl'.
klEL. L. LOG:5 FIRE RE(~'gJIRE:D RI'.,I[:, MU2;T BE f;.:E:TURNED TO THE DEPRRTHENT I.,.!ITHIN :2:E"i
OF '1;'HE HELL E:OHPI_ETION.
OTHER REQUIF.:EMENTS HFf'T' RI::."F'L'T'. :BF'ECIFIP:I::I"i'IONS Fif-,IE:, CONSTRI_I(~':TTOI'.,I E:,IR6iRI::IH:.:.; FIF..'.F_'
I::I',,,'1::11 LFIBLE TO .'[. I'.,I':51JRE F'F...'OF"EF.'. :[I'.Y-::;TFILLRT I ON.
I CERTIF"r' THFIT
:1.' I Ri'"l FFli"IILIF~F.: HITH THE RELqlJI,r4:.EH~I',If:-', F'OR ON-'-:rB, ITE '.:SEt4ER:5 FIND HELL:5 I;:1:5 .SET
FORTH B"¢ THE HIJN I C I F'RL I T"r' OF FINE HFIF.'.FIGE.
2::' I HILL II",ISTF:ILL THE .:,'r_-TEfl I1",I RCE:OF.:[)FINCE I,.IITH THE f':OC'E~;.
S; I GNE[:,:
FIF'PLICFINT .TIJE:'¢ H. LFIHD
[)E[F'I:II:~:']II,1EiBIT ,. HEALTH FIl",l[:, El",l'v' I RONNE. I'.,ITFII. .... EITECT I ON
E:25 '" L. '" E!;TR. EE:T., FINCHOF;:FIGE:., FII-:::. i'~grSI.3Z
H....B E: L. L_ F' EE F: ~'"/, 3: 'T
F EF.tlIT NO. ,' E:'IEI~! 5'.'~
.]'_ £ "r' H. }...] li'IE
kH,'t I .: F Ek I t.,ICi '~ F'R. '::E
FIF'F:i.. I CF:tNT
LIZICFIT I IZII'.,I
L..EEiFIL
HII',,IIFqUH [:,ISTFINCE: E:E:"FbEEEN R I.,]ELL RN[:, RN'~' CIN-SITE SE:I.,.tRGE DI'.SPOSRL S?STEH IEE;
il;.3E1 FEET FOR FI F'[~tI'v'FI'I"E: I.,.IELL OF: iDO TO :s'.oE~ FEET FF'.OH Fq f::'LIE~LIC I.d. ELL DEF'EN[:,INLii
UPON THE T'.~'F'E OF F'UE:L. IC I.,.IELL.
HINI't'II...IH [:,IEE;"I"FINCE F'[~'.OH FI F'~.'.I',,,'FITE MELL TI:) FI F:'.F.'.I'v'FITE: SEi:I.,.IER I_INE I:T., 2f21 FEET FIN[?.,
TO F:I COHHI...INI'T¥ ~F.;EI.,.IER. LINE I'.E; 75 FEEl".
I.,~EL.L.L. OI3'5 FIRE: I:~:EI..'.!UIFtEC, FIN['.', f,llJ:BT BE_' F.'.ETI_IF~'.NE[:, Ti.]) THE [:,EF'F:tF'.TMEI",IT klITHII'.,I ~:El [:,F:IYL:'!;
OF THE I.,.IELL COHPLETION.
E)'T'HE[~: R. EE..!I_I I R. EHENI":.:.~, HFI? FIPPLY. 'E,F'EC ~ FI CRT IONS FINE:, CON~STF.:UCT .'[ ON E:, I RGR. RH:E; FIF.:E:
FI'v'FI .T. I_RE:L. IF£ 'FO _T N'.E;I...IRE F'F.'.'OPE:F: ]: NEE;TFII._LFll" ! ON.
I CERT]:F"f THFI'r
::L' :[ FIH FRHIL.:EFIR I.,.IITH THE F?EL'.:!I_IIREHENT'.5 FFiR. r.]f.,I-:5ITE :,E[.IEF.:, FIND HELl....:, FI'.E;
F'OF::'H-I E "r' THE HUN Z C I F'RL ]: T'~" OF RNE:HEU~tFIEJE.
,=:. I l,.l I L L
::-; I GI'.,I/£[:,: ........
1 5.-3EE;LIEZ[:, E:
N.:,FI. ILL THE EE';YSTEH Ir',! FIr"r~r'~RD'FINCE N Z'TFI THE: CO[:,E.'..:.i;.
.,IT.~' ..3'UD 'r I'1. LRHB .
APPLIq' ,NT FILLS OUT UPPER HA' ' ONLY
'"""~' (~ Phone
Address Zip Code
Lending Institution ~ I~ ~ ~ ~'~ '~-~ ~4 r, 1~ Phone
Address ~. ~ ;~ ~t~; Zip Code
Realty Co. & Agenl Phone
Address Zip Code
LegalOescript~n ~T ~ ~ ~' 3~ ~H
Street Locati~ L~)~I [~)~ ~0~'; h~t
Type of Resi~nce - ~ .... ~
~ingle Family
~ Multiple F~mily No. of Bedroo~
~ Other
Water Supply
~ndivldual A~ACH WELL LOG. A wall Icg is required for all welts drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach Icg If available).
~ Public Utility
Sewer Disposal
~divldual Year Individual Inslallod:
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Noles:
DATE ~'" ~ ~
BY:
Date ~wer Installed Well To Absorption Area 1OO ~ Well Log Received
Soils
Rating
~ ~ ~'~{ ~ ~ WellloTank 1~'~ Septic T~k Size
72-023 (3182)
CHEMICAL & G ~LOGICAL LABORATORIES JF ALASKA, INC.~
TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRI,~L CENTER
274-3364 5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
I.D. NO,
?
Water System Nam:e Phone No,
Mailing Address
City i State Zip Code
Mo, Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref, no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO. LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
[] Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
[] ~Membrane Filter
Lab Ref. No. Result*
L ___J r-F-]
I [
Analyst
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collected Source ..
Date Received Time Received
Presumptive 1Omi 10mi 10mi lOml 10mi 1.0mi 0,1mi
24 Hours
48 Hours
Confirmatory
24 Hours
48 Hours
EMB Broth 24 hours: Broth 48 hours.,
Multiple Tuba Report=. 10mi Tubas Positive/Total ~.0ml Portions
Msmbrane Filter= Direct Count Collform/100ml
Verification= LTB BGB
Flns~ Membrane Filtsr Results Collform/J. 00ml