The URL can be used to link to this page

Home My WebLink AboutROLLING HILLS ESTATES BLK C LT 9 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/I WELL INSPECTION REPORT ~AME MAILING ADDRESS P, o, ~ I o-~5,7 I LEGAL DESCRIPTION Lo.. ']. LOCAT,~. '7 3r~ NC. OF BEDROOMS3 DISTANCE TO: Manufacturer Liq. capacity in gallons DISTAI~ DISTANCE TO: Length Type of crib DIS~T~NCE TO: We IF HOMEMADE: I In_side length Well .~,~welling Dwelling.~ j~- Material Wi dtl~ ~"~-~'~'* Crib depth .,,,/'~'"'~Total effective Buildi~g~ndation~' Nearest Io~e Class Driller Distance to lot line DISTANCE TO: Building foundation Sewer line Septic tank ¢~ ~ PERM,T NO.c~ lO '7,Tlo Crib diameter Well PERMIT NO. gallons PERM'T NO'p/O?,F~ Distance between lines Total effective abso~ PERMIT NO. Absorpt on area(s)/~)~) OTHER SOl L TEST RATING /~,~ REMARKS v APPROVED DATE LEGAL PERMIT NO. RPPLICRNT L..OCRTION L. EGRL 8:1.0756 ) JEFF HRL. L IklILL L D B C ROLLING HILLS LOT SIZE t8000 SQURRE FEET TYPE OF' SOIL R6'SORPTION SYSTEM IS: TRENCH MRh',IMUM NUMBER OF' BEDROOMS SOIL RRTING (Si."..'! FT/BR)= :1.65 7'HE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [:. E£ F:" qF ~-It == ~] THE LENGTH DIMENSION IS THE LENGTH (IN FEE]") OF THE TRENCH OR DRRINFIELD. 'THE DEPTH OF FI TRENCH OR PIT IS THE [:,ISTRNCE BE"f'NEEN THE SURFRC.'.'E OF THE GROUN[:, RND THE BOTTOM OF 'THE EXC:Ft',/RTION (IN FEE:'['). THERE IS NO SET klIDTH FOR TRENCHES. THE GRR',,,'EL DEF'TH IS THE MINIMUM [:,EPTH OF' GRRVEL BETNEEN THE OL.ITFRL. L PIPE RND "['HE BOTTOM OF THE E;'<CRVRTION (IN FEET). PERMIT RPPL. ICRNT HRS THE RESPONSIBILIT'-r' 7'0 INFORM THIS [.',EPRRTMENT DURING '['HE INS'TRLLRTIE~N INSPECTIONS OF' RN"r' klEL. LS R[:'JRCENT "r'o THIS PROPERTY FIND THE NUME:ER OF RESIDENCES 'I"HRT 7.'HE NELL klILL SERVE. BRCKFILi. ING OF RN"r' S",'STEM NITHOUT FINRL INSF'ECTION RND Ft'E'F'ROVRL BY THIS DE-.:PRRTMENT NILL. E:E SUBJECT '1"0 PROSECLITION. MINIMUM [.',ISTRNCE BETklEEN R NELL RND RNY ON-SITE SENRGE DtSPOSRL SYSTEM IS :~.OE'; FEET FOR R PRIVRTE klELL OR ::L50 'T'O 200 FEET FROM R PLIBLIC NELL. DEF:'ENDtNG UPON THE TYPE OF F'UBLIC 14ELL. '-', '" 2,.5 FEE.T F:IN[:, MINIMUM [:,ISTRNCE FF4'C'M R F'RI',/RTE NEL. L TO R PRI',,,'FITE .:,EWEF:. L. INE IS "' TO R COMMUNIT"r' SEt.4ER LINE IS 75 FEET. NEL. L. LOGS RRE REQLIIRED RND MUST BE RETURNED TO THE DEF'RRTMENT I4IT'HIN 30 DRYS OF THE WEL. L. COMPLETION OTHER REQUIREMENTS I"IR"r' RPPL"r'. SPECIFICRTIONS RN[:' CONSTRUCTION DIRGRRMS RRE F4'v'RILRBLE TO INSURE PF.:OF"ER INSTRLLRTION. I CEF.':T I FY THRT 1: I Rht FRMIt...IRR klITH THE REQUIREMENTS FOR ON-SITE SENERS RND NELL..S F1S SET FORTH BY THE MLJNICIPRLIT'-r' OF RNCHORRGE. 2: I kilt...[... INSTRLL THE SYSTEM IN FICCORDRNCE klITH THE CODES. 3: I UNDERS]r'RND THRT 'THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLF1RGEMENT IF' THE RESIDENCE IS REMODEL. ED 'TO INCLUDE MORE THRN 2: BEt)ROOMS. S I GNED: ............................................................................ RPPL. ICRNT JEFF FtRLLINILL Applicant: Location: Legal Description: L ~ '~ ~- Type of Soil Absorption System Is: Trench: / Drainfield: Maximum Number of Bedrooms: 3 ?--~UNICIPALITY OF ANCHORAGE,~-~ Department ~ Health and Environmenta~ ~rotection 825 L Street, Anchorage', AK. 9'9501 264-4720 * * * HANDWRITTEN PERMIT * * * WELL AND/OR ON'SITE SEWER PERMIT ~~ Mailing Address: ~2~ hone u er! ~Q~. J~LOt Size:' seepage Bed: Holding Tank: Soil Rating(sq.ft/br) [~ The Required Size of the Soil Absorption System Is:' DEPTH l~~ LENGTH C~C[P GRAVEL DEPTH : .~ WIDTH 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 gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = I~[~OC> 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 31, 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 understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 besoms. Signe~: Issued by: Applicant Date: SWP/024 (1/$1) Deployment o~ ~h~a~h and EnVironmental ~'~"* ~U~ReD SEPT~C(~LD~) rAN~ S[Z~ CONSTF JC:TfON TEST LAB . 1:80( ,,ANCHORAGE%ALASKA 99505 248-1;533 PERFORMED,-.FOR: .JEFF HALLIWILL LEGAL DESCRIPTION: Lot 9 .~81ock THIS FORM REPORTS:-~ -n Visunl '~0ils Exominotion DATE j:~ER~)RMED: 7/16-/81 -Subdivision ROLLING HILLS ~ ~ X~Percolati'on ~;fest 81v1594 DEPTH '~' SOIL FEET .-7 '- DESCRIPTION NOTES Peat & Organic - Pt Sandy SILT - ML Damp 7' SILT FN SAND - SM BOTTOM OF HOLE WAS GROUN~'WATER ENCOUNTERED iF YES,-WHAT-'-DEPTH LEGEND ...... · ) --iPe~c zone · ) s - sample' loken · --~Frozen zone ~- Woter table Kinne~ 3656, E CAG~RAL SITE SLOPE ~EADING r- DATE ..... GROSS :~TIME'; ' .... '"':NET'S'TIMEDEPTH" TO"H2'O'"' ~? NET ,~AINAGE,,, ~ ' " -- 76"': '" i:.. "'~;' ~*~ ~'~ '~.~ initial :' 7/16/81 8:15 a.m. ..... ~ '-'- ,, 16~,,: ~ 1 " 8:30 a.m~ ~ I5 mln. 92" ': '* ~+..,,.%~ 1 2 .... """' 8:45 a,m. ~' ~15 min, , . ", :..:,-- 7~- , 9:00 a.m. . "~5 min. _ -~ ~::~ .... 4-':~ .~ 4 '- " 9:15 a,m. 1~' ~i~. 105" 2Y:~: -~ . . . . 3 rr:~ ~ ~ · . 9=45 a.m. 30 m&~, 108" - PERCOLATtON~.~~ RATE: 10 min/inch DRAINAGE REQUIREMENTS: 165 sf/b~droom ~",, PROPDSE~' INSTALLAT-ION: :E]~ SEEPAGE PIT 'X~DxDRAIN4 FIELD E3 OTHER '*~ ' COMMENT~:t RnT.~ PPTMER 7/15/R1 ~.. - ~ _. - ' TEST PERFORMED BY: Kinney R. Baxter, P.E. OATA,:C, ERTIFIED BY: Kinney R. -'~E~fer, P.E. :_~. .... DATE: 7/'20/81 jL-- ~l- ~ - DATE'RECEiVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE NICIPALITY OF ANCHORAGE ~UNIOIPALITY OF ANOHORA~E DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIo~NVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 NOV 1 7 198 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 ~EOUEST FOil APPROVAL OF INDIVIDUAL WATE~ AND SEWE~ FACI DIB[OTIONS: Complete ~lJ perts on peg~ 'J. Incomplete req~es[s will ~ot be proce~ed. Plesse ~llow ten (~0) deys for processing. YR ESl DENT (I f different from above) z PHONE 2~.~E R PHONE 3. LEN~,G~STITU~ON m ' MAILING ADDRESS 4. REALTOE/AGENT J PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RES. S.S.S~DENCE ~'~/SI NG LE FAMILY [] MULTIPLE FAMILY N U M.J~'~R OF~BEDROOMS [] One [] Four [] Other__ ~ ...~wo [] Five ~ Three [] Six 7. WATER~ SU~PI~¥ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DI~I~jAL SYSTEM ~'" IN DIVI DUAL/ON-SITE** [] PUBLIC UTILITY · ,,-~'./ YEAR ON-SITE SYSTEM WAS INSTALLED. q-n,, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev, 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDRooMs [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVI'DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~'--~t Connection Verified 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 Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [~i-'~'~PR OV ED FOR .~, BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~