HomeMy WebLinkAboutROLLING HILLS ESTATES BLK D LT 10
O >~',, MUNICIPALITY OF ANCHORAGE ' '
~ DEPARTIVIENT 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 PHONE [] NEW
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
Well Absorption area Dwelling i PERMIT NO.
~ ~ DISTANCE TO: ~/00¢ ,~/~ ~ ~
Material~ No. of compartments
~<~Z Manufacturer ~S~'~~[~f~' -
~ ~ Liq. capacity in gallons Inside length Width Liquid depth
( -Z ~--~ IF HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
O Well Foundatiop/ Nearest lot line PERMIT NO.
~ DISTANCE TO: ~/00/ 3~ >10~
~ ~ ~ No. of lines Length of each line Total length of lines ~ / Trench width Distance between lines
_ / ~3 ~ ~ O inches
~ ~ ~ Top of tile to finish grade ~¢/~ ~ Material beneath tile TotsI effective absorption area
~ ~O inches
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot Jine PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
SOIL TEST RA~NG
INSTAELER ~~%
C g¢ ........
REMARKS ~
APPROVED DATE LEGAL
F'ERMIT NO.
RPF'LICFINT LOUIS FOF.'.BES ._:cL...... bTF. HWEEF..R F.'.D
LOCFITION - ·
LEGRL L'10 BLOCK [:, ROLLING HILL EST LOT:SZZE
i'"I!U I'-,t ][ C: ][ F" Ft L l: T
[:,EF'RRTMENT OF HEFILTH FIN[:, EN',/IROIqMEt"4TRL PROTECTION
""'%~ '" L "' STREET., FINCHORFIGE., RI-:::. 9'950:L
~:~,4-4,-
( 8]E~60't ::,
.... - " TF EN...H
T'¢PE LIF SEIIL RBSOF.'.F'TION =,T.:,TEI1 IL:;.,: ' '"'
F-' ' 'q,]IL F.'.FITINL~ ....
HFI;:-:',IMUM NUM_,EF.. OF E:EDF.:OOM~"; = 4 -- -' ("q'-)' FT"'"BR)=
=,L I L FIBSORPT ION ':,~r"=,'fEM I S:
THE REQUIF-:E[:' SIZE OF THE '-] - -
[:. E F:" T H = ::L IZ~ 1_ E l~-~ ~3 T U U= 5~.S1 G F~-: F~ "..." E L- [:.EF"TH= 5
........ = =..L R ..~ FEET
ft'
-83
THE LENGTH DIMENSION tS THE LENGTH (tN FE'ET) OF THE TRENCH OR DRFIINFIELD.
THE DEPTH OF Fl TRENCH OR PIT IS THE D ISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE E',,.,',CFt',,,'RTiON (IN FEET).
THEF.:E iS NO SET ~.4I[:,TH FOF.'. TF.'.ENC:HES.
THE GRFIVEL [:,EPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN TFIE OUTFFILL PIPE
FIND THE BOTTOM OF THE EXCFIVFITION (IN FEET).
PERMIT FiPPLiCFtNT HFIS THE RESPONSIBILiT'¢ TO INFORFi THIS DEPFIRTMENT DURING THE
iNSTRLLRTION INSPECTIONS OF RNY NELLS FIDJFICENT TO THIS PROPERT'¢ FIND THE
NUMBER OF F:~ESIDENCES THFIT THE WELL WILL SERVE.
EMi---- :'F: [L--~ C~ "::
~-::I.'::FILL"~.~'~J OF FIN'¢ SVSTEM WITHOUT ¢'INFIL INSPECTION FIN[:' FIPF'ROVFIL B'T' TI"lIS
[:,EPFIRTMENT MILL. BE SUBJECT TO PROSECUTION.
MINIMUM [:,ISTFff4CE E:ETWEEN FI NELL FIND, tINY ON-SITE SEWFtGE [:,ISPOSFIL S'¢STEM IS
±00 FEET FOF.: FI PRIVFITE WELL OF.'. :1_50 TO 200 FEET FR. OM FI PUBLIC WELL DEPENDING
UPON THE T'¢F'E OF F'UBLIC WELL
H I N I MUH [:' I STFtNE:E FF.': M FI F'R I',,"FI]'E WELL TO FI F'R I',,,'RTE SEWER L I NE £':; 25 FEET FIND
TO R COMMUNITY SEWER LINE IS 7'5 FEET.
OTHER REQUIREMENTS MR'T' FIPPLY. L--.,PECIFICRTIONS FIN[:' CONSTRUCTION [:,IFtGF.:FtMS FIF.'.E
F~VFItLFtBLE TO iNSURE F'F.:OPEF-: iNSTFILLFtTION.
F"EF:t""I ][ T' E::-:.'F' ][ F-."ES [:.EE:EI"IE:EF: 2:'1 .. -'1 L-~- :------:~'-~..
I CERTtF'¢ THRT ,-. ,,-
:L: I RM FRI"IILIFIF.: WITH THE F.:EC!LIIREMENTS FOR ON'SITE =,EWER=, Rt',E:' t.4ELLS RS SET
FORTH B'¢ THE MUNIE:IPFIL ITY OF RNCHORRGE.
2' I WiLL INSTFiLL THE S'¢STEM tN RCCOF.:[:,RNC:E WITFt THE CODES.
:.',: i UNDEF._THht[ THFIT THE ON-SiTE _EWEF.. SYSTEM I'"lR"r' F.'E.")lIRE ENLRF.:GEMENT IF THE
F.:ESI[:'ENCE ~MO[:'ELE[:' TO INCLU[:'E MOF.:E THRN 4 BE[:,ROOMS.
l '--,Si_lEE:,
CONSULTING ENGINEER
203 W. 15th AVE 'C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
June 1, 1983
Louis Forbes
5133 Strawberry Road
Anchorage, AK 99502
Dear Mr. Forbes:
Enclosed is a copy of the soil log I made up after examining the test
hold for your sewer upgrade on Lot 10, Block D, Rolling Hills Estate, on
May 28, 1983. The original copy of the log is filed with the Municipality.
I recommend that for a 4-bedroom house you install a 1,250 gallon tank
and a drainfield 50 feet long, 10 feet deep and with 5 feet of sewer rock.
This system will meet the Municipal Code.
You need to obtain a sewer permit from the 4th floor, 825 L Street.
The fee for this permit is $25.00, but the Municipality will provide the
required inspection of the installation of the system for free. If I was to in-
spect, my charge would be $150.00.
Yours,
Tobben Spurkl~
TS/cl
Enclosure
PERFORMED FOR:
LEGAL DESCRIPTION:
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
GILT
"~o L-LIN
SLOPE
~, SOILS LOG
[] PERCOLATION
TEST
DATE PERFORMED: ~:~/~' ~'/~ ?~
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
ENCOUNTERED? O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
/~o. -- /o /o /.~'~ ¢ Y~
PERCOLAT,ON RATE /~ ¢
"~ FT AND
(minutes/inch)
? Y~. FT
PERFORMED BY: ~ ~ CERTIFIED BY: T'"~ DATE:
~: APPLIC-'NT FILLS OUT UPPER HA;-~!ONLY
Property Ow:Q~ r t. / ....... ~'~ ~
-~ ~-~ '~,J ~ ~':;.. ~'~- ;?{~ ~;.:~ Phone
Address ~ ~- c.~ .... .,.~,.~ .... .. ~ ~ ,
Phone
Lending Institution ~ ~ ~:~1 ~L?~'r
~;~ Phone
Realty Co. & Agent .~/.~
Address Zip Code
Type of Resi~nce
:~ingle Family
~ Multiple Family No. of Bedrooms
~ Other
Water Supply
~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach log if available).
~ Public Utility. ~ (2~, (~ ~t ........ F,,~
Sewer Disposal
~-Individual Year Individual Installed:
~ 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 {~ ?_~_ o~.
Inspector Inspector Inspector Inspector
MuNICIPALI~ ~ ~r
Field Notes: ~ DEPt. OF HEALTHpRoTECTiON
. ~ ENviRONM~NT~
O ~ ,~ <' ~' AU6 5 0 't983
RECEIVED
[ ~PP~OVED BEDrOOmS 'OONDITIONS OF APPROVAL
~~) ~ISAPP~OVED
( ) CONDITIONAL ~PPROVAL*
Soils Rating Date ~wer Installed Well To Absorption Area [ ~ ~, Well Log Received
~ - ~1~" ~ ~ Well to Tank / 0 ~ Septic T~k Size