HomeMy WebLinkAboutSIEFKER #3 TR 5 LT 7Block
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
~AME ~ ',' IP-H~"NE ~ I []NEW
MAILING ADDRESS /
LEGAL'DE~CRIP~IO~
LOCATION NO. OF BEDROOMS
DISTANCE TO: Iwell ~ ~,>, Absorption area Dwelling~ ~ PE~ITN~
Manufacturer ~ , Material No, of ~partments
Liq cap~c ty n gdllons ~ -v- ~ ' ' ~ Liqu'ffd ~epth
~ F HOMEMADE: Inside length Width
~ O Well Dwelling PERMIT NO.
~ DISTANCE TO:
% ~ Manufacturer Material Liquid capacity in gallons
m ~/ PER ,
a DISTANCE TO: Well/~ff [ Foundation ~[, Nearestl /~, , ~~
~r~V / ~C~ ' Mato~benoath tile inches
~., No. of lines. Length of each I~ne Total lend, o, lin.s . Tr.nch ~b
~O ~ inches j;2~5;~absorpt,on area
Length Width Depth
~ b Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
m DISTANCE TO:
M Class Depth Driller Distance to lot line PERMIT
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PiPE MATERIALS
SOIL TEST RATING ~ ....
INSTALLER
REMARKS ~ ~ .~
APPROVED' ) DATE LEGAL
72-013 (Rev, 3/78)
t::,[£F'FII;.:'I"HIEI",IT Ul': HIEI=:IL. TI4 RN[:, fEH'v' T F.:ONHEt',ITFtL VF.:OTEF:T :[ ON
:E:25 "L." STF:EET., F4NCHORR(3E., RK. L:;~950:1.
264-4720
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SRFI E:O',:':; ::I. SE;4-L
,Z:, ['~;J ..... :..:_:..!7, .-If.' -IF EE.'.'."_'
FIF'I::'L :[ CFII'-,ITGE)NS 1 OF.'.OSI-( :[., FILFli'-,I J
I_C: F;IT I ')t'.,I ::LEO ,- .......... ;' .~:~,., .?~.
L.EGEtL. t....'7.~.~.~ TI:::: 5 :,:[EFI...EI ..... ~ L.OT S:[ZE
'f"¢F'E OF :E';OIL. FIBSCd:;..'F'T :[ ON S"r'STEH IS: [:'F:FI:[NF:[EL.D
THE MEi",IGTH [:,IHEI",IS,:[OI",I I:i!; THE LEI"llGTH ':::[N FEET) OF THE TF.':EI"ilIZ:H OR: [:'R:FIII",IFIELI::'.
THE [:'EF'TH OI= FI '1-t~'.EIqCH OF: PIT I:F-; THE D:[Z13:INC:E BET!.,.IEEi",I THE SL.IF:'.FFIC.'E ELF:' THE
GI:~:OUI",I[:' FIIql:;:' THE E:O'f'TOH OF' ]'HE EXCla',,,'FIT:[OI'4 '.':IN FEET::'.
"-ti" H-~ EE'-- 'T ~v.-:_- [E il'"'.l] C: E"~ il..-II ][: [::" -IF if-il Z ~7, -.=.'5~. ~'Z~ ~Z~ ~.-"t F' E'.-.E EE ""11"".
'THE GRFIVEL [:'EF'TH :[S THE HINIHUH DEPTH OF GF..'R',,,'EI._ BETI.4EEI",I THE OUTFFIL. I_ I::'IPE
FIIqE:' THE BOTTOH O1`:: THE EXCFI'v'RT101",1 ':: .f. 1"4 FEET).
F'IERH :t: T FIF'I::'I.~ :[ CI:Ii",IT HFI':2; THE [~:E"-:,FII:II",I~'~ :[ E: :[ L ]: T"r: T :1 :[ I",IFFIF.:H TH I :."--', r:iEI::'flI:;YI'HEi",IT [:,L.II;:: :[ I'.,IG 'THE
:[ N:F;.,TF:tLLfTI" 1 ON I I'.,ISI::'EC:T ~ ONS OF' F:ll'.,l'.r' !.,.IELL. S FII;:,3FtCEI'.,IT TO '1'I-4 ]: '_:; F'i~:OI:'EI:,?'T'"r' FINI) THE
i'll...II1E, EF.. Eft:: 'F..:ESIDEI'.,ICE:.:-'; I"HRT THE I.,.IE:I._I._ !.,.IILL _,E.F..,I ....
H:[I'.,I:[HI_I['I D~S'['FII",ICE BETFIEEN FI I.,IEI...L FII",ID Fli",l"r' Oi"iI-S]TE SEklFtl3E [:, :[ :.:.,PCt'E;laL L:':'¢STEH :[-'fi;
:;I.E~Et F'EET 1:'13Fi: FI F'F.:IVI=ITE I.'.IEt-L OF.~ '.'lJS~;~} TO 200 FEET FROi'"t R PUBLIC tqELL. DEPEI",ID:[I",IG
Ul:'l:llq 'I"HE T"r'PE I.'.'lF F'I..tE:L :[ C I.,.IEL.L
H:[NII"II.JH D]:,'ll'll,I..l~: F:"F::I3H I':'1 I='F.::[VRTE MELI_ TO FI F'F.::[',,,:F:I'rE SEMEF: LINE :[S .:,~.'-i FEEnF t=11:.,1[:,
TCI I:::1 COHHIJIq:[T"r' SEI.,.IEI:~: LII",IE :['-:.; 75 FEET.
OTI-1-Ef4: REEL."]LI :[ [;.:EHEI'.,ITS ['1`l'::ll'r: FIFIF'L.."r'. E';F'EI;: :[ F :[ CRT :[ O1'42'; RNE:' COI'.4~:Cf'[~:'.I.JCT :[ Ell"4
I:l:,,:lFi I I..FIE:LE TO I 1"4SlJF.'.E PI~?.OPEF.'. :[ I",I'.=.';TFILI-FIT :[ 13N.
I CEF.:T ]~F"TI "FHFIT
i: :[ FIH I:FII'"IZL.:[FtI:;;: I.,.t:['T'H THE: REI_::!U:[REHEI'.,ITS FOR (:iI'.4-:.:=";:[TE SEI4EF.:L=; FIN[::, !.,.IEL..L_::-:; RS SET
FORTH E?-? THE HLIN I C :[ F:'FIL :[' T'¥' OF f::tI'4CHORFIC'iE.
;2:: :[ I,.ttM_ II'-,ISTRLL. TFIE S"r'STEH :[1",1 FiCCOI;.".[':,Ri"4CE I.,.I:r. TH THE CODES.
Z:: :[ IJiq[.:,ERS"rFii',I[:, THFiT THE OIq-.~:[TE SEI.,IEI:;.: S'¢'=Vf'lEH HFI"r' REf.:4UIRE EI'.,ILflF'.GEHENT :[F:' THE
F.:ES:[[:'ENE:E :[S I:,;:E:HO[)EL. ED TO I I",ICL. U[:'E HORE '['HF"tI",I 3: E:EI.3',ROEIHS.
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C-iF'PL. :[ ~;;i¢¢.,l"f' GONS 1 OF:'.OSK :[., RI...¢IN J
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:[ :=i:}SUIEL':, ~ ........................... ~.7 .................................... ~ ............
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SOILS
MUNICIPALITY OF ANCHORAGE
J ) PERCOLATION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 1Ts'r
825 L, Street, Anchorago, Alaska 99501 264.4720
SOILS LOG - PERCOLATION TEST
DATE pERI:ORME D:~/~/
PERFORMED F 0 R :_~I.~IXl-~~~~7' '
LEGAL DESCRIPTION:~.~.~:-~].*~-~-~--~--~t ....................... S~I'E PLAN
SLOPE
1
3
6
7
8
9
1 1 ENCOUNTERED? ...............
6'/vb 5 e
15
16
17
20 PERCOLATION RATE ........................... (minutes/inch)
- / , I '
72-008 (6/79)
GP.'::&TER ANCHORAGE AREA BORC '-,H
HEALTH DEPARTMENT
327 EAGLE ST. ANCFIORAGI:, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING/,,.~,,~ ~
NAME ~--"~'".~./.-,~.~'.:~:?./' /~)~ ~.~ ADDRESS//~ ~~/~-~ PHONE
LOCATION ;~Z~/ Z~./'~ ~; _/~~OAL DESCRIPTION~ ~ ~-~ -~" ~Z-~,
,
DISTANCE FROM WELL~/~g~Z, ~ . ~ NUMBER OF
. - COMPARTMENTS
HQU~D CAPACITY ~ GALLONS. INSIDE LENGTH ~NSIDE WIDTH '~ ~DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PIIS / OUTSIDE DIAMETER
LINING MATERIAL
NEAREST LOT LINE
OR WIDTH / ~ / LENGTH /-~'~ '/
, , DEPTH
DISTANCE FROM WELL ~'~d'/'+"2~/'~ ,./.,'~2. ~) BUILDING FOUNDATION.
TOIAL EFFECTIVE ABSORPTION AREA (WALL AREA) '--~ :~* ~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ./ , FOUNDATION__ , NEAREST LOT LINE
ABSC~RPTION AREA SQ. FI. ~E ',~
TOTAL LENGTH
OF LINES
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: TYPE ~.-'~J~ ~-~'~...,~./~/~EpTH
NEAREST
LOT LINE SEWER LINE
,~..._..__ DISTANCE FROM _ _~ WATER
, BUILDING FOUNDATION SAMPLE
SEPTIC SEEPAGE
TANK -~ , SYSTEM .... , CESSPOOL
NEAREST
OTHER
SO URC ES--'~--'~
DISTANCES:
DATE
DIAGRAM OF SYSTEM
GA AB~t:,D-2
9ROUGH
GREATE~ ~,NCHORAGE AREA
IlEALTtt DEPARTMENT
327 Eagle St. A.chorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
Case N o. ~-~
NAME 0E APPL~CANT/&/~ ~¢"//'"'~" MA~L~NG AOOREssll~,,--"~'. . PHONE
q ~,, ~, ~., ~'
APPLICATION TO INSTALL: SEPTIC TANK ~ _ SEEPAGE PIT~ ,DRAIN FIELD ,OTHER
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH_
PERCOLATION TEST RESULTS
TO BE INSTALLED BY_ ~'J$¢-', ~] ~,'F.a~
ANTICIPATED DATE OF COMPLETION.
BELOW TO BE FILLED OUT BY HEI~,L'fH DEPARTMENT
T.IS ~S TO SERVE AS ~/"~ Z~JCY
_AS DESCRIBED BELOW.
.. SEPTIC TANK SIZE. '7'{?-~
DISTANCES:
, PERMIT TO INSTALL A /~2.Bt/~/ '(~//2-~4.4. ~
SIZE OF UNIT TO BE SERVEO / ',,-'/'/'i '- N'~'~, E-~,g-c-~-4d2.
TYPE '¢'~ SEEPAGE AREA TYPE ..,/:~,,.__~
DIAGRAM OF SYSTEM
l/ HEALTH AUTHORITY
OR
LICENSED DESIGNER
I ~ertify that I am familiar with the requirements of Greater Anchorage Area B, orough Ordinance No. 28-68 and that the
above described system is in accordance with said code. ~ tfiv,~.~(' bii'xfff~'~~/4¢~'f2~'~45-/
I 't ....... AN { ~ ~ ......... /., ~
· ,~? ?.,. }IEALTIt3~7 EAGLEI)EPAI':THEIqTsTREET CAS~ ~Z
" 3U~'~ '~ ~.970 . ANOHORA6E, ALASKA· 99501
~o This Form Report~"*a; S~~q ...... ~_. . Zfpercolation rest__~
Depth
Feet
/
Soil Characteristiee
%las Ground Water Encountered?. A/~ ..... eF~
zf Yes, At What Depth ........
· i
Location Sketch
.~ >ooZ
ReadJ. ng, Date Gross Time Net Time Depth To H20 Net Drop
~r~tion ........~,ate 1"/ : .... Minute ' ......... ' ........ -
Proposed Instali~tiO~':: Seepage Pit .... ~ Drain field
Depth cf lnlet , , Depth To Bottom Of Pit Or Trench
COMMENTS:: Dt,~ t,~ rh~ ~n:~:ia'rinn i~ ,thd~qaa n~ sQils, _we_estimate th~ numbe~'gf~re~oota~e
~ . , . ~oodad in the seeDa~e pit wfli-be aD~[matel9 150 square Iee~per
Data Certified B ·
ALASKA GEOLOGICAL CONSULTANTS
ERGINEarRIflG GEOLOGy 'l~ MIRING ~ GEOPHYEIGE ~' GROUNDWATER I~' P~RO~EUM
June 2, 1970
TELEPHONEI 277-?~OI
277.7~02
272,4114
2227 ~]PENARD ROAD
ANCHORAG£, ALASKA ggl~O:~
Mr. William Mault
705 Muldoon Road
Anchorage, Alaska
Re: Percolation characteristics of soils, Lot 7, Tract 5, Siefker
Subdivision No. 3
Dear Mr. Mault:
The attached report presents the results of an investigation of the
percolation characteristics of soils on your building site.
On the basis of this investigation we conclude that due'to the
variation in the types of softs that 150 square feet of seepage area
per bedroom wtll be required.
' Very truly yours,
ALASKA GEOLOGICAL CONSULTANTS
Bruce G, Purcell
BGP:js
cc: GAAB Health Department
Attach.
F'ERHIT NO.
RF'PL I E:FIN T
L. 0 E: FI T I 0 N
L. EGFIL.
FILFIN J "F ' .... ,~,-."
U_IN=, Z UF..U:,F..Z E;F.:FI BOX ±554-L '9'~,5(f;:'~
':"='" HELL TO SEPTIC TRNK MflI',,,'ER OK-R. F...
L.,.' ]F .... SIEFKER ~.2: LOI' SIZE
2:45.-E ;.E' E J
'9';~':'~'9:;~'..:.~ '.='5[.:.!IJFII;~:E FEET
I'"IINIMUH [:,ISTFtNCE BETMEEN Fl WELL RND RN'¢ ON-SITE ':.;EI.4RGE [:,ISPOSRL S"r'STEH I'.E;
J. Eu..3 F'EET F'OR Fl PR Z ',,,'RTE NELL OR 2LSE~ TO 2E~E'~ FEE]' FROM R PUBLIC MELL [:'EF'EN[:,I'NG
UPON ']"PIE 'T"¢PE OF' F'UBLIC WELL
PIZNIMUH [:'ISTFINCE FF.:OM 8 F'RIVFiTE 1.4ELL TO R PRI',,,'RTE SENER LINE IS 25 F'IEE"T FIND
TO Ft COPtMUNIT'-r' SEI4ER LINE IS 7'5 FEET.
klEL. L LOGS FiRE REQUIRED FIND MUST BE RETLIRNE[:, TO THE [:'EF'FiRTMENT NITHII'.4 2:E~ [:'Fl"r'S
OF TFIE WELL COMPLETION.
OTHER RE6!LIIREHENTL=; MFI'.? RPF:'L'¢. E;PEC:[FICI=ITIONS FiNE:, E:ONSTRUCTION F.:'IFIGRRMS FIRE
Fi',,,'FIILFIE,'LE TO INSURE PROPER IN'=%TRLLRTION.
I CERTIF'¢ THFlT
:L: I RI',1 FFIHILIFIF.: WITH THE: REL.-.,_ IREHENTS F]F.'. ON-:5ITE. ':_,EIIEF..:,- ,"-' RN[:, NEL. LS FlS SET
FCF~'TH E:'¢ THE MIJNIL-:IF'FILIT'¢ i"iF RNCFIORFIGE.
~.. I WILL ].N.:,]HLL THE L--;.,'¢STEH IN RE:CORE:,FINCE 1.4]:TH THE CO[:,ES.
RF'F'L I f--:~4T FILFIN ...T Gl]INS I I~-I~:l.'.'l'..'.:;,[-:~ I
December 29, 1978
I~'780556
William Mault
Star Route A Box 1554-P
Anchorage, Alaska 99507
Subject: Lot 7 Block 5 Seifker Subdivision
A permit issued by this department for well and/or
sewer system has expired.
Permits are issuecl on a calendar year basis, as stated
on the permit, by authority of ~4unicipal ordinance.
:[f you have drilled the we].lv a well log should be
sent to this department 'to document the installation
date o
:~f there are any further questions, please contact
this office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
]~]B/ljw
eno: copy of permit
DEF'I':IR"f'FIEt'.,f'f' OF. I-'IERL. TH Rl'.,lr:, IS'N',,,']: ROh!MENTFiI.... PI:;;'.OTf_-'i:C"I"):. :"r?-~25 '"1.." :i.¥f'REET.' FII'4CHO[;.'.FIGE., I:::11"::.
II~".lt E:E IL.--. I[ ..... ~:':;:" E% It::;~L" [""'~ :II.'. '"Il'"'
PERI"'I]:T NCL ':: 7,':_:IIZ1556 .'., [)I""1'1"[.':.' OF ):~i;'."~;LI[':".
=.1.,,.I-,,.t., P.IRRI'4:[NG .... DLIE TO CI"IFII",I(:~i~NG F.:E6!LI:[.REfdE'NT5; TH:!:S; F:'I:;.::I:NTOUT MF':I'¢ I",IEtT I'~E F:II",I IEXF:IC:'f'
:+::'~::~'= COF"¢ OF THE CIl;i~ ]: G .1; Oi'.,ll:::lL. PERM :( T
.... :r E R CB I',1 E:
:L: ~ FIf,1 t::F~f,1;[L]:FiR PJ:I;'I"H THE I~'.E;6¢..I:[F,i~[SMEN"I'S F'OI;: ON..-5~'f'E ~SEI.,.IER:S RND P.IEI...L:S F~5; '.SET
FORTH [.. ¢ THE'. bll..IN :~ C: Z PRL '.[ '~"¢ OF' I:'INC:I~IORR~3E,
.... :[ I,.IZL.I... "
i 14;:, [ -iLL THIS '.E;"F'~;"I'Ef'I :[ N :~I::I"Z:IZ I;'["FIN -:E:' P.I ]: THTHE CC
............ ; ........... .....................
14EI...I... ): N2;P E~ 1.4EL. L~i E:'FI;i:'E "~ "B~RYL. LEf4'.
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURE$
Division of Geological ~ GeoDhysicGI SDrveys
Ia.I Baroucjh ~/3ubdivision ', ! ,/ Lot Block ,Ib'~'I 'l/'~qtre- Section No. Townsh[DND Range EE:] Meridian
3 -o,_o,_o,.
DISTANCE AND ~IRECTION FROM ROAD INTER~ECTIONS ~. OWNER OF WELL:
' Allan
. ' . . . Address:
Street Address nnd Area of Well Location * ' .'-
2. WEL~ COG ' ' , Peet Below
, * ' Surfoce 4. WE~L DEPTH~ (final) 5. ~TE OF COMPLETION
· ~ot,n~ T~, ~. Yo~ ~o,,o~ · 107 ,,. .~ - . -
sandy~ lenses gravel' 0 20 ,
..3 gpm ~52~ z~O 52 D Y.,,w,,,
ce~Den*l;ec] C~av ~av~l w/silt, 5P 'AS e. CASING: ~ ThreadedX~ Welded
' * diam. 6 la. to 10'7 f), Depth Weight_. lbs./ft.
gravel-Ti20 20 gpm 1~ ;~ diam. in. to fi. Depth Stlckup
9. FINISH OF WELL:
Type: Diameter:
"~'~ ' ' 81ot/Meih Size: Length:.
". ~'~.~.',3~ ...... ' '~" ; ' Set between ff. and ft.
' ~ ~ ' ' ':' ' ~ ' ~ackfllllng Gravel pack
.... , . . ~",- j_ . .. I0. STATIC WATER LEVEL: fl. / /
.: . : -:.,., '.. . . ~ ,' ~ Above or ~ Below land lurface Date
Equipment used;_
-. I1. PUMPING LEVEL below land surface and YIELD
· ' ' . :' ~, __ft. atter~.hr~, pumping~O g.p.m.
, · ft. after hrs. pumping
, ' MUNICIPALITY OF-AN(~, H~RAGE 12.GROUTIN6 Well Grouted: ~ Yel ~,No
'-.. D~'[, U~-?:/''~'' " : Material: ~ Ne6t Cement ~ ' "~:
~,<,m~K~FKJTAL P~C T~CTIO~ Other:
' ' .' ' ' 15, PUMP: (If available) HP
~{~' ~. ~ ,~ . keng,h of Drop Pipe ~$ fi' oaPa~J'v /
16, WATER WELL CONTRACTOR'S CERTIFICATION: ..... ~ ...... .~.d
15. Water Temperature ., o ~ F ~ C
Th(S well was dr~lied under my jurlsdlcllon and ~hl~ report i~ lrue to the besl of my knowledge and belief;
Registered Business Name Contract Lic~ns~ N~mber
Signed: -~ u~ d RepresenfaHve
Form O~-WWR (H/81) COpy Oislributio~; WHITE'Stale DGGS~ PlN~-Dril(e~. CANARY-Customer . ' '
' Drilling Permit No.
LOCATION OF WELL (Please complete either la. lb or lc.) A.D.I.. -