HomeMy WebLinkAboutSLEEPY HOLLOW #1 BLK 1 LT 6' : oLLo
L.dT'
MUNICIPALITY OF ANCHORAGE
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE r)ISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
TANKS
DISTANCES
~Z.._... TO SEPTIC ABSORPTION
_F_ROM ~._ TANK FIELD WELL
WELL
LOT LINE
FOUNBA'rl0N ~'/ /
~., SEPTIC
[] HOLDING
/S-ao
TYPE OF SYSTEM
~ I'RENCH ~ BED ~ W. DFIAIN E~ OTHER
or~g,nalg~ade ~-- ~ FT
Nulnbel ol lines
~/,, ,5':' ff,¢'FT
Da~e InstaYed
WI=_LLS
~ PRIVATE [-~ OTHER {Identifv)
REMARKS:
FT
Scale:
hlSp8 0
· (~/~1~96~ Eh~lR~Yiag oervlcos
P. 0. Box 773294
Eagle River, AK 99577
.____ cedi[y that this JesJ)eclion was performed accordieg to all
ENGINEER'S
r)lii:F:'AI:~TMENT ~,, I.IEAL Iit AND U:NVIR[)NMI~i]'..I FAI. rFt.'O FI!i:CTION
[325 I.. STRI/E!:T, ANCIIORAGE, AK 9950:!
264..4720
I::I!~]::;:M I T
Z)AT!C ~ ,,
J...: I. IE.),,
()[i!l/19 /
AI::'PL. :I: CAN'I: '1
AODI::,d:.SS: I:::'O BOX 6707;?:!5
CI'I!!G I Al<, AK 99567
CON'i ACT' I:::'HONI!ii:: 6EH3'-<?.760
LI!iGAL. OliiZSCI::~IF': SL]BDIVISION: SI_,EEPY HOL..I~_OW ~$1 L.O't: 6 DI...[:)[]I<: J.
S[!:CT:[[)N: 15 'I[]WNSHIF~ 15N RANGE~ :I.W
I..,OT S :t: ZE ',: 6 :['70() (SQ ,, I::'T ,, [)R
fc)rtl'~ by 'I:.IH~, IYh.u~:tc:i. pa].:i, ty of' ArH::horage (MOA) a]'~d tl'l~ State oF Alaska.
7.'.,, I ~'~:i:l.:t. :instal]. Lhm s~?d:.em :~.n accorc:lar~ce w:Lth a].l M[)A c:odes and Pegu]ati(::~ns,
and %1~ c.:c]fl/l::)].~arH::e v~iLh thE' dE~s:i, gl'l cPitcH":ia
(:l:is'L~.~F~c::;:~,s ~['c)m aJ]y (?xi~'t.:[l"~g
]:F: A I..]:1::?'1' S'f'ATI[:)N ]:S :!:I',U~FFAI. IJFO:) ]:N AN ARI!::A
II-IE~N (:t) AN I~:I.t~:CTR]:[',AI.,, F:'I~:RMI'I AND
W IL.I NOT BE AI::'F"R[)V[~:D W I'l'H[]Ul' AN EI..ECTR:[CAI_. :!:IqSF:'ECT]I:[)N F~IZF:'ORT?, ~]lxl~) (3) 'FILE:
I~::LI~:CTRICA[. WORK M!]SI' BI~}: D[]NI:: BY A L,.ICENSED I~}:LI~CI'RIC]:AN.
,.I ,.. 1.[::Al'q]t '1:121"~ FIAU[3 ,/ !ZF;,15):S~
~ AQLil RIVER i'.NGXbI~flI~INQ
I~ Q. BOX
EAGLE RIVF3R~ ('4_(V,~A
A. QE]~EP, AI.
th~ ~l~(~l~(:t'~c]~ l)opa~ l:m(:'~nt: oF IloaLLh and
'ver:i lied of rnod)f~ed :in i:,h(~ ~: ,
5 IJ O(::lr oom
8ED I..FNGf'II:: 52,,1L~
BCD i'()FAI~ SLJt~FAOE ARIJA: 958 S6)
GRAVtEI DJ'PIll-' ()" und[~l ir)Jpe/2" over
SEPTIO lANK SIZE:: iS00
2' 8and fJ_~[er Fequ~red under bed
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
82S L. Street, Anchorage, Alaska 99E01 264-4720
SOILS LOG -- PERCOLATION TEST
[] PERCOLATION
TEBT
PERFORMED FOR:.
DATE PERFORMED:
LEGAL DESCRIPTION: -/o'/- (~ ~'/,/(/
1
2
3
4
5
6
7
8
9-
10-
11
13
14
15
16
17
18
19.
2O
COMMENT~ ~o~.
PERFORMED BY:=
72-008 (6/79)
SLOPE SITE PLAN
WAS GROUND WATER /~O ~
ENCOUNTERED?
L:
IF YES, AT WHAT ? -~y.~
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST R,UN BETWEEN ~ ,. FT AND ---- FT
'l'. U, ~ox 773294
Eagle River, AK gg577
DATE:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED
FOR:.
/.-o'/' ~ ,~/A' /'
#/
LEGAL DESCRIPTION: ,-~'/~e;~,.l~ ,'~//o'~..~
* O /\
4 .
-
8 ,r
9
10-
11
14
10
17
18
20-
COMMENTS
Township, Range, Section: 7-'/,.~4-.//,/ ~'¢/uJ ,S'~'e, /,f'
SLOPF SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, ATWHAT Ja/~' ' ~O
DEPTH? ~' P
E
Depth Io Waler After
MonLiorLng? ~7 ~ DaLe',
Gross Net Depth to Net
Reading Dote Time Time Water Drop
PERCOLATION RATE ~ ~.-~--~ (minutes/inch) PERC FIOLE DIAME'rER .
TEST RUN eETWEEN "'~- ._ FT AND . /-5- '-- FT
Ealle flfver Engln~rlnl $o~1¢~s I ~.-2~, ~ CERTIFY THAT THIS TI=ST WAS PERFORMED IN
PERFORMED BY: P,~. ~gX 11:~','94
ACCORDANCE WITH AL~{eA~[l~-e~i~ ~r~'{CIPAL GUIDELINES IN EFFECT ON THiS DATE, DATE: 614-51g~
72-008 (Rev. 4/05)
EAGLE RIV,
ENGINEERING SERVICES INC.
P. O. Box 773294
FAGLE RIVER, ALASKA 99577
Phone 694-5195
SHEET NO t OF
CALCUi. ATEDBY_~-"~r~ OATE_
CHECKED BY, DATE
SCALE
I"?
CERTIFICATE IBF SURVEY/
1 HEREB'~' CERTIFY TI.IAI'. I
TIllS LOT Ag I;;HD~N DN PLAT ND.
A~c..~RECORDIi~IG DISTRICT AND THAT
I'D ENCROACHMI"NTS EXIST E)ICEPT AS
INDICATED.
_NOTE:
I. ALL LOT DIMENSIONS AR~ RECORD AS
SHOWN ON THE PlAT DF RECORD.
2. HO HONUH[NT~ ¥/ER~: gET THIS suRvEv.
~.. IT Ig SHE RKgPONgI~ILITY O? THE
TO DETERHINETHE EXISTENC[ DF ANY
EASEHE~IT~, COVE~IANT~ OR RE~RICTIONS
WHIEH DO N~ APPEAR ONTHE RECORDED
SUBDIVISION PLAT.
~sept±c plan onl
Dete of Surv~u:, 06/2~/86 t Gerald D.J~nnings
, P.O. Box 670729 .:
Job ND: 86-11
IPh: 688-352g ChucBkt Al.aska ..
CERTIFICATE JIF SURVEY
I ttEREB'f CERTIFY THAT I HAVE SURVE?ED
TI-tlS LOT AS SND'~N DN PLAT ND. T,Z-Sq
Am,~o~[RECORDIIIG DISTR ICl' AND THAT
l.lO ENCROACNIdENTS EXIST EIICEPT AS
INDICATED.
NOTE:
1. ALL LOT DIMENSIONS ARE RECORD AS
SHOWN ON THE PLAT DF RECORD.
2. [I0 HONUMEItI'S WERE ,(;ET THIS SURVEV,
,3. IT I~ 'THE RESPONSIBll. ITY aF THE OWNER
TO OETERI'ilNE THE EXISTENCE DF AN'~'
EASEHEI'ITS, COVEI'IAITI'S OR RE~RICTIQNS
WHICH DO NOT APPEAR OMTHE RECORDED
SUBDIVI SION PLAT.
Date of Survey: 06126/86 Gerald D. J~nning~
w~¢Gm SEC IS,, Y/5~,
~'L EEV:
I
'Z.~E'I~... .......... /"
· c' / ys~r .~"~
HEREBY CERTIF~ %1~A7. I HAVE-GURVE'tED
TI419 L8~ AS DND~N DN PLAT ND.
A.~..~.~¢RECORDI~I~ DISTRI~ AND THAT.
ENCROACHMENTS EXIST E~CEP~
INDICATED.
1. ALL LOT DIMENSIONS AR~ RECORD AS
SHOWN ON TIlE PLAT DF RECORI)..
2. IqO HONUH[IT[g 'w'ER~ 91~T 'rills ~URYEY.
,% IT IS THE REI~PONSIBILITY OF THE OWIi£FI
TD D~TERHII~ETHE EXIST£HC£ DF AN~
EASEH[I'IT!~, COYEI~IAFIT~ OR REb"TRICTIONS
WHICH DO NEff APPEAR ON THE RECORDED '
._ SUBD!¥1BION PLAT ...........
Date of Surwu: 06/2~/86 I C. erald D.J~nnlnga
1
P.O. Bo~.67072g
Job riD: 86-1~ IPh=688-3S2e ChuCak,'&l.aska. '.:
~/~/~/~, ~, /
~,. ~ ...... : ..... ~.,.
P ....BOX 6650
ANC,~ORAGE, ALASKA 99502_-0650
~oP4111
D~.PARTMENT OF HEALTH & HUMAN SERVICES
January 10, 1986
TO: Permit Applicant
Subject: Permit #850625
Lot 6 Block 1 Sleepy Hollow Subdivision
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-si~e sewer system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-4720o
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
DEI::'AFCf]¥1ENT OF: I.'IIEAL/f'H ENV:I:RONMENTAL,
1325 L · EH'RE'I.ET, Al=:: 99',501
,i?. 64 ,.-, ,q. 7 ',:?. (,~
85t)6W5
09/2?5/85
AF:'F:'L I CANT:
ADDRIZSS:
CON'fACT. F'HONE:
JOHN GFd3SS
% S&.~3 ENI~'}INI:EERII'.IG
EADI_I:E RIVEF~, AK
694-:?,979
LEGAL DESE3::;:IF:'~I SUBDIVI!3II]N:~ SL. EE!PY HOI,.,,I=.UW I...[]T'~ 6
SEI::FI'.[OIqI~ 15 TI3WIqSHIF:': J. SN RANGE: 1W
IA:Fl' SI
MAX BIEDROOId~3: 3
BI...,DCI< [ :L
L..is'l:.~cl below a,,(;.) 'Lb(F) oj:)tions ava;i,].able 'Lo yl::m~ iii dr;.,s:i, gl]ing your !~ept,:i.c
syst, eni,, Choosl.~) 'LI'i~! r~l::rL:i.q)n t,l'lat, best. f!i, ts yom' si'Lc.
DIEPTH 'TL:I F:']iF:'IE BI]'I"]"OH (F;']".) 4.0 4.0 4.0
GRAVIEI.,. DEI='TH (I='T,,) ['~,, 0 O. 5 3. f5
'lOT(g.. I)IZF:'TI'I (I='T,,) 9.0 4,, 5 '7,, ',5
GRAVEl_ WI D]'I'I (F:T,,) 2,, 5 :1.7'. 0 5,, 0
GRAVEl- I..,,E:Nt:} I]"1 (I::'T.) :::;El ,, 0 34 ,, 0 41. ()
GRAVIEI,. VOLUME (CU. YD[3. ) 19.4 ;.? :L. 5 30,, 4-
'lANK S I ZE, (GAL.S) 1~ 000.0 '~"[' 1 ~ 000,, 0 '~"~' 1 ~ ()0(). 0 ,~,.~1,
SOIL RAT]:N[~ (S[:!.F:"I'. /BR) :L2~5 125 12',5
~+.~!. I'AI,,IK MLIST HAVE AT I..EA,EFI~ "IWD C[)MF'ARTMIZNTS
c::er"L :1. ~'y 'Lhat:
1,, I am (am:i,].iar with
for'th by 'Lh¢~ Idunic~pa:Lity of Anchor'age (I'IOA) and the State of Alaska.
I wi:l. 1 instal Z 'Ll~e~ sy~iyJ;~:;,m il'l ac:c:cmdanc:e wit,h all MOA codes and '
I (. g
~Mld :J,l"i I;:(::)Iiil:)],J,¢'&J'l(::(~~ ~Nit, h ~:l"lC,2 desigrl Cl"it, c&~Pi~'~ O[ th:Ls j]el'm:i.t.
]: will adl'm)t'[;) t.o ct:l.l M(]~ aFIcJ ~J~JtiwLE.) (;:)~ (.~:[a~ik~ l'6-)qL.til*E]mel'it.!~ t'f3P t. hE~ Ei6:YL bac:lc
dJ.s'Larll::es ~'pom any existir'lg ~el],, ~aste~a'L~)P dJ,[~posa], system or' pub].:i.c
:[ I..tr/(:](.Dl'st.i;MId thalL 'LJlil!~ [36)PfilJ. t :i.~ V&~].id for' ~':~ iflaxim!.uli i3[ :]~; I:]edr'ooms arid
ally 6¢1'l].i~11'~]6.)iI1~)11t. P~:[].Z 1'6~qL(il'E(, an add:i, tional i::mmm:i.'t.,
I F: A L I I:::'T STA"I' I (::)lq I S :[Iq,'~'I'AI.,.I..JED I N AN AREA f::13Vl:i!]:qEI) BY 1~1(])¢~ BI.J ILD I Iq(:¢ COl)lES,
'l HIEIq (J.) AN ELIECTRJ:CAL, I:>IEI:~IqlT AND IIqSI::'IECT I[}N MI..JST BE: (]B'T'hINED; (2) AS-"BUILT'S
WIt,.I.. Iq[:)"l' BE AI;::'I~'ROVIED' WIT'HOtJT AN EI_,E:ETFF~ICAL. INSI:::'IECT:I:ON R~d:'OR'F; AND (3) 'FHIE
Ed..,I:~[CTF<ZCAL WI]F;'.I< MUS'I' BE DOIqlZ BY A I..ICIENSED ELECTIRICIAN,,
> J. blqb. O , DATIr: ~ ......
AF:'F:'L. I CAI
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
8
10-
13-
14-
15-
16-
17
18
19
2O
SEAL)
DATE PERFORMED:
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Deplh Io Water Atter
Monitoring? Dele:
7-/~-
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
-
PERCOLATION RATE
-- (minutes/inch) PERC HOLE DIAMETER
TEST RUN ET EN _ FTAND FT
PERFORMED' BY: [~, ~0~,¢'-~ I CERTIFY THA~ THIS TES~ WAS PERFORMED IN
ON THIS DA~E. DATE:
ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES I~FECT
72-00D (Rev. 4/85)