Loading...
HomeMy WebLinkAboutNORTON PARK #1 BLK 2 LT 8D q7 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 , MAILING ADDRESS / ~~~~ LOCATION L~ ~z DISTANCE TO: Well Absou)tion area ~ ¢ ILiq. capacity in gallons Inside length _ J I IF HOMEMADE: ~'/ I DISTANCETO: [Well iWelI DISTANCE TO: No. of lines I ~qth of each line Top of tile to finish grade PHONE L ~NEW NO. OF BED/~OMS PERMI~.NO.,~. 0(-..) ~ OI ~-'-'-'~J jDwelling Matelial Wiclth No. of compartments Liquid depth Dwelling PERMIT NO. Liquid capacity in 9aliGns Foundation Total length of lines tMaterial ~Ot line width PERMIT NO. Distance between lines Material beneath tile Total effective absorption area inches Depth PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO, Length Type of crib Crib diameter Well DISTANCE TO: Class Depth Building foundation Sewel line Septic tank Absorption area(si DISTANCE TO: OTHER PIPE MAT~E_R I ALS SOIL TEST RATING REMARKS APPR~ DATE LEGAL 72-013 (Rev. 3/78~/ PERMIT NO. [:iEPFIRTMEN]" HEFtLTH PII'.,ID E:NVIRONMENTRL ;:OTEC:TION 825 "L'" STREET., RI'4C:HORRGE., AK. 99501 264-4720 ( 80019:.5 ) APPLICFtNT PR]" BL.¢SS- · ' (.)\ ~ .%:b 3:722L I]:HINIRK BAtr' LCE:ATION 12:1. ST FIVE LEGRL LOT ~ BLK ,~1~ f)I(~RT~N PARK SUB LOT SIZE T'TIpE 0F SOIL FtBSORPTIOFf-~,'¢STEM IS: TF. iENCH ~44-2846 20000 SQUSRE FEET I"]RXIMUM NUMBER OF E:EDROOHS = 4 SOIL RATING THE F.'.EQUIRED SIZE OF THE SOIL FIBSORPTION S'¢STEM IS: [)EF' ]"H= il_E{, L E: ["',I i.3 fi-i=- 0 ,3 l~: FI',Z E [_ [:, E F'"F H := ,4- TNE LENC. i]'H DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TF.'.ENCN OF.: PIT IS THE DISTANCE BETNEEN THE SURFACE OF THE GROUND AND THE BO'rTOM OF' ]"HE EXCR°¢RTION (IN FEET.':,. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWE"EN ]"HE OUTFALL PIPE FIND ]"HE BOTTOM OF 'I"HE' EXCFIVFITION (IN FEET). RE~]:.~L.~ ][ ~.".Eg. ~;EF'"I- Z C: -f'FllP,ll<: PERM:[']" APPLICANT HAS THE RESPONSIBILITb' TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF RN"r' NELL."."] RDJRCENT TO THIS PROPERTV AND THE NUMBER OF RESIDENCES TNFtT THE WELL WILL SERVE. TIt---iCJ ,:: 2 ::, .l: Ii'-,H_'S-,F" E C'T ]i: C,I'-.i_'S. RI~:E Ri.~li.]lJ I REIZ, ....... BI=tC:KFILLING OF AWl?' Sb'STEM WITHOUT FINFIL INSPECTION FINE:, RPPF.".OVRL. BY THIS DIEPRRTMENT WILL BE SUBJECT TO PROSECLITION. MINIMUM DISTANCE BETWEEN Ft NELL RND ANY ON-SITE SENFIGE DISPOSAL S~FSTEM IS t00 FREE]" FOR R PRIVRTE NELL OR t50 TO 288 FEE]" FROM A PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC NELl_. MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COI"IMUNIT'¢ SEWER LINE IS 75 FEET. OTHEF.'. REQUIREMENTS P1A~' APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE RVRIL. RBLE TO INSURE PROPER INSTRLLRT]'.ON. F"IEI~:~'-I I T E::-=:F" ][ RES DEE:EI'4BE~: --~'---1., ~L--q- 80 I CERTIF'?' THAT t: I Af'l FAMILIAR WITH '[HE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH B'¢ THE MUNICIPRLIT'¢ OF ANCHORAGE. 2: I NILL INSTALL THE S'¢STEM IN 8CCORDRNCE WITH THE CODES. ~:'. I UNDERSTAND THAT THE ON-SITE SEWER S~'STE["I I"1R'¢ REQUIRE ENLRIRGEMEN]' 1F THE RES I[:,ENCE IS ~OO~ ~I~UDE MORE THRN 4 BEDROOMS. \TER ANCHORAGE AREA B ',OUGH Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~.¢','~WU-~IN(~--''(- MAILING ADDRESS /'IL1 ~ ~--: , /[ ~ -~-"('] O~'': ~' I~-(J~'~"F~- (L(~LEGAL DESCRIPTION NAME LOCATION SEPTIC TANK: DISTANCE NUMBER OF FROM WELL ~.l . MANUFACTURER_ MATERIAL C'2..'~,*g"F' INSIDE LENGTHen- INSIDE WIDTH LIQUID DEPTH. LIQUID CAPACITY ~ __~__ ~ GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER -- OR WIDTH ~)- ~ tLENGTH ~ / I , DEPTH ~' / LINING MATERIAL (--o(¢~ (--.(~., ('~ CRIB SIZE: DIAMETER _DEPTH . DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINF~L-~L~- . ABSORPTION AREA (WALL AREA) .~"-o *'~/ SQ. FT. ADDITIONAL ABSORPTION WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST (-...O¢) [ LOT LINE .... OTHER SOURCES DISAPPROVED NEAREST SEWER LINE . REMARKS DEPTH ~'~ ~%,, DISTANCE FROM: SEPTIC SEEPAGE TANK --., SYSTEM DISTANCES: INSTALLED BY:-- PIPE MATERIAl ' LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE GREATER ANCHORAGE AREA BOROUGH DEI~ARTMENT OF ENVIRONHENTAL OUALITY PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT / ,, /! / / NAME OF APPLICANT INSTALLATION LOCATION ," / : / · / / / SOIL TEST RESULTS , , / TO BE INSTALLED BY OTHER ..... NOTE= THIG PERMIT I~. NOT VALID WITHOUT SOIL TEST P~E YEAR FINAL INSPECTION~ ~4' HOUR--NOTIC~ REQUIRED, BACKFILLING OF ANY ~YSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO pROSECUTION. SEPTIC TANK SIZE TYPESJ6~-~] 0~' C~nC~E~]~$EEPAGE AREA SIZE MINIMUM DIS, TANCE$, REG"UIREMENT~ 5 PO~NDAT,ON TO SEPT'C TAHK FOUNDATION TO SEEPAGE PIt- 20 ft. D"Am FIELD 1.0 ft. SEPTIC TANK TO SEEPAGE PIT WALL TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK 10 fi, DRA'N E,E'D 10 ft. SEEPAGE Pif ALSO CONSIDER AREA WELLS. SEEPAGE Pit J,O SEPTIC TANK, 25 ~*']. {~'. SEEPAGE PIT ~00 ft. I DRAIN FIELD 50 ft. , TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING gAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SiPHOn PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAP~. GRAVI~:L IgACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. * ' ~" ' "-::' ' -/~ DIAGRAM OF I~Y~,TEM nlsttm!:£p}~) T' ( tAsf IR0fl SIPII08 PIPE SOIL '*'%/.~ j~ ~S[[PAG[ PIT ,I: ! I CERTIFY THAT I AM FAMILrAR WITH THE REQUIREMENTS OF GrE/~R ANCHORAGE AREA BO??H ORDINANCE NO. 2.8.88 AND THAT THE ABOVE D E$CR BEDT~SY STEM IS ,N~_ '? .~ACCORDANCE WITH SAiD CODE. ~L~/1~'~ >[~;J---~--'~' 3500 TtlDOP ReAl! ASCH©RAGE~ ALASKA 99502 Performed For Tom Stewart Date Performed__13__~_%~d%Iz~_ZL9_~ Leqal Descrintion: Lot 8 Block 2 Subdivision Norton Park This Form Reoorts Soils I.oci___~ ................ Pefco!aL!on Test Qeoth Feet Soil Characteristics The sediments In ghls ~re~ were erratlo w~th respect to ~ thickaess of the horizons, sol]: Gw The Gm to (~w had a high cobble and pebble content with a low moisture content° 1 q S~p Was 6round Water Encountered? No If Yes, At what Denth? Readinq ; .... ! L ~ ~ .... ' t "~ % ~ ~ -i ~ ' .....~ 1-1 I S lot~e-~south I. -[- -h -H' L__ t'-- ~'--I- Date Grass l'ime Net Time De~th to H20 flet Dr'onl Percolation Rate Praposed I n s t[['?-~.a t i nu: Benth of Tn]et - - _~rr.~ fe~ [}em,!;h 'F(~ [~ot~,r, 0 Pit 0'." 'i'renchll~_.f.~e~ r' :)ATE RE~CEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE \ DATE PI INSPECTOR /~ INSPECTOR IN~ MUNICIPALITY OF ANCHORAGE DEPT. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~NVIRONM[:i'~AL ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND 8EWER FACILITIES DIRECTIONS: Complete all parts on paoe 1, Incomplete r~quests will not be processed, Please allow ten (10) davs for processing. 1, PROPERTY OWNER PHONE MAILING ADDRESS PROPERTY RESIDENT {If differeet from above) I PHONE 2, BU~ER PHONE MAILING ADDRESS ~. LENDING INSTITUTION ~ PHONE I MAILIN6 ADDRESS 4, R EAbTOR/AGENT __ PHONE MAILING ADDRESS B, LEGAL DESCRIPTION STREET LOCATION 6. TYPEOF RESIDENCE . /J~_ SINGLE FAMILY ' "'' [] MULTIPLE FAMILY NUMBER OF~BEDROOMS One ' ~ Four [] Two E~ Five [] Three [] Six Other 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required 'for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8, SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION F:EE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. C]::tAOHddVSICI [] ( (a:~eoq~]daa AueduJoaae lsnm Ja],],al) -IVAOWddV 3VNOIllClNOO.,,,.,4~ ~ % 7 , q n " - A ~~ i -~ ~q ]oq ~au mea]v umldJosqv 1o3 lsa~eaN au~q ~aMa$ _ I eo~V uo~dJ IVI ~Uel fiu,PlOH/ORdas S~ONV~SIQ '~ ~~ uaunzovanNv~ ~NVZ ao 3dA~ t - Nuez 6UlplOH ~ ']o ~ue~ o~da~ i ,, , ~. ,,, f daAlaOaM 903 ~ PaN!~aA u°R3auu°3 aaqq~uo a~va A~INn~O3 / / ,~ , , HBH$O ~ 3Ali ~ 338H$ ~ 3NO ~ AqlRV~ 39DNIS AINO ]Sfl l~131JJO 80J aais SIHI 825 "L" STREET ANCHORAGE, ALASKA 9950'1 (907) 264 4111 GEORGE M. SULLIVAN, MAYOR !)l P,M{ [MFN]' OI HI ,\1 1!l AND Et'JVII~ONMEN]I\L PROTECTION May 19, 1980 Patrick Bliss, Jr. 3721 Chiniak Bay Drive Anchorage, Alask~.~9502TM_~ Subject: Lp~t.~m., Block/~, Norton Park Subdivision '~:~The septic tank pumped with a receipt submitted to this department. The total number of gallons pumped ~ need to be on the receipt to verify the size of the tank. (2) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing . of private firms performing the test is enclosed. This report needs to be submitted to this department for ,,our review. to be~d-r/ll~i-ed. Prior to the drilling, a permit will _ne~]-to be issued by this department. .~~well has been drilled. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw ALASKA USA Federal Credit Union 777 Juneau Street 99501 ?lay 21 1 ~..~ 0 Patrick Bliss, 372]. chir~iak Bay Drive Auchora~e, Alaska 99502 ,~b] ~t., LO-~..~~ ~100~%~~ Nor~on ~'~ark A})proval for your indivi,:l~al seg~c~r anti %zater can not be gran%ed until 'the fol3.owinc3 i~ms have been comp], et e c~ ~ (1) The sO'~'~c Lank pumpec'[ with a receipt submitte(l to ' - t .... . .~nc. Lot~tl number of gallons pumpc~d this ,~.epar'k~te nt "" ~ n~e,3, to be on the rec~ii?L to verify the size of (2) An a~'{equaoy .Lest be ~erfo~Tme~l on th(~ ezisting ].eachi;~g a~[(~qu~Le accordJ.~%q Lo '~at'i. onal ~itand0. rds. A listin,J tel.port nee~;i.[~ ,..3 be sub~.',u["cLec?[ 'to thi~ fie ~ari-.~tcnL for our 'u i , h c. ~ ~'~-~.' ""b 'i633 B ~t-~'eet, zor our r,~.~i~, ,,_ t-hc~re are ,:~ny -Further questions, please centact this office a't 264,,4720, AsSo~3iatc? S'?~cia i. Alask~ Uf~A Fedex:al ~,redlL union 777 Junea~ 825 "L" ST REET ANCHORAGE, ALASKA 99501 (907) 264 4111 June 5, 1_980 Patrick Bliss, Jr. 3721 Chiniak Bay Drzve Anchorage, Alaska 99502 Subject: Lot .~B]_ock/Norton Park Subdivision This department measured the septic tank after uncovering and found its capacity is as stated during its installation inspection. The capacity is 1,000 gallons, which to qualify for a four(4) bedroom residence needs a second tank installed under Municipal permit from this department. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Specialist LNB/1 jw ' 1 cc: Alaska U.S.A. l:edera Credit union 777 Juneau Street 99501 lO SUBJECT DATE Redif'/orm® 4S 471 SIGNED ,~,:, -"?']-,::~ SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WI'TH REPLY. DATE 825"1 "SIREET ANC;IORAGL-, ALASKA 995(11 {907) 264 4111 May 2.9, ].980 Patrick I31iss, ,Ir. 3721 Chiniak Bay Drive Anchorage, Alaska 99502 Subject: Lot 2 Block 8 Norton Park Subdivision Approval for your individual sewer and water facilities can not be granted nntil the following items have been completed: (~) The septic tank pumped with a receipt submitted to this department. The total number of gel. lens pumped need to be on the receipt to verify the slze of thc tank. (2) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private f]rms performing the test is enclosed. This report needs to be submitted to this department for our review. (3) The well is hand dug. Wells of this nature are not an approved type construction. A new well will need to be drilled. Prior to the drill, lng, a permit will need to be issued by this department. (4) A water sample wi].] be drawn for bacterial analysis after the well has been drilled. If there are any further questions, plea.se call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/].jw ALASKA USA Federal Credit Union 777 Juneau Street 99501 RE2 REID ENVIRONMENTAL ENGINEERING SRA BQX ]584R ANCHORAGE, ALASKA 99507 (907) 344-! 205 MUNICIPALITY OF ANCHORAGE ENVIROi%v'~[,-i : _r,~l ON RECEIVED !iusitna C. lupply, inc. JOB NUMBER WHOLESALE DISTRIBUTORS O. BOX 3-4088 ANCHORAGE, ALASKA 99501 PHONE: (907) 276-2818 CUSTOMERPO NO SALESMAN WHSE CUSPO SLSNR HOUSE CASH COD INVNR CMEMO S O SHIPPING INSTRUCTIONS F SHINS CASH DISCOUNT ICDPT % TERMS TERMS MNOT~41SCELLANEOUS NOTE (TO APPEAR ON INVOICE DIAL DESCRIPTION OVERRIDE )ER BG ITEM NUMBER ITDSC ORIDE LMAL ITEMNUMSER QTY ORDIQTY SHIPIQTY ~'OI UIM UNITPRICE UNITCOST EXT PRICE B I I I [3 B B TOIAL RECEIVED BY DATE PICKED BY