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Home My WebLink AboutROCKHILL BLK 1 LT 2-0 -000 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 PHONE J ~"N E W NAME MAILING ADDRESS LEGAL DESCRIPTION ILOCATION ~ Wel~/-- v ~.~ -- -- DISTANCE TO: I ~ O T I ~J Manufacturer ~ -- Liq. capacity ~ ~ iF HOME,DE: Well DISTANCE TO: Absorption area Inside length NO. OF BEDRO~S Dwelling I PERMIT NO. ~;~O~:~ 5 Materia~..~ ~-~4~ ( W dth ~ Liquid deP[h.. Dwelling PERMIT NO. in gallons Well DISTANCE TO: ~) O "T i ~ No. of lines Length of each line Top of tile to finish grade Length Width Foundation ~ '~ ~) ~ Nearest lot line PERMIT Total length of lines Material beneath tile Trench width Distance between lines Total effec~ti~/e~-~/o~ion area Depth PERMIT NO. eter ~sorption area Well Depth DISTANCE TO: Building foundation Driller Distance to lot line Sewer line Septic tank PERMIT NO. Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATIN REMARKS DATE LEGAL APPROVED I..~IEL L !~ I'-J D PERMIT NO. ( 800591 ) RPPLICRNT LOCRTION LEGRL GOENTZRL BUILDERS L2Bi ROCKHILL L2Bi ROCKHILL 5237 E 22ND RVE LOT SIZE 60000 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS : ~ SOl[, RRTING <SQ FT?BR)= THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: i25 [-~EF"TH= i2 LEI'-~GTH= 24 ,3 I~: R '..-" E L BEF'I-H= 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND 8ND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRQVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TWBD ( S~ ) I NSP~,Z:TI~D~S RRE F~E@LII BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SENRGE DISPOSRL SYSTEM IS i00 FEET FOR 8 PRIVRTE WELL OR t50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO 8 PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIFY THRT i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRL. ITY OF RNCHORRGE. 2: I WILL INSTQLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3 BEDROOMS. MPFLI_.MNT GOENTZRL BUILDERS , /% ~,.~ C~ ~';~- . .~ /0// ~/ d~ ~ ISSUED __ "-2F ............. ? .... V4. O MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [~SOI LS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 7 $ 10 13 14 17 ~8 10 20 p/z.5 DATE PERfORMED: SLOPE 0 SITE PLAN £-./(~ COMMENTS WAS GROUND WATER ,"d0 Z ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) ~ FT SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF -- r'~c~ '?e,c.t~ D~ILLED AT THE rATE OF ~_ ~ ~,~, PE~ ~'OOT. DRILLE~ 5'0 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRiLLiNG, WRITE CHECK PAYABLE TO RAMPART DRILLING ~,~ORKS FOR THE SUM OF__ ' THANK YOU VERY MUCH, BERNI~ C~.~US OF RAMPART DRILLING WORKS DATE RECEIVED · "':~ INSPECTION APPOINTMENTS 'TIME TIME TIME DATE DATE DATE MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~EPT' 825 L Street - Anchorage, Alaska 99501 EN'VJ~ON;',&Er~ ] '. .... ,, 'LCTION ENVIRONMENTAL SANITATION DIVISION [;~ Telephone 264-4720 A...OVA. DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER J PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION I PHONE MAILING ADDRESS 4, REALTOR/AGENT PHONE MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ Other ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three Six 7. WATER SUPPLY INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. Awell Io§ 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 DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6179) ,~ ~.,~/ y ~...~ /~ 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 [] INDIVIDUAL 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 / Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: I <~.~C) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS ~/'APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY L_ o'f REET 825 .... c - ANCHORAGE, ALASKA 99501 (907) 264-4111 GEO(:~GE M. SIJLLIVAN, MAYOR DEPARTMEN1' OF FtEALTH AND ENVIRONMENTAL PROTECTION February 17, 1981 Goentzel Bt[ilders, Inc. Post Office Box 10-238 Anchorage, Alaska 99511 Subject: Lot 2 Block 1 Rockhitls Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (t) A well log submitted to this department for our review. (2) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. If there are any further questions, please.call this office at 264-4'720. Sincerely, Robert C. Prat'tz R.S. Associate Specialist RCP/ljw cc: United Bank Alaska 645 G Street 99501 Mark Phillips % Century 21 - Krenik Inc. Realtors 9101 Jewel Lake Road 99502 CHEMICAL & GI~£OGICAL LABORATORIES ~-.' ALASKA, INC. TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street TO BE COMPLETED BY WATER SU Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY LABORATORY WATER SYSTEM: I.D. NO. Mailing Address State Year Zip Code City MO. Day SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. ) [] Special Purpose I [] Treated Water [] Untreated Water T me Collected Collected By SAMPLE NO. I I I I LOCATION Analys~s shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sarr p~e too ~ong in transit; sampe should not De over 48 hours old at examination to indicate reliable results. Please send new sam pie Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst I I ~-~ I ~-I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 3.978 Date Collected Source Presumptive 1Omi 1Omi 1Omi 1Omi 1Omi 1.0mi 0.1mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours, EMB Membrane Filter= Direct Count Verification: LTB Final Membrane Filter Results Broth 24 hours: Broth 48 hours: 1omi Tubes Positive/Total 10mi portlona Collform/100ml BGB Collform/lO0ml Date