Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutROCKHILL BLK 3 LT 12
t ,~"~'~ MUNICIPALITY OF ANCHORAGE
Ii' ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
. ENVIRONMENTAL ENGINEERING DIVISION
625 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE I J~NEW
~_x~/~,~_~.~ ~ /~ ~'~I ~ UPGRADE
MAILING ~DDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
J Well Absorption area Dwellino ._ PERMIT NO.o/O~7
~ ' DISTANCE TO: ~-~/~ / e~~ ~ ~,~~//~
m~ ~ Manufacturer ~ ~ Material~}~ No. of compartments
Liq. capagity in gallons Inside length Width Liquid depth
~,~ ~ ~ IF HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
~ Well Foundation Nearest Io~1~ PERMIT
~= DISTANCE TO: /~ ~~ ~ ~
~ ~O. of lin~ ~en~th o~ach~ li~e Total Ionflth~ ~°f lines Trench~dth inches Distance between lines~,
~ ~ ~ Top of tile to finish ~rade Material Beneath tile ' Total effective absorotion area
kenoth ~idth De~th P~MIT ~O.
~ ~ Tgpe of crib Crib diameter Crib dopth Total effactiva absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class~ ' Depth ~1 D~ ~, Distance to lot line~ I PERM~
OTHER _
SOILTESTRATING ~'" ~e~ --
INSTAELER
REMARKS
Z
F. E~:M I T NO,
RPPLICRNT
LOCRTiON
LEGRL
[:,EEF'RF.:TMENT OF HERLTH RND ENVIRONMENTRL PROTECTION
825 "L~STREET, RNCHORRGE., RK. 99F~.
264-4720
810473: )
CHRRL. ES DEMMING
Lt2 B3 ROCKHILL
PO BOX 18-1945 RNCH.
276-3868
LOT SIZE 45000 SQURRE FEET
TYPE OF SOIL. RBSORPTION SYSTEM IS: TRENCH
MRXIMUM N. UMBER OF BEDROOMS = 4
SOIL RRTING (SD FT,"BR)= 85
I"HE REQUIRED SIZE OF THE SOIL FIBSORPTION SYSTEM IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PI]" IS THE DISTRNCE BETWEEN THE SURFFICE OF THE
GROUND RND THE BO].'].'OM OF' THE EXCRVRTION (IN FEET).
]"HERE IS; NO SET WI[:,TH FOR TRENCHES.
].'HE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRYEL BETWEEN THE OLITF~3LL PIPE
FIND THE BOTTOM OF THE EXCF'I'¢FITION (IN FEET).
PERMIT RPPLICRNT I,-iRS 'THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLFITION INSPECTIONS OF FINY WELLS ~3DJRCEN'T TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERYE.
BFICKFILLING OF F~NY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPRRTMENT NIL[_ BE SUBJECT ].'0 PROSECUTION.
MINIMUM [:'ISTRNCE BETWEEN R WELL RND FINY ON-SITE SEWRGE DISPOSRL SYSTEM IS
±00 FEET FOR R PRIYRTE WELL. OR 150 TO 200 FEET FROM I']. PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRIYRTE WELL ]"0 PI PRIYFITE SEWER LINE IS 25 FEE].' RND
TO F'~ COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS FIRE REQUIRED FiND MUS],' BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS
OF' THE WELL COMPLETION.
OTHER REQUIREMENTS MR',r' RPPLY. SPECIFICATIONS RND CONSTRUCTION DIRGRRMS RRE
AVRILRBL. E TO INStJRE PROPER INSTRLLRTION.
I CERTIFY THFtT
t: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH 8"r' THE MUNICIPI=IL. ITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE: CODES.
-.. I ~N[.ER.=,THND ~4F~~-z, ITE =,EI..IER :,'~.=,TEM MRY F:E]~LIRE ENLRRGEMENT IF THE
RESIr,,E N 4. BEC, RO,:,MS.
SIGNED 5
~~,EI',IM I NG ~
brown Silty Sandy Gr,?vel (GM}, damp~
~n Nan{Iv Grave].
lacks fine sands~ .:. ,, .~n~td}~' j:' ~ I [ ''~*'' particles
Pree Water Level:
None Observed
Type of Bry,.., ~,
Sample c,{~ .... Group
G M ~'
Unified
GW
GW
GW
Zemarks:
~ ~l~pe of Sample~ G~-.k~:,~b~ g,i = Standard
U = Undisturbed.
2 Dry Strength N=None~ )>::L:',w, ~,=:'~, .~s ~ .
3 Group refers to sim~]a ..... t .... i-" ·
· "* ..... no,...e~ ..... :1, this studl/ only~
S. I:zo..~t and Textural C. la .... 1,,,,lcationto",:~,,~. ~ Sl'!ee'~
6~ Unified Ci.~ ........ ~.~c~t. lt;n~ see Sh.:~et
APPLICf- T FILLS OUT UPPER HALI NLY
Phone
PrOperty Cwner De[,at'tiJ.13~# 'C~R~"lie & Janioe
Mailir~g Address ~9~'~-~ "' ....... ~'~'""-- .~_-.~.. ...... ~,r~' Zip Code
..... , ,~.~.~=, ~ ...... 263-4536
Buyer ~ Triokey, Howard & ..ROst~, .Peggy
Lending ~nstitution A]_a-~ka Pacific Mortgage ............ ~ .... ,
Address ~ ~ ~,__. ~,~,,~a'~,'. ~*~', ~ ..... .~- ~,_ ~,, Zip Code ~
Rea~ty Co. & Agent Coldwell Bank?w/Ja~_~ [t~it~ Co .................
Address '~ r' Zip Code
3,~.~ C -
Legal Description ~ ]..~ B~ 3~ ~ ~/t~.
Type of Residence
Single Family ~ ~
Multiple Family No. of Bedrooms , "~
[] Other ,, - ,, , ' ~ '
Water Supply' ' '
Individual --~_..___ ' ' ATTACH WELL LOG. A w~tl 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~" .
Sewer Disposal
Individual Year Individual Installed:
Public Utility ~ When Connected to Public Utility:
[] Holding Tank '.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Insp~cto/~
Field Notes: MUNICIPALITY OF ANCHO~GE
DEPT. OF HEALTH
( ) DISAPPROVED
Soils ~in~ Date ~wer Installed Well To Absorption Area / ~ ~O Well Log Received ~
DOWL
Engineers
Department of Health &
Environmental Protection
Division off Environmental Health
Hunicipality of Anchorage
Pouch 6-650
Anchorage, AK 99510
Subject: Well Seal Clarification
4040 "B" Street Anchorage, Alaska 99503
Telephone (907) 562-2000
January 12, 198/4
W.O. #D51131
Lot 12, Block 3, Rockhill Subdivision, Anchorage
Demming Property
Gentlemen:
This ].ether is to clarify our intent and observations dis-
cussed in our letter dated January 11, 1984 regarding the
above subject property improvements.
In the second sentence of the third paragraph, we stated
that "The well was capped, however, it did not have a sani-
tary sea]. as required..." In our discussions on January 12,
1984 with Ms. Laura Ward of the Division of Environmental
Health, we became aware of a semantical difference contained
in the quoted sentence. The difference involves the words
"sanitary seal". We did state in the same sentence that the
"well was capped" and by the Division's definition we are
clarifying that to read "The well was capped with a metal
sanitary seal as required by the June 1975 Municipal well
ordinance".
We understand from Ms. Ward that this clarification wi.Il
allow the Division to amend the conditional approval to an
approval.
If you have questions or we can be of further assistance,
please cat].,
JRC:rb
PROVE
Very truly yours,
DOWL ENGINEERS
~~ohn R. Chambers
Project Engineer
n, P.E.
ncr
DOWL
Engineers
4040 '~B" Street Anchorage, Alaska 99503
Telephone (907) 562-2000
3anuary 11, 1984
W.O. #D51131
Department of Health and
Environmental Protection
Division of Environmental Health
Municipality of Anchorage
Pouch 6-650
Anchorage, AK 99501
Subject:
As-Built - Well & Septic System
Lot 12, Block 3
Roekhill Subdivision, Anchorage
Damming Property
Gentlemen:
One of our engineers has visited the personal residence of
Mr. Charles Damming located on Lot 12, Block 3 of Rockhill Subdivi-
sion in Anchorage, Alaska. The purpose of the site visit was to
check the physical relationship of the house, well and septic system
on the subject property with respect to one another and adjacent
property.
Mr. Demming informed us that the house was built in November 1981.
The septic system was pumped on March 22, 1983 by North]and Plumb-
ing. Our engineer noted the nearest point of Demming's well to be
about 115 feet to the adjacent property owner's drain field stand
pipes. The drain field is set back at least 36 feet from the
property line within Lot 12. All septic stand pipes were capped and
above extended ground surface.
The top of the well easing was noted to be 12 inches above surround-
ing grade. The area was graded to sJope away from the well. The
wmll was capped, however, it did not have a sanitary seal ss re-
quired by the June 1975 Municipal well ordinance. The well is
located 27 feet from the house and 110 feet from the septic system.
We found that the apparent physical locations and characteristics of
the well and septic system appear to meet the applicable
Municipality of Anchorage and State of Alaska Environmental Health
requirements.
Department of Health &
Environmental Protection
January 11, 1984
Page 2
If you have questions or we can be of further assistance please
call.
Very truly yours,
Chambers
Project Engineer
JRC:rb
cc: Charles Demming
/,~h~ E. Pau"Ct'~on~
~/Partner
~' '~' INSPECTION APPOINTMENTS(''~) q-~'~ DAT~: RECEIVED
Ti~E TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR ~
MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL p~O'FECTION
ENVIRONMENTAL SANITATION DIVISION OCT 1 5 t981
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~k~'~ U
DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be processed. Please allow ten (10} days for p~ocessing.
1. PROPE~NER · ~ ~ ~ ~[~ PHONE
MAILING A'D~ E~S ~
PROPERTY RESIDENT {If different from above) PRONE
M~I~I~G ADD,riSS
MAIkI~G ~DD~[SS ~
ST. EET LOCA
6. TYPE OF RESIDENCE
~{-, SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDRO~QMS
[] One L~ Four
[] Two ~ Five
[] Three [] Six
[] Other
7. WATE ~.~PPLY
INDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
*ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.) ~ ~_~ ~
i / YEAR ON-SITE SYSTEM WAS INSTA,LEO.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 ( Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SlX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVI DUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: if Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
¥ U F~OhJ
qSOl
9800
qqqo
qq6o
qsz¢
GR. 2438
Hidden Lake Area Reference Map-P12
12
163 ~ 165
¥
176
164
© COPYRIGHT 1983
Anchor e
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
October 15, 1981
Boysen & Associates - Engineers
8036 Blackberry Street
Anchorage, Alaska 99502
Subject: On-site Inspection Report for Lot 12 Block 3
Rockhill Subdivision
The Municipality of Anchorage has allowed on-site as-builts
by registered engineers based upon the report be on the
Municipality of Anchorage format and stamped. Please find
enclosed a Municipality of Anchorage form for resubmittal.
The grid should be utilized for site layout and pipe
placement configuration.
If there are any further questions, please call this office
at 264-4720°
Sincerely,
Boysen & Associates - Engineers
8036 Blackberry St.
Anchorage, Alaska 99502
October 7, 1981
Municipality of Anchorage
Dept of Health & Environmental Protection
825 "L" St.
Anchorage, Alaska 99501
Re:
On-Site Sewer for Charles Deming
Lot 12 Blk 3
Rockhill Subdivision
Permit # 810473
MUNICIPALITY OF ANCHORAGE
DEPT. OF k~EALTH &
ENVIRONMENTAL PROTECTION
OCT I 4 1981
RECEIVED
Gentlemen:
This to certify that I personally inspec~e-d the referenced
system both after excavation and a£ter placing clean rock, pipe
and septic tank. The trench was over 22 ft. long and 12 ft.
deep after excavation and was filled with 8 ft. of screened
gravel. The tank was a 1250.gal two (2) compartment Greer Tank.
Ail work conforms to Municipality of Anchorage standards.
Certified:
Boysen & Associates - Engineers
Richard L. Boysen, P.E.
o
o
I
0
E-~
Z
0
~Z
~0
0
~o~
o',, o