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HomeMy WebLinkAboutLot 07 ~AME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEIV AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION LOCATION "T / /-r'' DISTANCE TO: ~ell Absorption area Manufacturer t I~/t_~ ~/~/~ Liq. capacity in gallons IF FIOMEMADE: Inside lengd~ DISTANCE T~: J~~~,lli~ Manufacturer ~" "'~ Dwelling Material Widtl DISTANCE TO: We~///~}_ Length of each line No. oflines / 2~ -~.~~' ! Total length pf Material Top of ti~.~ fi?~.__~grade Length Nearest lot line/_.~ Tree,width inches I beneath tile ;~, , ' Type of crib Crib depth Well Building foundation DISTANCE TO: Class Depth/~ Driller DISTANCE TO: Building fo Sewer line [P~I,O N E [] NEW ~0. OF BEDRO,,~S PERMIT NO. No. of compartments Liquid depth PERMIT NO. %iquid capacity in gallons PERMIT NO, PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. Absorption area(s) Septic tank OTHER PIPE MATERIALS SOIL TEST RATING ~.~_ INSTALLER ~ / APPRO ED DATE LEGAL / PERMI. T NO. DEP~RTI"IENT Or HEALTH AND ENV]RONF1ENTRL p~'.OTECT[ON 825 "L" STREET, RNCHORRGE, FtK. 264-4720 880164 ) RPPL. I CRNT LOCFIT I ON L.EGf-'IL. PFIT KLISICK BOX :J.2Ei ECHO STREET 995,77 E,,94-223:7 ECHO STREET LOT ?BLOCK :1; RFt~.'FIOND TEDROW:: LOT S, IZE 40000 SL.]LIRRE FEET T'¢PE OF SOIL RBSORPTION S°'r'STEM IS: TRENCH MFIh",II'dUM NUHBER OF BEDROOMS SOIL RRT1NG (SQ FT/BR)= 85 THE R[.-%]UIRED SIZE OF ]'PIE SOIL RBSORPTION S'¢STEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF I=l TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROI.]ND I=IND THE BOTTOM OF THE E,"4.,CR'v'RTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND TFIE BOTTOM OF THE Ek.',CFI',,,'FITION (IN FEET). PERMIT RPPLICRNT HR'.:.:;, THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE II'..ISTFIL.LFITION INSPECTIONS OF RNY WELLS FtDJRCENT TO THIS PROPERT"r' RND THE HUMBER OF RESIDENCES "rHRT THE WELL WILL SERVE. [3KtCKFII_L. ING OF RI'IY S"r'STEM WITHOUT F!NFIL INSPECTION FIND FIPPROYFIL B'¢ THIS [:'EPP'IRTMENT WILL BE SUBJECT TO PROSECUTION. I'"III"~IMUM DISTRNCE BETWEEN R WELL AND RN"r' ON-SITE SEWRGE DISPOSFtL SYSTEM IS ::L00 FEET FOR R PRI","BTE WELL OR 2L50 TO 200 FEET FROM FI PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELt_ TO R PRI°',"FITE SEWER LINE IS 25 FEET RN[:' TO FI COMMUNIT'¢ SEWER LINE IS 75 FEET. OTHER F".EQL~IREI'dENTS MFI'¢ FIPPL"r'. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS FIRE R',,,'RILFIBLE TO INSURE PROPER INSTFIL. LFITION. F"" ~.:' ~q." I~'ll ][ T E ;~'<': F' .'~ F; E '--=; [) EE C: IS !'"1 E: E I;; 2~- :;L., :.1L 2".-TM ,tS.', 0 ! CERTIFY THRT 2[.: I RM FFIMILIRR WITH THE RE~4UIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORI"H B'¢ ]'HE MI.]N I C I PRL I T"? OF I-]NC:HORFIGE. 2]: I WILL II",ISTFILL THE "SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTFIND 'rHFIT THE EIN-SITE SEWER SYSTEM MR'¢ REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLIJDE MORE THFIN -< BEDROOMS. S I GNED: ........................................................ FIPPL. I C:RNT PRT KUSICK V4. 0 ~)~ DEPflRTMENT F HERLTH RND EN'WIRONMENTRL ~'"OTECTION 8~. L STREET, RNCHCIR~GE, .... 2~4-472B PERMIT NO. ( ) ~ ~0 ~ PPLICRNT ~ '¢PE OF SOZL RBSI]RBTION SYSTEM I5' *XIHUH NUHBER OF BEDROOHS =~ ~/~' SOIL RRTING (SQ FT/BR>: HE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: THE DEPTtt OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEEl'). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIHUM DEPTH OF GR~VEL BETWEEN TtiE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION <IN FEET). ~E[tll(J I REC, SLEF:'T I E: TFt[4K S I ZE:: I~ , 13RLLO~4S ERHIT RPPLICBNT HflS THE RESPONSIBILITY 'FO INFORM THIS DEPRRTMENT DURING THE NS'FRLLFtTION INSPECTICINS OF RN~r' HELLS FIDJRCENT TO THIS PROPERT'¢ BND THE UMBER OF RESIDENCES TI'iRT THE HELL HILL SERVE. TLqc~ ( 2 ) I 1'4SF'EF-;T I CIi'4 S FIRE REC4L.I I RED flCKFILLINO OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RF'PROVRL BY TI4IS ,EPRRTINENT NILL BE .-,UBJEUT TO PROSECUTION. !INIMLIM DISTRNCE BETWEEN FI WELL RND RNN' ON-SITE SEI4RGE DISPOSRL $'¢STEM IS 00 FEET FOR ~ PRIVRTE WELL~ OR 50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. IELL LOGS RRE REQUIRED RND MUST BE RETURNED TO TI4E DEPRRTMENT WITHIN 3¢ DRYS IF THE HELL COMPLETION. ~THER REqUIREr,lENTS MRM RPPLN'. SPECIF]CRTIONS RND CONSTRUCTION DIRGRRMS iVRILRBLE TO INSURE PROPER INSTRLLRTION. F:'ERI'-I I 'l- EXP I F-:ES [:,ECEr"IBER .T~.::l.... :2:9 80 CERTIFY THRT : I RM FRMILIRR HITH THE REQUIREMENTS FOR ON-SITE SEHER$ RND WELLS RS SET ORTH BM THE MUNICIPRLI'rY OF RNCHORRGE. ': I HILL INSTRLL THE SYSTEM IN RCCORDRNCE HITH THE CODES. ,: I UNDERSTRND THRT THE ON-SITE 9ENER SYSTEM HRY REQUIRE ENLRRGEHENT IF THE :ESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. PPLICR T ' '/ ....... GR~.TER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING LEGAL DESCRIPTION L/~''I/ 7 /~-z. / //,E'~'"L..-.~'.-u. -~'~, ~'--7-. SEPTIC TANK: DISTANCE FROtv~ WELL LIQUID CAPACITY NUMBER OF / COMPARTMENTS .GALLQNS. INSIDE LENGTH. INSIDE WIDTEt DEPTH__ SEEPAGE SYSTEM: NUMBER OF PITS_ LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER ~(~'' OR WIDTH /~ / DISTANCE FROM WELL //~,/~"~'~' ~:/? TOTAL EFFECTIVE ABSORPTION AREA {WALL AREA) LENGTH / ~;; x , , DEPTH (z:'" BUILDING FOUNDATION /~'M~c__ sQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA TOTAL LENGTH FOUNDATION , NEAREST LOT LINE OF LINES ~!,S.T..cKi~E ELM LINES IRENCH ~JI~IH .... /N..TOTAL" EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE .DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__ WELL: TYP~ ,2)'~ ~//'¢'C'~/ , DISIANCE FROM WATER / / DEPTH , BUILDING FOUNDATION. SAMPLE NEAREST SEPTIC SEEPAGE LOT LINE . SEWER LINE ., TANK , SYSTEM , CESSPOOL DIAGRAM OF SYSTEM DISTANCES: "~, · NEAREST OTHER , SOURCES__ DATE GAAB-HD-2 GREATET 327 Eagle St. ANCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 -"OROUGH 279.2511 Case No.~' SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMT,~ __. FINANCED THROUGH I TO BE INSTALLEO B ~/L~ F - ~ t - '/ "' ~ TeST aESULTS U. g~fgk.T~C~PATED DATE 0F C0MPLETmN ,~LOW TO BE FILLED OUT aY HEALTH DEPARTME~ AS DESCRIBED BELOW. SIZE O~UNIT TO BE SERVED I certify that I am familiar with the requkements of Greater Anchorage Area Borough Ordina,~e No. 28-68 and that the above described dy,stem is in accordance with said code. DATE / APPLICANTS SIC NATU a E,,~ CREATER ANCH©RAqE AREA P, OROUGH IiEALTH DEP AIVI',',~EN T 327 EAGLE ,%TREET ANCHORAGE~ ALABKA 99501 e,ai gescz'~ t:on: Lot ~t Block This Form ~aports a: So~]s Los.~,,o/;/h- ~,'.%,~j'ercoial::on rest: .... Feet Soil Chara':teristics Location Sketch .,' 6, /.,': ~.,: //~,','~)5:/~/ i'- % c",';, ,Z E. ' ,/b' :,2, /7 f Y Was:f Yes,Gr°undAt WhatWat e~,DepthEncountered?_. ............ pmopqsed Instaliatlon: oeepage Pit ~ Dpain Field Depzh ~f Inlet , ])e'~t~ To Bo ~UNICiPALITY OF ANCHORAGE ~//~] MUNICIPALITY OF ANCHORAGE DEPT. OF J~"Li;; & ,~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~IRONMENT,'~L ;,-i ~CTION ~ 825 L Street - Anchorage, Alaska 99501 5 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 R E C E I V E D REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTION~: Complete all parts on page 1. Incomplete requests will not be processed. Please ~llow ten (10) davs for processing. ]1, PROPERTY OWNER PHONE Pat ~ H~Tle~e~sick 694-223? ~MAILINGADDRESS 3ox 120 ~cho St.~ ~a~le R~veT, A~. 9957? ~ PROPERTY RESIDENT (If different from above) PHONE ~'2. BUYER PHONE Kenneth & Glenda Cross 337-5817 MAILING ADDRESS ~545 S. Hoyt, Sp. 31~ Anchorage AK. 99504 13.' LENDING ~NST~TUT~ON PHONE ~iTst N~t~o~l 5~k o~ A~choT~e~ 694-210S MAILING ADDRESS E~¢le R~ve~ ~ch. ~a~Ze ~voT, A~. 99577 4. REALTOR/A~ENT ] PHONE' H~et ~. St~lman~~ 694-9555 MAI L~NG ADDRESS AR~A~ l'nc.. [e~Zto~s, ~o~ 2~9., ~Rle Rive~ A~. 99577 5. LEGAL DESCRIPTION Raymond Tedrow Sub., Blk 1 Lot 7 STREET LOCATION Box 1.20, Echo Street, Eagle River, AK. 99577 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLF FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY Sunny 694-92 9 B b G ' - in) since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE~* [] PUBLIC UTILITY **If individual/on-site, give installation date Aug · 19 70. If system is over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVEO INSPECTION APPOINTMENTS TIME TIME TIME -- DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR DIRECTIONS: 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 [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or F-lHolding Tank Size: If Tank is homemade 8OIL8 RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [] APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE ~ // 72-010 (Rev. 3/78) DAVID A. SLENKAMP ROBERTA. SHAFER MECHANICAL ENGINEER 694-9055 1,~y 26~ 1980 CIVIL ENGINEER 694-2979, MUNICIPALITY OF ANCHORAGE DEPT. OF 1'.TALTH & ENVIRONMENTAL F; 3FECTION Mr. Pat Kusick Box 120 Echo Street Eqg]_e Kiver~ Alaska Dear Mr. Kusick~ Reference:' 99577 Iv'il\Y 2 7 1980 RECEIVED Lot 7; Block 1; Pa~mond Tedrow Sub~ivislon A sewer system adequacy test vms performed on the referenced property per your request. The septic tank ~s pumped and the ~,'~nicipality records were checked to confirm the existence of a 1250 gallon septic tank. The seepage pit had been repaired and a new cast iron clean out installed. The crib ~s charged with 1000 gallons of ¥~ter and after a period of 24 hours, approximately 360 gallons hsd percolated out of the crib. ~e septic tank cap~city is adequage for a four bedroom home. However~ I regret to inform you that the seepage pit is only adeouate for approxi- mately two bedrooms. It will be necessary for you to obtain a permit from the Municipality of Anchorage~ Department of Health and Protection~ 825 L. Street~ to upgrade the system with an absorption trench for two bedrooms. If we may be of further assistance, please do not hesitate to call. Sincerely~ -'/, ., /? cc: ~'irst Nat'~onal Bank of Anchorage Area Realty ATTF~TION: ~ r gie Sta lma nn Department of Health and Enviornmental Protection SRB 196X EAGLE RIVER, ALASKA SULLIVAN. DEPARTMENT OF HEALTH ANU ENVIHONMENTAkP~OT~CTION May 20, 1980 Pat/Marlene Kusick Box 120 Echo S~ree~ Eagle River, Alaska 99577 Subject: Lot 7 Block 1 Raymond Tedrow Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 1) A four(4) inche cast iron cleanout needs to be installed to the leaching area. 2) The septic tank p~nped 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. 3) 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. Please notify this department for a reinspection when Item 1 has been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: First National Bank of Anchorage Post Office Box 548 99577 Margaret L. Stalmann % Area Inc., Realtors