HomeMy WebLinkAboutROVIER BLK 1 LT 5 ,locK
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONIVIENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
LEGAL DESCRIPTION
LOCATION
Well
DISTANCE TO:
Manufacturer
PHONE
Liq. capacity in gallons
We:lF HOMEMAD~E: [DwellinglnSide length
Absorption area 'MateriaIDWelling
W dth
NO. OF BEDROOMS
PERMIT NO.
No. of compartments
Liquid depth
PERMIT NO.
DISTANCE TO:
Manufacturer Material Liquid capacity in gallons
DISTANCE TO: Well Foundation Nearest lot line PERMIT NO.
No. of lines Length of each line Total length of lines Trench width inches Distance between lines
Top of tile to finish grade Material beneath the Total effective absorption area
inches
Length-~.~.
Type of crib,~/~r.
DISTANCE TO:
DISTANCE TO:
Width
Depth
Crib depth
Building foundation
Driller
Crib diameter
Well
Dep/th,
B~ilding f~undation
Sewer line
OTHEFI
PIPE MATERIALS
[] NEW
~ UPGRADE
SOIL TEST RATING
INSTALLER
R EMAR KS
PERMIT NO.
Total effective absorption area ~ //
Nearest lot line/~, /
Distance to lot line PERMIT NO.
I septic ta~,7~ I Absorption area<s,
APPROVED DATE
LEGAL
72-013 (Rev. 3/78)
F'ERMt T NO.'.
DATE ISSUED:
· AF'PL I CAN'T:
ADDRESS:
CONTACT PHONE:
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, Al'::.' 99501
264-4720
ON .... S ][ -rE SEWE~R F"ERP~-I
· 07/25/84 '
KONNI SNYDER
724 E. 15TH
ANCHORAGE, AK 99501
LEGAL DESCR IF':
LOT SIZE:
oLBDIV~olON~ ROVIER'
SECTION: 35 TOWNSHIP: 12N
360A0 (SQ.FT. OR ACRES)
LOT: 5 ELOCF .... 1
RANGE: 3W
I certify that:
1. I am ¢amiliar' with the requirement? fop on-site sewers and wells as Set
£orth by the Municipality o,r Anchorage (MOA) and the State o~' Alaska.
2. I will install the system in accordance with all MOA codes and regulations~
and in compliance with the design criteria o£ this permit.
3. I will adhere to ali. MOA and State o¢ Alaska requirements for the set back
distances From any existing ,e].l.~ wastewa't, er disposal system or public
sewerage system on this or any adjacent ,or nearby lot.
IF A LiFT STATION IS INSTALLED IN AN AREA'COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL F'ERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN.
SIGNED DATE:
APPLICANT: KONNI SNYDER
/ . ~ .
'
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
SLOPE
DATE PERFORMED:
SITE PLAN
--It
WAS GROUND WATER ~ SL
ENCOUNTERED? O
P
IF YES, AT WHAT I E
DEPTH?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
~0 ' i~ '- I~
20 1~ :~--~ ~ ,'55 ~,,"~
PERCOLATION RATE I;~)~ (71~ '~:~ (minutes/rn~ ' ~
co~s__~l' ~*~i~x. -1~-~%~ t ro~/~ ~ .~1~1~1~ ~'1~'_
72-008 (6/79) ' /
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAl PROTECTION
825 L, Btreet, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14-
15-
16-
17
18
19-
20-
COMMENTS
DATE PER FORMED: ! .,4 L~ ~ ~' ~
SLOPE SITE PLAN
PERFORMED
.72-008 (6/7~)
WAS GROUND WATER I~
ENCOUNTERED? \~5 0
P
IF YES, AT WHAT ! E
DEPTH?
a/
4.-
Gross Net Depth to
Reading Date Time Time Water
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN
CERTIFIED BY:
FT AND
I FT
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3 --
4
5
6--
7
8
9
10
11
12
13,
14-
15
19
2O
DATE PERFORMED: ~,~ .,.~k..~ ~._ OCl~t~-
.h
SLOPE
ti+
SITE PLAN
WAS GROUND WATER
ENCOUNTERED? Y~-S ~
O
P
E
IF YES, AT WHAT ,.~ /
DEPTH? ~
Gross Net Depth to Net
Reading Date Time Time Water Drop
.¢.t.¢
RUN BETWEEN FT AND __ FT
~0¢ ~r~ 9 CERTIFIED BY: DATE:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501, 264-4720
SOILS LOG - PERCOLATION TEST
~,~ SOILS LOG
[] PERCOLATION
TEST
LEGAL DESCRmT~ON: ~T C \ ~U~' 7. ~%
7 w
11
12
F ,s.',,4
13
14
15
16¸
17,
18
19
20
SLOPE
DATE PERFORMED: ~ ~t~'L '~'~
WAS GROUND WATER
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
SITE PLAN
I
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN FT AND
COMMENTS ~-'~'1, O ~/~(~{'~ ,T_..~-'0'~ --.L.N~T~LL~_~ ~-~'~-~
PERFORMED BY: ¢~ ~'O~ CERTIFIED BY:
(minutes/inch)
~ FT
72-008 (6/79)
DEPT. OF EN¥]RONM~NTAL CON~RV&T~ON
SOUTHCENTRAL REGIONAL OFFICE
437 "E" STREET, SUITE 200
ANCHORAGE, ALASKA 99501
SHEFFIELD, GOVERNOR
Telephone: (907)
Address:
274-2533
July 3, 1984
.Alaska Environmental Control
Services, Inc.
1200 Wo 33rd Avenue, Suite B
Anchorage, Alaska 99503
Dear Sir:
SUbject:· Waiver Request - On-site Facilities
Lot 5, Block l, Rovier Subdivision
Based upon tile information provided in your letter of June 6, 1984,
a waiver request from the required 100 feet separation distance to
97 feet from the well to septic tank is approved.
Sincerely,
DS/msm
cc: Robbie Robinson (MOA)
GRE,,,ER ANCHORAGE AREA BOR ,,JGH
Department of EnvironmentsI Quslity
3330 C Street
Anchorsge, Al~sk8 ggS03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS 'g C~'J~ LI'-- ,J(~i~3
PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
MATE RI AL ._3~,~
NUMBER OF
COM PA RTM ENTS
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY '2C'¢'~O GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH:
FOUNDATION NEAREST LOT LINE
DISTANCE BETWEEN LINES TRENCH WIDTH--
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE__~
TOTAL LEN~..~) t
OF LINES
IN. TOTAL EFFECTIVE
ABOVE TILE /'-'/ IN.
Well: "~
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE __
OTHER SOURCES
DISAPPROVED
DEPTH
NEAREST SEPTIC SEEPAGE
SEWER LINE__ TANK__ SYSTEM
DISTANCE FROM:
REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
SEWER LINE DEPTH:
PIPE MATERIAL'
LOT SLOPE:
REMARKS:
DATE 2('~ APPROVED '~(~"00'
G.A,A,B.
Form LQ-032
PERMIT NO.
BF'PLICANT
LOCBTION
LEGSL
RRBSIT CREEK RD
1_.5 RL ~IER _sUBD
D_I..LI~-,! I C: ~ ~'IaL I T"r" ,-iF- FtI'-.I¢"'-'F'i~ ..*F-:FtG'E
[:EF'8RTMENT- OF HESLTH 8ND -~IVIF.:CIN£'IEN'~L F:~OTECTION
25±0 E. TUDOR RD.., ~NC:HIDR~GE, F~K .......
276,-222i
O~'~.--S ][ TE "-- -- -
BO.'-'<
LOT SIZE :~6000 SQURF..E FEET
TYPE OF qnlL RBSERBTION =~=,TEM IS: TRENCH
f,lR;:<Iblt.lr'! NUMBER OF BEDROOMS = _.3: SOIL RFtTING (SQ FT,,"BR)= ~_42
THE REQUIRE[:, SIZE OF THE SOIL aBSORPTION SYSTEM 'IS:
[:.. F I1:' 1' t != 9 LE l'-~,3'l- H = ~.~-:: .~--; GRR%-"EL
THE LENGTH DIMENSION IS THE LENGTH ,-':IN FEET) OF THE TRENCH OF.: DF.'.RINFIEL. D.
THE DEPTH OF R TRENCH OR PIT IS 'THE: DISTRNCE E:ETPIEEN THE: SLIRFRCE OF THE
GROUND, aND THE BOTTOM OF THE EXCAVRTION (IN FEET).
THERE IS NO SET NID, TN FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRaVEl_ BETNEEN THE OUTFRLL PIPE
aND THE BOTTOM OF THE EXCaVaTION (IN FEET).
.... '¢4:E,;!IIJ :!: RilE:, SEF"T T C:
BRCKFILLING OF RNY SYSTEM 1.4tTHOUT FINFIL INSPECTION FIND FIPPRO'v'AL BY THIS
DEPARTMENT NIL[. BE SUBJECT TO PRO:-SECUTION.
i"IINIMUM DISTANCE BETNEEN FI NELL RND FtNY ON-SITE SENFIGE DISPOSRL SMSTEi"I IS
:.'LEIO FEET FOR R PRI'v'FITE GIELL OR 200 FEET FOR FI PUBLIC NELL.
NELL LOGS'RRE REQUIRED FIND MUST BE RETURNED TO THE DEPFtRTNENT NITHIN 3:0 DRYS
OF }'HE WELL COMPLETION.
SPECIFICRTIONS RND CONSTRUCTION D, tRGRRMS RRE R',/RI[~IgE:LE TO IN:,JF.E PROPER
INSTRLLRT ION.
I C:ERTIFY THAT
i: I AM FRMILIRR NITH THE REQUIREMENTS FOR ON-SITE SENERS RN[:, NELLS RE; SET
FORTH BY THE MUNI...IPHLIT, OF' RNE:HORRGE.
'~': i NI/.L IN_ rHLL THE _,~=,TEM IN RC:C:OF.~[:,RNCE NITH THE COD, ES.
3:: I UNDERSTAND THaT THE ON-SITE SENER '-,T.:TEM MAY REQIIIRE ENLRR. GEMENT IF' THE
RESIDENCE IS REMODELED.TO INC.LUDE MORE THRN 2: BEDF.:OOMS.
APF'LICRNT BIL~RISTY
Engineering Geolo~ ~ Mining a Geophysics ~ Gr~l~dwater a Petroleum
May 24, 197'6
Mr. Rolf Strickland, R. S.
Chief Sanitarian
Dept. of Health and
Environmental Protection
Municipality of Anchorage
RE: Soils test on Lot 5, Rovier Subdivision
Dear Mr. Strickland: .
Upon performing a soils test on the above property for a sewage disposal
permit, a soil type was encountered which is not covered by a soils
characteristics/square feet per bedroom conversion table supplied by
your office. In order to obtain an accurate value for the test, I was
compelled to interpolate a value for this soil.
The type encountered was a moderately well graded gravel and sand mixture
with few lines, which would fit between GP and GW on the Unified Soil
Classification chart. Since no value is given for GP soils on the con-
version table, I chose a value for the subject soil type based upon my
experience gained from performing ntumerous soil and percolation tests in
the Anchorage area. I believe that 110 square feet per bedroom is a
reasonable value for this soil.
Sincerely,
ALASKA GEOLOGICAL CONSULTANTS, INC.
Jay K. Turner
Geologist
JKT/gp
702 West 32nd Avenue ~ Anchorage, Alaska 99503 e Telephone: (907) 277-7601
MgNICIPALITY OF ANCHORAGE ~
Department of Health and EnvironmenLal Protection
SOILS LOG
Performed for Bill Christy Date Performed 5/21 and 5/24
Legal Description Lot 5, Rovier Subdivismon
6
lO
~2
0 - 2' - Silty Sand, SM
Square feet per bedroom = 250
2 - 3' - silty, sandy gravel - GM
Square feet per bedroom = 225
Moderately well graded gravel and sand
GW-GP
Square feet per bedroom = 110
6.5 - 7.5'-Silty gravel - GM - sq. ft. Der bdrm.. = 225
7.5 - 16'- Moderately well graded gravel and
sand - GW - GP
Square feet per bedroom - 110
Average percolation rate from soils log
142 square feel per bedroom
Date
Percolation Rate
Net Time
Depth
Net Drop
minute
Well Log
,,0~0~ .......... ~~..~..-.. ............ ~.~...~~ ...... ~~ ....................
Date completed ....... ~.'("~.~..' ..... ,~.'..~..,,, ...... l~..~ ..............................
Depth of well .... ~...~z~~.~'.~~~..~~ft~
SiZe of casing ......z~ ..............................................
Distance to water..~~.~ .... ~~ ................................................
while pumping ~:~ ~_ · ~ at
DiSt~ce to water '.~~ .... ~ rate
of~...~~~~ .... gallons per hour.
Formation
from
to
. Driller
DELTA DRILLING'COM PANY
SRA Box' 394 g
ANCHORAGE, ALASKA 99507
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL ~E. ALTH
DEPARTMENT OF NEALTH AND E ~N};IRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address .or directions)
(b) Applicants Name f/
Applicants Address "'I'~-1 : .:-' -
(c) Applicant is (check one) Lending Institution F--~ ; Owner/builder ~ ;
Buyer ~ ; Other ~ (explain); ~:.,, : (c,~'_ ./ ..... ~,~
(d) Lending Institution ]~? ,~ I'~J,:~/../.A.. f~"~ ,-i~..{'-' //',,~ /'~, Telephone
Address -- '
(e) Real Estate Co. & Agent i~_/~-:y;,lv~ ~,_.,~I~,'L ~?;i:i; ....
,~ ) , j
Telephone .'-),'~7 .~ - ~'~ ~i,~'~? /
~ail the ~ to the £ollo~±ng address:
Telephone - Home Business ? ~ ?~(~ ;: '~/
' ';L f
2. T~pe of Residence
Single-Family~
Number of Bedrooms
blulti-FamilyF--~
Other (describe)
3. Water Supply-
Individual Well ~ Community ~---] Public F-~
Note: If community well system~ must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. Sewage Disposal
Onsite ~ Public ~ Community ~ Holding Tank ~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
5. Engineering Firm Providing Inspections~ Tests~ File Search~ Data and Information
As certified by my seal affixed hereto and as of the validation date shown below, I
verify that my investigation of this Health Authority Approval shows that the on-site
water supply and/or wastewater disposal system is safe, function~_l and adequate for
the number of bedrooms and type of structure indicated herein. I further verify that,
based on the information obtained from the Municipality of Anchorage files and from my
investigation and inspection, the on-site water supply and/or wastewater disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name
of
Address/~:~:'~ /L,':,~" ' ' ~ ' ' ' "" '
DHEP Approval z ~ ' .' :c~ .5
-- · ~.~% No. 2251-E .~':.,' ~. / /
Approved ~ Disapproved__ Condition~ __
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY ~N INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN TtiE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE ~EQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. ~ MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
ae
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HA_A)
CHECKLIST - FEBRUARY 1984
MUNICIPALITY OF ANCHORAOE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
AUG 2, 0 lg J
Well Classification
Well. Log P~esent _~N)
L0tc RECEIVED
£/
If A, B, c~ C, D.E.C. Approved(Y/N)
Date Cc~pleted 6-/~L/?~ Yield
Total Depth /~.~ ~' Cased to
Static Water Level _5-2 ~
Casing He ight Above Ground /,
Electrical Wiring in Conduit ~TN~
Separation Distances f~cm Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot ~/~O/
To Nearest Public Sewer Line
/23 ~ Depth of Grouting/u~/c~ u~&///o~
Pump Set A't ;U~ ~f///~
Sanitary Seal on Casing ~/N)<~)
Depression Around Wellhead (Y~
; On Adjoining Lots.
; On Adjoining Lots
To Nearest Public Sewer
Cleanout/Manhole ~/'/F To Nearest Sewer Service Line on Lot
Water San~ple Collected By ~ Tu~r~q(~ ; Date
Water Sample Test _Results $K¢~-~c~_%~
C~ments~¢~ ~3f./'(~a~'7~ ~-/~/~ ~£~_~ ~-/&/~/
B. SEPTIC/HOLDING TANK DATA
Date Installed ¢}/7~:~ Size ./DOC3 No. of Cut~arta~nts ~
Standpipes 0/N) Air-tight Caps (~/N) Foundation Cleanout ~)
~p~ession o~ Ta~ (Y~ ~te ~st P~d ~~
P~ing~intenan~ ~n~a~ ~ File (Y~) t~/~ .; fo~ ~
Holding Ta~ High-Wate~ ~a~ (Y~) ~/~ ~a~y Holding Tank ~t (Y~)~/~
~p~ation Distance ~ ~ptic~olding Ta~:
To Water-Supply ~i1 ~ To ~ilding F~ndation ~ ~
To Property Line
To Water Main/Service Line
To Disposal Field ~/~3
To Stream, Pond, Lake, c~ Major Drainage
Course
[Page 1 of 21
2=15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~.~
Width of Field ~! /
Square Feet of Absorption A~ea
Depression over Field (Y~
Results of Last Adequacy Test
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes P~esent ~/N)
Date of .Last Adequacy Test ~/F~
Separation Distance fr(~n Absorption Field:
/
To Water-Supply Well /0~ ~ To P~ope~ty Line
To Building Foundation ~T 6/9 ~ ~/ To Existing or Abandoned System cn
Lot ~Q '~ ; On Adjoining Lots ~ ~o ?
To Water Main/Service Line ~A[ ' To Cutbank(if present)
To Stream/Pond/Lake/o~ Major D~ainage Course
To D~iveway, Parking Area, or Vehicle Storage Area~/~, ~.~,~/~
LIFT STATION
Date Installed
Size in Gallons
".Pump On" Level at
High Water Alam't!. Level at
Tested fo~
Electrical Codes(Y/N) ~//~
Dinensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pun~ping Cycles du~ing Adequacy Test.
Meets MOA
Counts
** Check Permitted Bedroom Rating Against HAA Request
I certify that I have checked, verified, or conformmd to all MOA
on the date of this inspection.
Signed
Company
KB1/d5/s
[Page 2 of 2]
2-15-84
ALASKA ENVIRONMENTAL
CONTROL SERVIC?-",r INC.
1200 West 33rd Avenu~ Suite B
ANCHORAGE, ALASKA 99503
Phone 276-1361
JOB
SHEET NO..
CHECKED BY.
SCALE: /,' LC3
¸OF
2
DATE
~crt. ~ C/c, .....
DEPT. OFENVIRONMENTAL CONSERVATION
SOUTHCENTRAL REGIONAL OFFICE
437 "E" STREET, SUITE 200
ANCHORAGE, ALASKA 99501
BILL .~IEFFIELD, GOVERNO~
Telephone:
Address:
274-2533
July 3, 1984
Alaska Environmental Control
Services, Inc.
1200 W. 33rd Avenue, Suite B
Anchorage, Alaska 99503
Dear Sir:
S~bject:
Waiver Request - On-site Facilities
Lot 5, Block 1, Rovier Subdivision
Based upon the information provided in your letter of June 6, t984,
a waiver request from the required lO0 feet separation distance to
97 feet from the well to septic tank is approved.
Sincerely,
Environmental Engineer
DS/msm
cc: Robbie Robinson (MOA)
ALASKA eiiLIIROIlmeI1TAL cOrlTROL S[ [4uIC[ S, I[1C.
~nqineer'in§ § ~nuironmenlCll $1ucli~s
MALY 31 1984
KONNI SNYDER
724 E 15THAV~NUE
ANCHORAGE AK 99501
S]~.F,T,N~R - TOT~bl REALTY BUYER -
SUBDIVISION - ROVIER BLOCK - 1 LOT - 5
ADEQUACY TEST FOR S~NER SYS%3~M
THE TYPE OF ABSORPTION SYST~Vl IS A TRENCH WITH AN AREA OF 480 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 300 GAT,]'ONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYST~bl IS 255 GAT,TONS.
BASED UPON THE TEST DATA THE SYST~VI IS NOT ACCEPTABLE FOR A
H(lVfE OF 3 BEDROOMS.
THE SEPTIC TANK WAS PUMPED 0N5/25/84 .
FLOW TEST ON WRLT,
THE WR, r,T. FLOW RATE WAS 5.6 GPM FOR 2 HOURS.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR
THIS 3 BEDROOM HOUSE.
1200 [Uesl 33r~ Aoenue. Suite [~,/~nchor,~qe. Alosko 99503 ,(907) 561-5040
~' CUSTOMER'S ORDER NO. PHONE DATE
ADDRESS
- DEPT. OF H-=Al. TH &
~'. MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION
· ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
i 825 L Street - Anchorage, Alaska 99501
ENVIBONMENTAL ENGINEEBING DIVISION
TelePhone 264-4720 R E C E I V E D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing.
1. PROPERTY OWNER ~ PHONE
MAILING ADDRESS
PROPERTY R'ESIDENT (If different from above} PHONE
2. BUYER ·
MAILING ADDRESS , .
3. LENDING INSTITUTION PHONE
MAILtNG ADDRESS
4. REALTOR/AGE~ ~ PHONE
~A~ U NG ADDR ESS
5. LEGAL DESCRIPTION
TR EET LOCATION
S. TYPE OF RESIDENCE
~f'~SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One [] Four [] Other
[] Two [] Five
[]~""'~Th ree [] Six
7. WATER SUPPLY
I~"~ INDIVI DUA'L*
[] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
[J~ N DIVI DUAL/ON-SITE**
[] 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,)
**If individual/on-site, give installation date
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.
72-01 0(3/78)
THIS SIDE FOR OFFICIAL USE ONL,
DATE RECEIVED
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 [] Holding Tank
Size: ~/~)O~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Sapti¢/Holding Tank Absorption Area Sewer Line I Naarest Lot Line
1
WELL TO:
Absorption Area to nearast Lot Line
5. COMMENTS
~"~APP ROVE D FOR _'~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must acco~.~ny certificate)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
August 13, 1979
James/Anita Paull
Star Route A Box 455-B
Anchorage, Alaska 99507
Subject: Lot 5 Rovier Subdivision
Approval for your individual sewer and water facilities
can not be granted until the following items have been
~eted:
·,~' i
~[l)~hhe top of the well casing sealed with a sanitary seal
~[~ X~so/~ \ that it is water tight.
((~\J The water analysis report be delivered to this office
~.~5~from~ --'~Chem Lab, 5633 B Street, for our review.
[\ ~V~/, )? The septic tank pumped with a receipt submitted to
Please notifty this department for a re-inspection when the
noted descrepancies have been corrected. If there are any
further questions, please contact this office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Security Pacific Mortgage
1011 East Tudor Road - Suite 190
Esther Bumgardner
% Totem Realty
724 East 15th Avenue
99501
99507
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received December 2, 1976
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF Kennedy
INDIVIDUAL SEWER & WATER FACILITIES
FOR
10:30 a.m.
12-3-76 Friday
Cony.
1. Approval requested by:
Mailing Address:
Property Owner:
Mailing Address:
First National Bank of Anchorage
Post Office Box 720
Kent T. & Constanoe Brakken
star Route
3. Legal Description: Lot 5 Block 1 Rovier
,4.
Phone: 276-6,300
Phone: 344-9661 work
"6 ·
Location:
Rabbit Creek Road, see map
Type of facility to be inspected Single Family
Well Data:
No. of bedrooms
A. Type
Individual
B. Depth
D. Bacterial Analysis
C. COnstruction
Sewage Disposal System:
A. Installed /~7~,
C. Septic Tank: 1.
Onsite system
B, Installer
Size ~ 2. Manufacturer
D. Seepage Pit: 1. Absorption Area ~/').~,' 2. Material
E. Disposal Field: Total length of lines L/~x) '
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
, Other contamination
Sewer Lines
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Paqe 2 of two pages - Re~"~st f6r Approval of Individual "-'~er & Water Facilities
L~ega 1 Description
Lot 5 Block 1 Rovier
Comments
Approv~lsapproved
Approval~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
c'ertify that the information contained in this request for a~Proval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily. ~
SIGNED
Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA FHA
2. Property Owner: Kent T. & Constance Anne Brakken
CONV X
Mailing Address: Star Rn,~¢~ R~hh~
Name of Buyer: same as above
Day Phone: no'..: home phone
344-9661 bus. phone
Mailing Address:
4. Name of Lending Institution:
Mailing Address: P.O. Box 720
5. Name of Realtor or Agent: none
Mailing Address:
6. Legal Description: Lot 5 Blk 1 Rovier
Location: Rabbit Creek Road
Day Phone:
First National Bank of Anchorage
Phone: 27~-6300
Phone:
7. Type of Facility to be Inspected: Single Family
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
No. Bdrms. 2
72-003(3/76)
,Individual x
one
Individual (on-site) ×
Please return tO Paula M. Cranmer @ First National Bank of Anchorage
P.O. Box 720
Anchorage, Alaska 99510