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Home My WebLink AboutKARD LT 1 ~>~-~.. ---.~. MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL ENGINEERING DIVISION .! , ~ I) 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ~ ON-SITE SEWAGE DISPOSAl- SYSTEM AND/OR WELL. INSPECTION REPORT NAME ~ ~" MAI LING ADDRESS LEGAL DESCRIPTION ¢ · ~ ~ Well */ Absorption area , Dwelling / PERMIT --* .... I Matori* -- ~of compartments ~ Manufacturer ~ Lic capacity riga ons ........... Inside length~ j Widd~ - Liqui~th -- Dwelling PERMIT NO. ~ ~s~/ w~, ~ ~ ~tu,~'d M~t*~ Uqui~ IDISTA~C ........ Well / /D ~ ~ Foundation~ ~0 t ~earest Iotline~/~ ~ ~ ~ Top of tile to finish grade / Material beneath tile Total Lengtb Width Depth ~ERMIT NO. ~ Type of crib Crib diameter' ~ Crib depth- Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ss - Depth Driller Distance to lot line PE~iT NO. ~ -/ - ~bsorption area(s) - ~ ~ISTANCE TO: guitding foundation Sewer lin~/~ ~- ~ Septic tank /~ 0 ' (-/~ ~" OTHER ~--' PiPE MATERIALS SOIL TEST RATING , APfiROVED - DATE LEGAL [:, E P R Fi: T I"1E N T" 82.~; "L F'EFi'}I I T NO. ,( 8OO]:S4 ::, TIM RRNa]ER H I [',EF:I~.~R'¢ TF:R I L F:IF:'PL I CFINT LOCFIT I ON L..E~3RL HEFILTH I'iN[:, EN',,,'IRONMENTFtL "CTE'r:I"IOi'., STREEI*., FIIbHuF PI mE., FIE. .-, ,~ LOT SZZE 49¢1. EW. SQIJFiRE FEET T'¢PE OF 2;OIL RBSORF'TIC~N s'¢s"r'Er,1 IS: TRENCH HF{:.::II',IlJN I'.,IUMBE[? OF BE[:,ROOHS =: ]: SOIL RFITING ,:;SQ FT,..'BR)= 85 TFIE REQLIIRED SIZE OF THE SOIL. RBSORF'TION S'~'STEI'"I IS: THE L. ENGI'H I)IHENSION IS TFIE LENGTH (IN FEET'.:, OF THE TRENCt4 OR DRRINFIEL[:,. ]"FIE DEPTH OF R 'rRENCt4 OR F'IT IS THE DISTRNC:E BET[,EEN THE SURI:RE:E OF ]"HE GROUN[:, RN[:, 'THE BOTTOM OF THE EXCFIVRTION ,::IN FEET;,. THERE IS NO 2.;ET 1.4IDTH FOR TRENC:HES. I'HE ~]RI-'.I',,,'EL [:,EPTH IS THE HINIMUH DEPTH OF GRRVEL BETI.,.IEEN ]'PIE OUTFRLL PIPE F]N[:, THE BOTTON OF THE E',,.,Z:RVRTION (IN FEE]'). F:'ERHIT RPF'LIC:I:INT fIRS THE RESPONSIBILITY 'f'O INFORM THIS [:,EPRRTMENT [:,LIRING I'HE INSTF~LLRTION INSPECTIONS OF RN'¢ I.,ELLS RDJRCENT TO THIS PF.:OPERTY RND THE NUMBER OF RESIDENCES THRT THE 1.4ELL [,.IILL SERVE. ................ -f' P..! 0~ ,:: 2'~: ::, Z I'-.t S F" E C: T I: ~3 Ih.~ $ R F: E F: E [-~ LI Z E~' E [:, ............ BFtCKFILLING OF FIN'¢ S'¢STD'I I.,IITHOUT FINRL INSPECTION RN[:, FIPPROVFIL E:~r' THIS [:,EF'FIRI'HENT I,.IILL BE SUBJEE:T TO PF.'.OSECUTtON. HINIMUH DISTRNE:E BETidEEN R 1.4ELL RN[:, RNY ON-SITE SD4RGE [.',ISPOSRL S'¢S]"D"I IS tO0 FEEl' FOR R F'RI',,,'RTE [,ELL OR 158 TO 200 FEET FROM R PUBLIC: i4ELL DEF'ENDIN6 UPON THE T~r'F'E OF' Pt.IDL.~C: i4ELL.. HINIHLIII DISTFINCE FRON R PRIVR'rE 1.4ELL. 'l"O R PRI',,,'RTE SEklER LINE IS 25 FEET RND TO R C:Or'IHUNIT'¢ SEb. IER LINE IS 75 FEET. I.,ELL LOGS RRE RD?UZRED RND HLI2;T BE RETLIRNED TO THE DEF'RRTMENT I.,.IZTHIN ~:O D, FffS m]F THE NELL CONF'L. ETION. CmTHER REC!UZRD'"IENTS NRY RF'PL.'¢. SPECZF:'~C:RTZONS FIND CONSTRUCTION DIFIGRRMS FIRE R',,,'RILRBLE TO ZNSLmRE F'F;tOPER INSTRI_L. FITZON. I CER'FIFY 'rHRT ±: I RH FFIVIILIFIR [,IlTH THE REQUIREMENTS FOF..' ON--SITE SB,IERS RNE:, I,.IELLS RS SET FORTH B'~.' THE NUNICIPFILIT'T' OF FINC:t4ORRGE. 2: ]: 14~L.L ~NSTRLI.. THE S'¢STEVI IN RC:E:ORDRNCE I,.IITH THE CODES. 2:: I UNDERSI"RI'.D THFIT THE ON~-SITE SD4ER SYSTEM f,lR'¢ RD?UIRE ENLRRGEHENT IF THE RESI[:,EI'.~CE IS REMOE:,E:LE[:,_TO INCLUDE HORE THRN Z~ E:EDROOI,1S. RPPLIE:RNT TIH pROJECT Kard Subdivision CLIENT Ken Kard W.O. 76513 LO ,, ~ncc~ ~ ~.mr I TEST HOLE NO. ELEV. TOP OF HOLE DATE 6-30-76 982 ± Spruce & Birch to 12" di?eter 6i' Forest Duff 12" Drs~ Brown Organic Silt, ML Damp, Firm, Brown Silty Sandy Gravel, GM Sonle Boulders to 12" diameter 225 SF/Bedroom Damp, Dense, Brown Course Sandy Gravel NFS, GW Grab Sample Cobbles to 6" diameter 85 SF/Bedroom Bottom of Hole, Dry Logged from Back Hoe Pi* SOIL CLASSIFICATION CHART ?-/ 30% GRAVEL CLAY CLAYEY CLAYEY CLAYEY OR\ OR SI LTY S I LTY SILTY SAND ~ GRAVELLY SAND SANDY GRAVEL \ CLAYEY SILTY GRAVEL SAND GRAVELLY SAND SANDY GRAVEL GRAVEL \ \ \ \ 10 20 30 40 50 60 70 80 90 GRAVEL (+#4 SCREEN) % BY WEIGHT 100 NONFROST SUSCEPTIBLE SOILS ARE INORGANIC SOILS CONTAINING LESS THAN 3% FINER THAN 0.02 mm. GROUPS OF FROST-SUSCEPTIBLE SOILS: F! GRAVELLY SOILS CONTAINING BETWEEN 3 AND 20% FINER THAN 0.02 mm. F2 SANDY SOILS CON:FAINING BETWEEN 3 AND ).5% FINER THAN 0.02 mm. F3 'a. GRAVELLY SOILS CONTAINING MORE THAN 20% FINER THAN 0.02 mm. AND SANDY SOILS (EXCEPT FINE SILTY, SANDS) CONTAINING MORE THAN ).5% FINER THAN 0.02 mm. b. CLAYS WITH PLASTICITY INDEXES OF MORE THAN 12. EXCEPT VARVED CLAYS. F4 a. ALL SILTS INCLUDING SANDY SILTS. b. FINE SILTY SANDS CONTAINING MORE THAN 15% FINER THAN 0.02 mm. c. LEAN CLAYS WITH PLASTICITY INDEXES OF LESS THAN 12. d. VARVED CLAYS. 8 Box 1369, STAR ROL'TE A ANCHORAGE, ALASKA 9950;~ SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF DRILLED AT THE RATE OF 77~,00 PER FOOT. PROPERTY OWNER ~,~/L. ~/'~ LOCATION OF WELL BITE DRILLER /~Le. (~u~ o.~ WELL LOG: 0 ........ 1'7~ 17 ...... 45' 45 ...... I04' 704--I2/I ' 124-- 7:26 ' COBT INCLUDEB ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR The SUM OF ?~')4~. THANK YOU VERY MUCh. BERNIE CLAUS OF RAMPART DRILLING WORKS ~ERVICE CHARGEOF IYa% PER MONTH WILL BE ASBESSED ON PA~T DUE ACCOUNT$. ,ITIME INSPECTION APPOINTMENTS~ ~,~ DATE RECEIVED INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTr:I~IRONMENTAL PROTECTION 82§ L Street - Anchorage, Alaska D0501 ENWBONMENTAL S^N TAT ON MAR 2, lg81 Telephone 264-4720 RECEIV[D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. MAI LINQ ADDRESS PROPERTY RESIDENT (If different from above) / ' / PHONE ~, BUYE~ ' '( PHONE MAILINQ ADD~ ESS 8, bENDiNG ~NSTITUT~O~ I ~PHONE MAILING ADDRESS 4. REALTOR/AGENT "' I PHONE I MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6, TYPE OF RESIDENCE [~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATE R~I~F~ kY L~ INDIVIDUAL* NUMBER OF~BEDROOMS [] One E~] Four r ,~ Two [] Five Three [] Six [] Other * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY [] PUBLIC UTILITY since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~}"~NDIVIDUAL/ON-SITE** /q '~'t~ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE', THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79),.,l~,~.;J THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 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: ~3.~,3 If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAl_ ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line ] Nearest Lot Line WELL TO: / 1 Absorption Area to nearest Lot Line 5. COMMENTS ~PPROVED FOR ,~ BEDROOMS ~ CONDITIONAL APPROVAL (letter must accompa~ certificate) DATE ~ BY ~ 72-010 (Rev. 6/79) ACHEMICAL & GEL ~,OGICAL LABORATORIES C_, ALASKA, INC~ TErL~:I~HONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I.D, NO, Water System Name Phone No. Mailing Address City State Zip Code Mo, Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no, [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO, I I I 5 I LOCATION Time Collecled Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [3' Membrane Filter Lab Ref. No, Result* Analyst I E22] I *No ofcolonies/100ml or No of Posibve porltons READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICALWATER ANALYSIS RECORD Date Collected Source. Lab. No. 24 Hours 48 Hours Confirmatory 24 Hours __ 48 Hours EMB Broth 24 hours: Multiple Tube Report~ Membrane Filter= Direct Count Verification: LTB Final Membrane Filter Results Reported By Broth 48 hours: 10mi 'rubes positive/Total 1Omi Portions CoIIfornV10Oml Data Collform/100ml O'MALLEY sr~9os~'oo" w ~ ~ ~"N 00°01~00" E · , ! ,/ LOT/2 49,,::~70 SQ FT. ACRES 2992:5 .~ ~/~S 89o54'13" W ~ . LC' ' I t0 DE UTILITY EASEME /