HomeMy WebLinkAboutHIGHLAND PARK Block 6A Lot 4AI'-
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL. PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 LStreet-Anchorage, Alaska 99501 Telephone 264-472_0
ON-SITE SEWAGE DISPOSAl.. SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
/ I w.u / I
/~ I HanufacturmI -
/ ~ ~in gallons j IF HOMEMADE:
I DISTANCE TO:
~ ~ Width
~ P I Type of crib
I ~ I~ss Depth Driller
~ I DISTANCE TO: Braiding foundation
Absorption area
Inside length
Dweffing
Dwelling
Material
PHONE ~] NEW
NO. OF BEDROOMS
No. of compartments
Width Liquid depth
Material
Foundation H ~;L/ ] Nearest.~ I~_. ¢. lO,Lib j'~¢line J
! Trench width .~
Total length of lines~.~¢
I {) ~? inches
Material beneath tile
inches
Depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO'~ Zoyj~
Distance between lines
Total effective absorption area
___ rzZ_
PERMIT NO.
grib depth Total effective absorption area
Building foundation Nearest lot line
Distance to lot line PERMIT NO.
Sewer line Septic tank /Absorption area(s
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
EMAR S B__
APPROVED
DATE
LEGAL
"?H¢;~';F;:E :~;:~; ?.!El '~:~:"j" !..l;[~;:,r'!.ri FOr;: TI:;?.EHE:HE:5.
':'hie GF:F:F.,,'i;~% E,EF'"i"H ;E% 'FI.lIE i"!:):P..!;~;r,'!i..!i',! JL:,EF"Th! OF' G!:;:!::IVE~. h~Et"I,.!E%H THE E!UFF:'i:::ij..I.
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IV1UNICIPAL, I'¥Y OF ANCIIOf4AGE
; ~ ,,, ~ DEPARTMI!NT OF 14EAL]'H AND ENVIRONMEIklTAL PROI'ECTION ~'/ 'ER(;D AFION
\~ TESF
: 825 I.. Street, Anchorage, Alaska 99501 264-4720
SOIt. S I.X.,G -- PERCOLATION ]"EST
PERFOFIMED FOR: PERFQRfvlED:.__.~_._ i _i.-~_' ~' ..... _~._~' ......
LEGAL DESCRIP'rION:%/.~_L~:~_.LL~¢..: ..................................... , ................................
SLOPE: SITE PLAN
1
2
3
4
6
\
7
~2
13
14
17
18
19
~0
WAS GROUND WA1 ER
ENCOUNI' :RED~
I)EP1 I17 ............... '
cL,};i ,'&/~ .............. :-:£%_:iLZZ : ........ 2:_:11
Gnss Net Depth to Net
Reading Date
Tim~! Tilne Water Drop
::Z :C:. ...... ::'z .... ':::: X. i :'X::-,
#1: Time
Date
Insp
MUNICIPALITY OF ANCHORAGE
DEPARTMEN. 3F HEALTlt AND ENVIRONMENTA.
825 L Street, Anchoraa~. Alaska
11:00 a.m. #2:
10-26-77 Wednesday
Buchholz
264-4720
Date Received:
Time
Date
Insp
PROTECTION
99501
October 24, 1977
Time
Date
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: First National Bank of Anchorage
Mailing Address: Post Office Box 4-2090 99509 Phone: 279-4481
2. Property Owner: Randy Roe
Mailing Address: 6508 Chevigny
Phone: 243-3075
3. Legal Description: Lot 4A Block 6A Highland Park Subdivision
4:
Single Family Residence: x)
Multiple Family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
Three
Well System:
Permit ~
Construction
Individual well ( )
Colmmunity/Public System (x)'~ ~j,~'U~
Depth of Well Well Log on File ( )
Bacterial Analysis
Sewage Disposal System:
Permit#
Septic Tank Size
Absorption Area
On-site Sysnem (x) Public Utility ( )
Install ed 19'72 Installer .~~,
/(~90 Manufacturer ..~ .
q.~ Soils Rate Ma terial~q~~~ ~
7. Distances: Well to Septic Tank
to Absorption Area
to Sewer Line
Nearest Lot line
Absorption Area
to Nearest Lot Line
GREATER ANCHORAGE AREA BOROUGH.
Department of Environmental Qua!ity.
3330 "C" St,, Anchorage, Alaska 99503 -
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
Type of Inspection: CMRO
Property Owner: L~./~/
Mai-ling Address: . ~'~
3. Name of Buyer:
Day_P h.q_n e ~~'
Mailing Address: /~ ~O//~/(/~ Day Phone
Name of Lending Institution: /~-~_~OJ¥1?OAJ _~_~J~ _ ~ .........
Mailing Address: ~O1 ~3&C~ ~O~hone ~7~-/~
6. Legal Description: ~~ ~
Location: ~ ~'~ ~/,,/~'~/1~1/~¥ _.~~
7. Type of Facility to be inspected: ~,T~,~,~"'. No. Bdrms.
8. Water Supply ~'~ ~'~1~,~I/
Type of Supply: Public Utility _)~ Individual
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
Individual (on-site)
EQ-037 (~/74)
MUNICIPALITY OF ANCHORAGE
POUCH 6-650 · ANCHORAGE, AK 99502 · PHONE 279-8686
FINANCE DEPARTMENT
CASH RECEIPT No. 3'?~'
U
RECEIVED DATE ./'
FROM
ZIP
ADDRESS
AMOUNT
REMARKS
Org/CC Acct/Obj Task Option Cost Center,WA/WO (] Amount
.................... vo~ ..... ~',~.tnm~r: Pink-- Book; Goldenrod-- Department
~age Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 4A Block 6A Hiqhland Park Subdivision
Comments:
Affadavit Attacked:
Letter Attached:
( )
~ ? .~-: ~- . ~, -. ~ ~ . .
Approved: .;. ~z ' ',:'- f ,-..- / ii7 . Date.
Disapproved: ~_ ~~~__ Da%e:
Department Worksheet:
October 2~, 1977
Randy Poe
6508 Chavigny
Auchorage, Alaska 99502
SubJagt: Lot 4 Block 6 !Ii~h].and Park Subdivision
~n% a(tequacy test is requir(~d to determine the con~:~iition of
the se~Ter syst~ prior to this department's considering
an approval ~
The test: is condu,=ted by R & M Engin~.ering Consultants,
a~.~d must b~ requested by yourself.
A cody of the findings must be reco£ved by this de!)ar~en't
Also, requ~.red is pumping of the septic tank. A receipt
).~y be submitted as proof.
If th~.re are any further questions, please contact this
offi(~e at 264~4720°
S~ncerely,
Les N. Duchholz,
Sanitarian
LNB/ljh
First National Bank of Anchorage.
Mortgage Loan
Post Offic~ Bo): 4~2090 99.509
November 10, 1977 R&M No. 751542
Pat McCourt
Yukon Reality
4619 Spenard
Anchorage, Alaska 99503
Subject: Adequacy Test on Sanitary System, Lot 4A, Block 6A, Highland
Park Subdivision, Anchorage, Alaska
Dear Mr. McCourt:
On November 10, 1977, at your request we conducted a test of the septic
system on the above described property.
During the test, the liquid level in the septic tank was monitored as
water was added to the system. The following table summarized these
measurements.
SU~K~RY OF MEASUREmeNTS
Time
Liquid Level Below Top
Meter Readings
of Standpip__e in Gallons
11:30 3.45 11136.5
11:40 3:45 11163.5
11:46 3.4 11194.6
11:53 3.4 11220.3
11:59 3.4 11240.0
12:10 3.4 11302.9
12:20 3.8 11345.1
12:32 3.75 11389.7
12:43 3.8 11438.1
The meter used during the test was a Rockwell. 5/8" standard water meter
which had been previously calibrated by R&M Consultants, Inc.
If the three bedroom residence on the property is to house 6 people, the
average load on the system can be expected to be 450 gallons per day or
0.31 gallons per minute. During the test, the system accepted 301.6
gallons, or approximately two thirds of the total daily load, in 73
minutes. This indicated an effluent acceptance rate of approximately
4.13 gallons per minute at the time of the test.
November 10, ].977
Pat McCo~rt
Page -2-
Since the house on the lot was unoccupied at the time of the test, it is
unknown that the leach field was at its normal degree of saturation.
The standpipe for the leach field could not be found which therefore
prevented us from measuring liquid levels at that location. We conclude
that the system is apparently disposing of effluent at an adequate rate
for a three-bedroom residence.
We appreciate this opportunity to be of service to you. Please contact
us if you have any questions concerning this test or this letter or if
we can be of additional service.
Very truly yours,
R & M CONSULTANTS, INC.
Jeffrey M. Ayres
Geologist
Jim McCaslin Brown, Ph.D~
Head, Earth Science Department
JMA: JMB/k ah
· SBNDER: Complete items 1 and 2. ' . -
Add your address ~n the "RETURN TO" space on
1. Thefollowlng servlee is requested (check one).
[] Show to whom and date delivered ...... i ..... 15¢
[~] Show to whbm, date, & address of delivery.. 35¢
~[~ELIVER ONLY TO' ADDRESSEE and
show to whom. a~d date delivered ............ 65~
[] DELIVER ONLY: TO' ADDRESSEE and
show to whom, dat~, and address of
delNery ....: ......... ~..Z; ............................ 85g
2, ARTICLE ADDRESSED ~': .
.... :. ' PN/lw
Randell RO~_~' 6508 Chevigny
' Anehoeage., Alaska 9950~
3. ARTICLE DESCRIPTION~ .
REGISTERE~ NO, CERTIFIED NO. [ INSURED NO.
I have receive~e article described
SIGNATURE / / x~ '
I~ITI~S
i~ GREATER ANCHORAGE AREA BOROUGH
D YE TEST ~
Tax Code: I Date:
Owner:
Mailing Address:
User / Tenant:
Property Address:
Subdiw's/on:
DYE TEST~.'~
I~oek ltot
[--~ Pos/five
[] NegoNve
ADD/TIONAL INFORMATION;
Office:
Administered By..
PW-062 (7-74)
Jiuly 30, 19~6,
FOR OI'~RTll;I~D IVtAIL*--30(' (plus postage)
SENT TO
STRE£'r AND NO.
(]F;~IO~I~S£1~VI(;E~ FOR ^PDITIOttAL El[ES - -
RETURH r,. 1. Simy/s to whom a~ ilat(]~i~livered ........... 15~
With delivery to addressee only ............ 65~
OELIVEii 'r~ODRE~$EE ONLY ....................................... -50~d
POSTMARK
OR DATE
Form 3~00 NO INSURANCE COVERAGE PROVIDED-- (See other side)
Ap~. ~? ! r,lrlT FOR INTERNATIONAl. MAlE ,~ o~,o: ~9,z~ o - ,~e0-'~,~