HomeMy WebLinkAboutLAMPERT ESTATES BLK 1 LT 2
(( MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVlRONMENI'AL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 204-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTIDN REPORT
NAME . PH~N~ rg~'N EW
·
MAILING ADbRESS
LEGAL DESORIPTION
LOOATION NO, OF BEDROOM8
, i~,, ~..o.,,~fl area Dwel,¢~ PERMIT NO.
DISTANOE TO:
F- Z Manufacturer
Liq. capacity in gallons Inside length Width ~ Liquid depth
/~) ~ IF HOMEMADE:
~ ~ DISTANCE TO: Well ~ Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in ~allons
~ Well-- Foundation Nearest lot line PERMIT NO,
~o. of lines ~ ken,th of each line ~ Totd length of lines Tro~ch' ~idth ~istanc~beiween lines
~ ~ ~ Top of tile to finish grade , w~aterial beneath tile ' Total effective absorption ~rea
Length Width Depth PERMIT'NO.
~ W Type of crib Crib diameter Crib depth Total effective absorptioa area
Lu Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS ~'~'~
SOIL TEST RATING ~.~
INSTALLER .~ ~'
REMARKS f~(' ~2,,,,_: --- :
~,.~ ~ ~;~., . ,
AP~VED /7 DATE LEGAL
72-013i~,~ 3~78)
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Steven A. Johnson
· box 76
Chugiak, Alaska 99567
Phone: 688-3085
Performed for Charles Oliver
Legal Description
Soils Log
Percolation Test
Date
Lot 2, Block i Lampert Estates Subdivision
Test Pit Location 125' N and 60' E of SW corner
6.0
red brown silty sandy gravel w/organics
225 ft2/bdrm
2'- 16' dense gray brown silty sandy gravel, with
variable amounts of silt and cobbles to
eight inches
perc test from 6.0' 'to 7.5'
denser below 12'
no water table encountered
250 ft2/bdrm
Total depth this test 16 feet
AVEP~GE ABSORPTION AREA P~QUIRED FROM SOILS LOG = .. 247
ft. 2/bdrm.
DATE NET TIME (M~n.) NET DROP (In.) PER. C P~TE(Min~in~
8/9/78 30 4.0 7.5
30 3.0 lo
65 2.125 14.1 _
30. z. io' 20,.0
30 1.35 22.0
Percolation rate 22 ~ minutes/in.~h
Signed )'~ ~.~. /~~.~
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
OWNER OF LAND
ADDRESS
....
LEGAL DESCRIPTION_
DATE-Started 'j /'/i'7:- Ended
/ /
PE~IT NUMBER
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT. :3 ~._,
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From t ~ Ft. to / Ft. 6 ?;4-/~~ /",~:/~,,9/:.', '
Frolll
From /.'-~..[ Ft. to
From i
From
Frotn_/7'[ Ft. to ,:>,)d Ft.
From___Ft. to__Ft
From__Ft. to__Ft.
From Ft. to Ft.
From Ft. to Ft,
From Ft. to Ft.
From__Ft. to Ft
From_ Ft. to Ft
From_ Ft. to Ft
From Ft. to Ft.
From __ Ft. to__ Ft.
From Ft. to Ft
Fron] Ft. to__ Ft.
Froln__Ft. to_ Ft.
From ____Ft. to___Ft.
From____Ft. to___Ft.
/ '~.:'r*~
/ >W~l~r0n~y Ft. to__ Ft
From~Ft. to Ft.
From~Ft. to Ft.
From Ft. to .Ft.
From Ft. to Ft.
From ~Ft. to Ft.
From Ft. to Ft.
From Ft. to_~Ft.
From Ft. to_~Ft.
From Ft. to _Ft.
From ~Ft. to__Ft.
From Ft. to Ft.
From_ Ft. toad_Ft.
MISCL. INFORMATION:
DRILLER'S NAME
APPLI( , IT FILLS OUT UPPER HAl. ONLY
; Address ~ ~.2 y".2 ~..~.2, ~ ././. //~_ /Z~.)[//~ /¢ ..~.-,~; ('~ Zip Code
;er
Phone
Address Zip Code
Lending Institution ~ /:"/-/7'¢ ~'/>2 ~" /
Address
Zip Code
Realty Co, & Agent
Address Zip Code
LegalDescription Lot 2 Block i Lampert Estates Subdivision
Street Locatio~
Phone
Phone
Type of Residence
~'~ln glo Family ..,,~
[] Multiple Family No. of Bedrooms ,¢
[] Other
Water Supply
[] Individual
~;]~'Commenity
[] Public Utility
Sewer Disposal
E~ndlvidual
[] Public Utility
~-~ Holding Tank
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).
Year Individual Installed:
When Connected to Public Utility: ,.. ,.///(~,, ~'~.,:,~
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspeclor
Field Notes:
Inspector
MUNICIPALI'I'Y OF
APPROVED BEDROOMS
( ) DISAPPROVED
( ) CONDITIQN/~L APPROVAL'
[)ATE ~,~/~ ~ ?/ .
DEPT. OF HqAL~H ~k
~NVlRONM',!NrAL PROi~:CTION
RECEIVED.
*CONDITIONS OF APPROVAL
Soils Rating Date Sewer Installed
Well To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size
72-023 (3182)
ALASKA eF1UIROFIITleF1TAL COFITI~OL $~F~UICE~$, IFIL
September 6, 1983
Municipality of Anchorage
Department of Health & Environmental Protection
825 L. Street
Anchorage, Ak. 99501
Re: Health Authority
On September 6, 1983, we inspected the sewer system located on Lampert
Estates Subdivision Lot 1 Block 2 to verify that the existing standpipe
was capped and up to Municipality Codes.
The standpipe is capped and meets Municipal Codes.
1200 LUcsl 33rd Aucnu~, $ui1¢ ~ * Anchoro§~, Alaska 99503 · (907) 276-1361
ALASKA 611U ,40 qm6FITAL COIqTROL S614Ulu S, IlqC.
~n§ineerinq $ ~nuironrnenlol Sludies
2/21/83
EDDIE BALLARD
ANCHORAGE AK 99503
SELLER - WAMTA ASH BUYER-
SUBDIVISION-LAMPORT SUBDIVISION
BLOCK-2 LOT-1
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A UNKNOWN WITH AN UNKNOWN AREA.
THE SYSTEM IS CAPABLE OF ACCEPTING 960 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 90 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 2/21/83 .
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 3 BEDROOM HOUSE.
1000 IS ADEQUATE FOR
1200 ~.Ucs133pd Auenue, Suite J3 ,,, Anchopaqe. Alaska 99503., [907) 276-136~
' - .... MUNICIPALI et' ANL, i'-IOgAt~ E
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIIDJ~JVIRONMENTAL PROTECTION
/'//~ 'm~='~ 825 L Street-Anchorage, Alaska OBB0'I
((~1~4~t ENVIRONMENTAL ENGINEERING DIVI$ION JA" ~ 197~
Te,epbo.e 264-.,2o RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
PI REOTIONB: Complete all parts on page 1, Incomplete r~quest8 will not be processed, Please allow ten (10) days for processing,
1. PROPERTY OWNER , ' ' J 'PHONE
MAILING ADD'ES8
PROPERTY RESIDENT (If different from above) ' PHONE
2, BUYE~
MAILING ADDRESS
PHONE
3, LENDING INSTITUTION
MAILING ADDRE88
4. REALTOR/AGENT J PHONE
MAILING ADDH~S8
B, LEGAL DESCRIPTION
STREET LegATION
O %~-~
E. TYPE OF FIE$1DI:NCI~'~
[~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY r/~)u,,-,', (~,~
J~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
8, SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
NUMBER OF BEDROOMS
[] One [] Four [] Other
[] Two [] Five
[~ Three [] Six
ATTACH WELL LOG.-~well log is required for all wells drilled
since June 1975. For wells drille~prior to that date giv~w~ll
depth (attach log if available.) ~ ~ ~ ~ ~
If individual/on-site, give nstaRation date [q~ .
If system isover two (2) ¢ears 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 RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
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
'E~]INDIVIDOAL/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 WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
[~I-../"APPROVED FOR ,~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompj~ly certificate)
./ ]
~ DISAPPROVED i...~q.,,"'¥~'~ '~ (.,/y
DATE / ,~ C~-/~,,P" [' / BY (Title)
LEGAL DESCRIPTION'"
72-010 (Rev. 3/78)