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Home My WebLink AboutLAKE HILL ACRES #3 LT 18 ,-~ MUNICIPALITY OF ANCHORAGE DE RTMENT OF HEALTH AND HUMAN SER ' ~ Environmental Health Division , 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Na.~e DISTANCES /'<'1.-.- ~ V/~:::::~''~r'~ ~ SEPTIC ABSORPTION ~--~,G ~'". ~ ~L~,~,.,. ~---'~ ~¢"'7~ TANK FIELD WELL Ph~one(s)~ L~,~ '~:~ '~,¢¢:~ Permit No. No. of Bedrooms,~ WELL ~q o/ br't LOT LINE LEGAL DESCRIPTION Township, Range, Section AS-BUILT DIAGRAM (Show Iocatmn ol well, septic system, property lines, (oundahon, ~.~'- 1~ ) ~, ~ ~ S ~-' ~ ~ driveway, water bodies, etc.) ~ SEPTIC ~ HOLDING ~ Material No. of Compadments TYPE OF SYSTEM ~TRENCH ~BED D W, DRAIN D OTHER/ Depth to p~pe bottom lrom Total depth from original grade ~ ' / Gravellenggl /~ GravelwlOth /~ / Installer ~te Installed '/ q/ / II ,... , '/ -;/-, /// ~ PRIVATE ~ OTHER {Identify) / ~ / Classdmmion~B,C, ' Total Depth i~s.~,o ~ ~.~ RE~ARKS: __ __ ~ ~__ /, ~ ~ Scale: ~,~, ~ ~. '~ ~ '~ ~p) ~ Inspections Pe~rmed by: 17034 E~le Ri~er ~ ~oaa ~o, z~ -- ~ ..... ~- ce~Jy tha~thJs inspeclion was peH0rmed accnrding ! f'!'i' ::4i'77~ PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~'~ ~ I 2 3 4 5 6 7 8 9 ~ ~¢'tL-.-L.- ~ownship, Range, Section: SITE PEAN (' 10 11 12 13 14 15 16- 17- 18- 19- 20- WAS GROUND WATER ~ ~ ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth to Water After Monitoring? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE -- (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN ~FT AND -- FT COMMENT~ ~,,~ ~ c~/. ~ ¢a~ ~t~rp ~ ~ ~¢,~-~. 17034 Eagle Riv~ L~ R~d No. 2~ ~ PERFORMED B~'- D'~% A'--~- -~ ~/ ~ CERTIFY THAT~HIS ~EST WAS PERFORMED IN ACCORDANCE WIT:~::'::A::~-;'; ;;;',:,PAL G UID~ ON THIS DATE, DATE: ~/~ PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15- 16- 17 18 19- 20- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Alter Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE -- (minutes/inch) PERC HOLE DIAMETER __ 7EST RUN BETWEEN ~ FT AND -- FT PERFORMED B;;0174~agJeA~[aVs~'aL~2~o~P57E7°ad N°' 2oul X~/;'/~'I'~~CERTIFY THAT TJ~ T. EST WAS PERFORMED IN Eage ' , ~- / ~-/ / ACCORDANCE WITHALLSTATEANDMUNICIPALGUIDE I E~SIv~J_N-~ECT ON THIS DATE. DATE: PERFORMED FOR: ~ LEGAL DESCRIPTION: L--~ 1 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15- 16- 17 18 19 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST s L IF YES, AT WHAT DEPTH? pO E WAS GROUND WATER [~.~,~.~_.., E N CO U N T E R E D ? Depth Io Water After Monitoring? Date: -I N Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~E-T..AND __ FT Ea~le R~ver, Alaska 995~ / / / ACCORDANCE WI~ AL~ STATE AND MUNICIPAL GUIDELIN~T ON THtS DATE. DATE: PERFORMED FOR: ~ LEGAL DESCRIPTION: L..--~ ~ 1 2 3- 4 5 6 7 8 9 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: ¢~E:C--~o~nship, Range, Section: '"~1 ~1. SLOPE SIT~ PLAN Ne. 1457-~, 10 11 12 13 14 15 16 17 18' 19- 20- WAS GROUND WATER ~;;:~ L,.~ ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth to Water Alter Monitoring? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BFTWEEN~T AND FT /..ZS66 e~su V '~e~la el~e~ / -- ............ ., ..... PERFORMED BY 9NI~I33NIONt $ / //// : /' I //~,~/~'~ (,___....~/ CERTIFY THAT/THCEST WAS PERFORMED IN ANCHORAGE, ALASKA 99519-8650 O3 ~ '¥' (907) 264-4111 Anchorage TON KNOWLES. MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 9, 1987 S & S Engineering SRB 196X Eagle River, Alaska 99577 Subject: Lot 18 Lake Hill Acres Subdivision #3 On-site Sewer & Well Permit #860239 A.L. Iverson Property A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1986. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built znspection report (three part form) must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4744. Sincerely, R.W. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGALDESCRiPTiON:~f~2 /v~/'~"/-///~///~)' Township, Range, Section: /~'~sl~ /~ SLOPE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 .20 COMMENTS ,~. ~"-~ WAS GROUND WATER ENCOUNTERED? ,4/0 S IF YES, AT WHAT /~.----~'~ OL DEPTH? p E Depth t° Waler ~'~/~/1 Monitoring? Date: / Gross Net Depth to Net Reading Date ,,; Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND __ FT $ & SENGINEERING *~~~CERTIFYTHAT THIS TEST WAS PERFORMED IN PERFORMED BY: __ I ACCORDANCE WITH A .T I I li"~ I[~-.FEECT ON THIS DATE. DATE: JUN I 6 1986 GRE/'- "R ANCHORAGE AREA . Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS gi~'f? LEGAL DESCRIPTION PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH_ .LIQUID CAPACITY GALLONS. NUMBER OF PITS __ LINING MATERIAL BUILDING FOUNDATION__ ADDITIONAL ABSORPTION DIAMETER OR WIDTH CRIB SIZE: DIAMETER__ NEAREST LOT LINE__ LENGTH DEPTH .DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TYPE BUILDING FOUNDATION __ ~")/~ 6',/,..z. f . CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE DEPTH SEPTIC TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED. REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: DIAGRAM OF SYSTEM iNSTALLED BY: PIPE MATERIAL: LOT SLOPE: DATE / /G.A.A:Bi GREATER ANCHORAGE AREA BOROUGH DEPART~4ENT OF ENVIRONMENTAL QUALITY PERMIT NO,- SEWAGE DISPOSAL SYSTEM -- APPLICAT~ON AND PERM[T.-~. ~>~ '~ DRAIN FIELD OTNER / COMPLETION ~ATE ANTICIPATED ~M~LID ~ ~ FIBAL IB~PECTION~ ~4 HOUR NOTI~ ~EQUIRED. BACKFILLING OF ANY ~Y~TE~ WITHOt~T FI~AL IN~PE~TIOH BY THE HEALTH DEPARTMEBT AUTHO~I~ ~/ILL BE ~UBJE~T TO p~O~ECUTIO~. TypERtP.~..] O~ CO]~[~SEEPAGE AREA SIZE ].0 ft~ SEEPAGE PIT 20 ft. , DRAIN FIELD __. SEEPAGE PIT -- ,~0 MINllV~U~4 DI~TANCE~, ~EQUI~E~IENTS F(~%3ATION TO SEPTIC TANK ~ ~' FOUNDATION TO SEEPAGE PI~ __20 ~* DRAIN FIELD 15 ft,~ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK 5 f~ TO NEAR ST LOT ~INE. WELL T~TANK DRAIN FIELD D"AIN FIELD 10 ft. SEPTIC TANK, 25 ft. SEEPAGE PIT 100 ft.-. DRA,N FIELD 50 ft.. CABT IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GaP Of G ~.~.V ~' L ~3ACKFILL CONPORM TO B~ REGULATIONS REGARDING INSTALLATION. · y LICENSED I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREAT~ANCHfRAGE ,..,,.,., ,_. TYPE ........... ta~k ~ tha· should l0 TANK- 80" IIOUSE not exceed / / .... , so~t ,/ A/~EA BOROU6H ORDINANCE NO. 28-68 AND THAT THE ABOVE / 0 8' E ENGINEERING 6' DEVELOPn, IENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Russell Oyster Earl Ellis 694-2774 333-5240 Civil Engineering Surveying Soils Et Foundations Land Development SOIL LOG Performed for: Name: ~ ~ ~/t~ Tel. Mailing Address: ~ ~~ ~ ~~ Legal Description:~c~ ~,~~~ ~ ~ ~c~ ~,~ Depth (feet) 0 Soil Characteristics 10 ll 12 Ground Water Encountered: Yes Proposed Installation: Seepage Pit__ Comments: ~ vJ ~.~ ~ ~_~, Performed by.' __ No / If yes, what depth~ ~ Drain Field Date: GREATER ANCHORAGE AREA BOROUGH 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 DEPARTMENT OF ENVIRONMENTAL QUALITY Sept~nber 18, 1974 Hr. A. L. Iverson 31OD Sheldon Jackson Anchorage AK 99504 U~ar ,qr. tver~o~: The Greater Cqnchorage Area Borough approval of the sewer o~,s~.rn on Lot 18 of Lake Hill Acres Subdivision ¢ 3, must not be interpreted as an approval for using the ' "~' . rec~rcula~.(~ ~mter as a po'~able water supply. This system may r~ve certain handful pati~ogenic organisi~s from ~,raste~,]ator,~.,nd*' *' use of ~.hls r6circulated ~,¢ater for ingestion or ablutionary purposes may be ~ar ~¢Lil yours an(~ yo.r family's health. S'incer,:}ly Youths, /" /do:,~n R. Lee, .rq.s. (~./ Eagle River District Sani':arian Jflt./sr CC: Clyde Rhodes Dr. Leroy Reid GAAB Environmental Qual'i'[y ~irector