Loading...
HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 9 LT 8 ,VIUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION LOCAT,ON I ,~ Well/ 7~'~/~''~' area Dwelling ~ DISTANCE TO: .' ~ Absorption ~~Z Manu,acturer ~'~ I ,~ ~ ~ ' ' Material L q. capacity in gallons Width Inside length F HOME.DE: Dwe ng ~ ~ ~ Manufacturer /~' a I Well -- d = I DISTANCE TO: I / ~ ~Z No. of lines ~ I Length of~h li~ ~1 / I ~0 ~ - ~ Top of tile to finish grad~ 2 m ~ Eength Width ~ [ T~peof crib Cdbdi ~ I~ss Depth Drill*r TO: ~ell Buildin~ foundation I DISTANCE To: Nearest lot line , ~' Trench ~idth I~67 inches N.Q~OF p~EDROOMS · PERMIT NO, No, of compartments Liqu d depth PERMIT NO. Liquid capacity in gallons Distance bet~Neen lines/~/~ Total effective a~sorption.~rea/' PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. Septic tank Absorpt on area(s) OTHER INSTALLER REMARKS LEGAL PERMIT NO. APPLICFINT LOCFITION LEGFIL ( o0~t~ ) DEPARTMENT L. ,~EFILTH FIND ENVIRONMENTFIL ,.~._.FECTION 8~5 'L' STREET~FINCHORBGE, AK. ~D50~ 264-4720 SE~E~ PFRI~ IT CHUCK aLI?ER LFIKERIDGE TERRACE L8 B9 LFIKERIDGE TERRACE F'O BOX 4t3 LOT SIZE 688-2~D4 22000 SQURRE FEET TYPE OF ~8IL FIB_sURFTIL, N SYSTEM I-~: DRFIINFIEL[:, MR,.-,IMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= 225 THE REQUIRED SIZE OF TFIE SOIL ABSORPTION SYSTEM IS: [)EPTH= ~:---; LEI%iGTH= 7::3 GRR'..-'Ei [:,FPTH-- THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURFACE OF THE GROUND FIND THE BOTTOM OF THE EXCFIVBTION (IN FEET). THE TF~E~-tC:H N I[¢TH IS 5. El00 FEF ! . THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE FIND THE BOTTOM OF THE EXCFIVFITION (IN FEET). REL-4LU I ~:EB. SEF'T · i~--- TRf-~[-': S ~ ZE= -1 00~--3 61ILl , PERMIT FIPPLICANT HFIS THE RESPONSIBILITY TO INFORM THIS DEPFIRTMENT DURING THE INSTBLLFITION INSPECTIONS OF FINY WELLS FtDJFICENT TO THIS PROPERTY FIND THE NUblBER OF RESIDENCES THFIT THE HELL HILL SERVE. -r~3o ( 2 .-., I i-ISPECT I O~-IS ~]RF RFg!.tJ I RF[:, BFICKFILLING OF FINY b~_TEM HITHOUT FIt.IFIL INSPECTION AND APPROVFIL BY THIS DEPFIRTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN FI WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR FI PRIVFITE WELL OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM 8 PRIVATE HELL TO R PRIVATE SEWER LINE IS 25 FEET FIND TO R COMMUNITY SEHER LINE IS 75 FEET. OTHER REQUIREMENTS MAY FIPPLY. SPECIFICATIONS FIND CONSTRUCTION DIFIGRFIMS FIRE FIVFIILRBLE TO INSURE PROPER INST8LLRTION. PERt'-I · T E:~:F' I RES [:,EISEMBER _3-1 . ~ '--:~.'~0 I CERTIFY THAT 1: I AM FRMILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS RS SET FORTH BY THE MUNICIPALITY OF 2: I WILL INSTALL THE SYSTEM IN FICCORDRNCE WITH THE CODES. ~: I UNDERSTFIND THFIT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. SIaNED:_~_~-~_d/~__~'~-/__~ .... APPLICANT CHIJCK OLIVER V4. 0 FII:'F:'I_ ~ CNNI' i._I]CFIT :[ ON I_EI3HL.. [::,EF'F')R'iHEN1" L. _f:lt_'l'H lIND Et'.,I',,,':[F..'ONHEN]'FII... t ZE:'I"]:ON 825 '" L '" STF.:EET., I~INE:HORFtE4E., FIK. ' '~: 1I-,..il EE; it._., b .... If='' IE.-.'] ~-,~.". ["""ii ~: T' ,:: '? 7';::'SO H FIF.'.RL:)I..[:, LOOP [._8 B'.~. LIIKE PO BOX P1):NIMUM [::, :[ ::STF:INCE BE'TNEEN R WELL FIN[::' RN"r' ON-::.:.;I'TE: :E;E:HFIGE :1..~3 F'E:IET l::'E~14.'t R PR:[VR']"E ktEL_L. C~F~'. 2DE4 FEET FOR R PUBLZC i.,.IIELL I.'.II~L..L.. LOtiOn; FIRE RE(;~.U:[I;;'.E[:' lINE'.', I"1U5"t" E:E: R[EI'UF:.'NED T[i THE BEPFIR'THEi'4T id::' '1 HE I.,.IEL.L E:~]P1PLIZT :[ ON. O'IHEI';:: RE:(;!t.I:[REt"IE:N"I"E; f"lFt"r' FIPF'L"r'. SF'EE:ZF'_]CFIT~ONS FIN[:' CON~;]"I~:LIC:T.I:ON I:." ]: I::IGI:~:'.FII"I~; FI'v'R]:L. FIBLE ]"O :[I",I%UF.:E F'F.:OPE:R ]:N:5'f'FIL..L..FrTfON. ;[ CEI4:T ]: F"¢ -f'HFrT ::L: :[ RM FRf,tIt....:i:Rt4'. NiTH THE I~::E:~:;!UIREMENT'L:; FOR ON-:5i]'E SEI.,.IER~.; FIN[) NELL.'.L;; r:'OR'f'H B~-? THE HUN :[ C: :[ PR[...t' T'-r' OF' ;:2: :[ I.,J:[L..L ~[N2;1L~II_.L "fHE~'?~71~'I Z,¢~,t ~:IE:E:E~F.:I)FINC:E t.,.I:[TH ']'HE ,=.,..,: ........ [.1_ .______ _. F~F't~.. :1: CRNT' RONRL [:, OWNER OF LAND ADDRESS ?00 LEGAL DESCRIPTION L ~ /~Lf~ c~, /. ~/C/_-~ ......... ~ ..... :,x~4~ 7 ~ ~ ~-~bRAW DOWN FT' DATE-Started Ended / -- PE~IT NUMBER 7 7 7 g"0 KIND OF CASING A & L DRILLING COMPANY BOX97, EAGLE RIVER, ALASKAOO577 · TELEPHONE604-2588 ' ' ('} ~ .' (~ o~.) e0 ;'E/2 DEPTH OF WELL &~ ~.~ <~ /~ I o ~75~ STATIC LEVEL OF WATER FT. KIND OF FORMATION: From () Ft. to / Ft. From ~ Ft. to (~' Ft. From ~:7 Ft. to ;; g' Ft. From ,~/~ Ft. to %('~ Ft. From 'r3fi: Ft. to ,~'/ Ft. From '3 ! 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 d"4/qi' '', ~. b/<v/~ v~._~ ~ ~/d0d~.,o. From__ From From From__ From From From Ft. to__Ft Ft. to Ft Ft. to Ft Ft. to Ft Ft. to--FL __Ft. to.__Ft __Ft. to.__Ft Ft. to Ft.. Ft. to Ft Ft.t~__.Ft Ft. to Ft. Ft. to Ft. Ft. to Ft. Ft. to Ft. _FLto Ft. Ft. to. Ft. Ft. to Ft. MISCL. INFORMATION: ~°F ~(~. ~,,~ GR''--~-~'~ ANCHORAGE AREA BOROI .... '. DE~,AHTI~IENT OF EI~VIR01~MENTAL 0.UALI'I ~- 3500 TUDOR ROAD ANCHORAGE, ALASKA ggs07 27g-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: ~ D,StA E EROM wELL LIQUID CAPACITY GALLONS. MAILING ~/ /,~,~,~.~Z ,,~/~," PHONE ADDRESS /~? MATERIAL ~'~/~: '-~'~/ NUMBER OF · COMPARTMENTS t/ LIQUID INSIDE LENGTH ~ INSIDE WIDTH ~ DEPTH SEEPAGE SYSTEM: NUMBER OF PITS _J LINING MATERiAl zLO~ SEEPAGE Pit: OUTSIDE DIAMETER NEAREST LOT LINE OR WlDTH -~'J'~/ LENGTH -x~-~ ~ DEPTH DISTANCE FROM WELL ///~ BUILDING FOUNDATION . TOTAL EFFECTIVE ABSORPTION AREA {WALL AREA) ~/~ SQ. FT. TILE DRAIN FIELD: /~ TOTAL LENGTH  NEAREST LOT LINE ~ OF LINES DISTANCE FROM WELl. , . NUMBER OF LINES DiSTAN~i iiTWEEN LINES~ TRENCH WIDTH / IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE .DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__ WELL: TYPE D./?,~/4~/,) DEPTH J,~.) t DISTANCE FROM ~) WATER J~.4/j~. NEAREST , , BUILDING FOUNDATION.. ~ SAMPLE , NEAREST _ SEPTIC 2~ ~ SEEPAGE OTHER LOT LINE ,,..~/~ SEWER LINE ~ . TANK , SYSTEM l J/ CESSPOOL '-- , SOURCES DISTANCES: DIAGRAM OF SYSTEM /o ~J, l~ArER ANCHORAGE AREA BORdoGH ,,/" ;,~ )~]"] "~ DEPARTMENT OF ENVIRONMENTAL QUALI~ '~ (~ 3500 TUDOR ROAD POUCH 6-650 ~'~]~ S,~G.~''~ DISPOSAL ''STE~ -- APPLICATION AND "ER~IT NAME OF APPLI( NT INSTALLATION OF; SEPTIC TANK TYPB AND SIZ~ OF FACILITY TO BE ~BRV~D -~ FINANCED THROUGH SEePAge PIT DRAIN FIELD . .,OTHER / t TO BE INSTALLED BY ~OT~: T~l~ P~RMIT I~ ~O~ VA~ID WITHOU~ SOIL TEST RESULTS COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY TIlE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO pROSECUTION. DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TaNK , SEePAge Pit WELL TO SEPTIC TANK DRAIN FIELD DRAIN FIELD DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, ., SEEPAGE PIT TO RIVER, LAKE STREAM. , DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSINGGAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC; TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS~I~N AC.C_O~RDANCE WITH SAID CODE. ~ ~ ~ ' - ~. · GRF"~r~J~ ANCHORAGE AREA BOROUGH--'~ DEPAk .:T OF ENVIRONMENTAL QUALm., 3500 TUDOR ROAD ANCHORAGE', ALASKA 99502 CASE # Performed For -~-~AMIkTO~a ~,-~C~4~U~.)'l-~/d~ Date Performed Legal Description: Lot i~ Block- Subdivision This Form Reports Soils~g >~ Pe'rcolati6'n Test Depth Feet Soil Characteristics Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time ) Net Time 1 Depth to H20 Net Drop nute Proposed Insta'llation: Seepage Pit Drain Field Depth Of Inlet Depth To Bottom Of Pit ~ Trench COMMENTS: ~.~ ~+~/ )~,.j~.~. . Test Performed B~ ~'~ ~ --+~;.k e.;~ ? ~$~ ' - ~ata Certified By: ' ~'~~ Date: N February 13, 1974 Federal Housing Administration 334 West 5th Avenue Anchorage, AK 99501 SUBJECT: Lot 9, Block 9, Lakeridge Terrace Subdivision (Charles Schultz) Dear Sir: The subject lot is not in close proximity to any public sewer system, and it would appear that public sewer is some years off for rials area. Consequently, sewage disposal must be by septic tank - soil absorption system located on lot. A community water system is also not available, water in the area being supplied by individual wells. During the summer of 1973 ti)is department surveyed the~t:lot and layed out acceptable locations for a water ~veil and sewaoe disposal system. Lot 4, block 2, and lots 8 and l.O, block 9 of Lakerid~e Terrace Subdivision already have ,~,ater wells located on them, and are apparently, giving adequate product- ion. It would appear then, that ti~e sub~ect lot would have water available. i~iuch of the soils in this immediate area are very mediocre, so due allowance should be made for a larger than average soil absorption system. If this office can be of further assistance'please contact us in Eagle River. Sincerely, John R. Lee, R.S. Eagle River District ~anitarian sr DEPT. OF ENVIRONMENTAL CONSERVATION ~y 8, 1973. SOUTHCENTRAL REGIONAL OFFICE MACKAY BLDG. 338 DENA£1 STREET ANCHORAGE 99501 Mr. Michael Quarne West Lakridge Drive Box t0 Bagle River, Alaska 99577 ivlAY I~R~,~IEJ{ AbJCHORAO£ AREA BOROUOH ~PT. OF ENVIRONMENTAL QUALI]Y Lo~s 8 ~ 9, ~oc~ 8 Lake~id~e Te~ace ~i~e Lake Dear ~k. Quarne: ;~s your development was started prior to February 5, 1973, the effective date of the Alaska Department of Environmental Conservation Wastewater Disposal Regulations, it is my interpre- tation that it will be acceptable for your project to proceed under the standards wh{ch were in effect at the time the work was initiated. ' If you have mny ~urther questions regarding this matter please do not hesitate to contact me. Yours truly, ~K~i~o ~n~ 1' ~~nrvil~r onmen~Eng ine er / / cc: GAAB-DEQ ~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & I 825 L Street - Anchoraee, Alaska 99501 ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION OCT 3 1980 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~I~IJ~IkW_:~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. MAI EI'~G A~R ESS ' PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS MAILING ADORES8 4. R~LTOR/AGENT PHONE M~LI N G ADDRESS 633 B. LEGAL DESCRIPTION STF~E ET LOCATION 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five I~ Three [] Six [] Other 7, WATER SUPPLY INDIVIDUAL~ [] COMMUNITY PUBLIC UTILITY * ATTACH WELL LOG. Awell Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) S. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date i q ~ 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. 72-010(3~78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED ' INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR 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 []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: IO~ If Tank is homemade SOILS RATING give dimensions: ,:~ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holdln§ Tank Absorption Aree Sewer kine [ Nearest Lot kine WELL TO: Absorption Area to nearest Lot Line !5. COMMENTS I~'/APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev, 3/78) CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ~,--,;.;;~,;~.,;--,,~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. Phoqe No, Water System Name . ~,; ~ ' ! 5} Mailing Address " ' ' -" ~ CiW . Stat~ : Zi~'~e Mo. Day Year SAMPLE TYPE: D Routine [] Check Sample (for routine sample with lab ref. no. ) [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. I I LOCATION ,. ,. ,~, ~', Time Collected Collected By TO :BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~' Satisfactory [] Uhsatisfactory [] 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 [] Membrane Filter Lab Ref. No. Result* Analyst I F-i-I I I *No. of colonies/100 mi. or No. of Positive portions. READ INSTRUCTIONS BEFORE GOLLEGTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collectecl Source =resumptlve 10mi 10mi 10mi 10mt 30mi 1.0mi 0.1mi 24 Hours 48 Hours :onflrmatory EMB Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Membrane Filter Results Reported By Broth 24 hours: Broth 48 houri.' 1Omi Tubes Positive/Total 3.0mi Portions Collform/100ml BGB { .; Collform/100ml · Date Time: , . a.m.