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.