HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 11 LT 2
MUNICIPALITY 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
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
Absorption area Dwelling /
~ ~// ~1~' Materi~aal//~
NO. OF BEDROOMS
PERMIT NO.
No. of compartments
Liquid depth
Dwelling PERMIT NO.
Liquid capacity in gallons
Foundation PERMIT NO,
Total length of lines Distance between lines
Material beneath tile
Depth
Well
DISTANCE TO:
IManufacturer .~,, r
Liq. capacity in gallons
i
Manufacturer
DISTANCE TO: I
No, of hnes ~ Length of each hne
Top of tile to hmsh grade
Length .~ ( Width .
c
~STANC~ TO: /¢0
[Class Depth
Building foundation
DISTANCE
TO:
Crid-Crcth
Building foundation
[] UPGRADE
Matedai
Nearestlotline
Trench width
inches
inches
Driller
Sewer line
OTHER
PIPE MATERIALS.
SOl L TEST RATING
INSTALLER
REMARKS CO /
Total effective absorption area
PERMIT NO.
Total effective absorption a;~7¢¢
Nearest lot line *~/
Distance to lot line PERMIT NO,
Septic tank Absorpt on area(a)
APPROVED
//. DATE
LEGAL
........
,-,.-,,..,.-,,-~.;-' ::. - ....... / O~m~~ ~ ~ -'q .
F~PF'L. I CRNT ~:' BEH I S SF: ELi.:>:; 3 S!: '1: 'i,H .l: .[, ~ 3.:::,::: .~:
...............
..... F T ]' "Hf2 .i¢.-~
LEGFff~. L2 E:Z::I.. ~¢.KE?i[:,GE TERRFIE:E L.i"r SIZE ;25E~Eu2:.~ :~6...R~'~:' F'F:E"r'
'!"')PE OF SOiL i~E, SORP'T'ZEN 9'...'STEH
:,J..-R,.J..,[ ... ::;; ':::; '::'")1i, R~ZiT):i',ttii <5(;1l~ ' --
THi:::: ................. REQU T i?f:'r':, '::, .~ ~,~:'m .... OF THE SO Z L I::~E',SORI::'T :I: ON --,':L', -,':'~'~h~, ,-,, ?, -': '
Fi :~ ~91' ~Z::" - T" ~--~J ......
THE LEi',!G",r'H i}Zi'.IEi'.,i'SiON IS '],"HE: LENGTFI ,.':l.l'..J. FEET::, OF 'T'HE TF..'ENE:H OR [:,RFIII'.iF!L".{L.D.
THE [:,EPTH OF' i::~ TREi',iCH OR PiT Z~i; 'T'HE L':,ZSTF!i'.,!E:E E',ETHE~EN THE SURF'FICE OF THE
Gi':-::OL.ii'.,![:, F!I'-,II:.':, THE E:O'I"TOhl OF THE: E;:.::E:FI',/RTLrO!'.,! 4 i!'-,! F:'EET>.
'T'HERE iS NO SE"[' NI[:,Ti4 F'C~F'. TRE:NE:HE':i-,.
:'FHE: GF:F!'v'EL DEPTH !E; THE: Hi[N i.t'¢!U¢'! C, EF:'TH C)F GRRVEL. E:E"f'NEEN TH!E OU]'FI::ff...L I:::'tF'E
FIND THE BC)TTON OF TF!E E::-::CF!'v'RTION ,:: ZN FEE¥::,.
F'EF:H]:T FIF'F'L.Z C:FINT .HI~S THE RESF'ONS!B ZL.I'T'¢ TO ZiqFORH TH:[S E:,E:PRR'THENT DI...I~:ZF,!G THE
ZNSTi::~LI..FITIOikl :[HSPEE:"['ZEIN:~: OF' f~N'?' k!EELLS RDJ'~:aCENT TO ]"HZS PROF'ER"I"? FIN[:, THE
h!UHE~ER OF' RES ZE:,ENCES 'THRT THE NELL H:[LL. SERVE.
E;SE:KF'ILLiNG Eft: F~N'¢ S'¢STEH HITHOUT FiNRL !NE;PECTZON FaND ¢~f:'F'RO'v'F~L. E',? THIS
[:,E'.F:'f:iRTHENT HILL. BE SIJE:JECT TO PF?.OSECUTIOH.
H iN!HUi"~, D i$"FF:ii'.,IC:E BETHEEN :~ i.,.iELL..ei'-,E> F!N'.? ON-SITE $Et.,.!.~:!GE [:,ISPOSFIL.. S'.r'STEH lIE;
:LeE~ FEET FOF: R F'RIVIaTE HEL. L. OR 15El TO 2EIEI FEET FROH F~ PUBLIC !4EL. L [:,EF'ENDZNG
UPON Tide 'T'¢F'E OF' F'UE',L. IC HELL..
h'!INii:HUH E, IS'T'F~F,!E:E F'ROH R PRZ'v'RTE HELL TO !:! PRZVFITE SEHER L. II",!E !S ;25 FEET RND
TO Fi COHHUNiT'4 SE!4ER LiNE iS 75 FEET.
OTHER RE6!Lt:[RE:HENTS HF?T' RF'F'L"rL :E;F'EC:iF!C:FITZONS 8N[> CONS'T'RLtC:TZON [:,IRGRRHS FIRE
Fi'v'Fi!L..R[gL.E TO INSURE PROPER iNSTRLLFiTION.
i E:EER'T' ir. F"¢ "FHFFf'
i: i F!M F:F~H:[LIRR i.,.iI'T'i-..! TFIE F::E(';!UZREI'.IENT:-2; F'OR ON-.-SZTE S. EHERS F!ND I.,.IELL25 !:!S SE'T'
F:-ORTH B? THE .kiL!NiCZF'FIL!T"r' OF I::INCHEtRFIG['L
~i:: ! HILL. ZNSTFd_L. TFiE '_--;.,'.r'%"i"Ei"! ZN RCE:ORE:,F!NCE H!TH 'TF'~E: CODEE;.
:ii:: I UH[:'EF;:%TFIN[:, THFIT "['HE ON-<L:;i"T'E %EHER S"r':.E;TEH HFI'¢ REg!UZRE ENLF:iRGE.hlEH'I" ZF*"FHE:
:'~:':"l'l"l:' F'z 'r,:: E,F.'Hf]r-'F' ~:'r'- T'"i 'f~4-. lr"~: I',t"-F~'¢' 'I"HR;-'. c. pF..,,q?--.,!,:: ~ ,¢~ ,.[?~ /.,, ~
/ // / 1 .~ ~ /'('lk~,-,~'' .
Russell Oyster
694-2774
Performed for:
O & E ENC..NEERING & DEVELG. MENT CO.
Box 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Earl Ellis
688-2280
Depth (feet) Soil Characteristics
0
2__
7__
O__
12__
13__
14__
Ground Water Encountered: Yes ~ No
Proposed Installation: Seepage Pit
Comments:
If yes, what depth.
Drain Field.__
PLOT PLAN
PERC. TEST
/3 ,~
Performed by:
O, & E ENG.AEERING & DEVELO) ,vlENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Performed for: Name: ~-,~P'~-~AJ' Z_, .~/~',z~--~5 C¢/M'-~;7-~- Tel. N0..
MailingAddress:~'~' ~ ~ C'//~/~ / ~/~' ~?~ 7
Legal Description: Zo~ ~, ~oC~ // , ~/~ ~/~ ~~C~
Soil Characteristics
Depth (feet)
0
2
3__
4__
5__
6__
10__
11__
12__
13__
14__
15,
16__
PLOT PLAN
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit Drain Field
Comments:
Pe,ormed
PERC. TEST
/
3o ..,,,...4,,, ~ ,o,,, ,, -.-
No~ If ye~, what depth ~ ~ '.0 NO. ~4S.~ ./~
Date:'
0 0 0 0 0 0 0 0 0 0 0
STEVEN L. SKAGGS
CONSTRUCTION
P.O. Box D / Chugiak, Alaska 99567 / Phone (907) 688-2831
September 15, 1982
Department of Environmental Quality
Attn: Larry Montgomery
Dear Larry:
This letter will serve to verify that Skaggs Construction did
install a bed-type sewer system and lift station at Lot 2, Block 11,
Lakeridge Terrace for Mro Richard Bemis.
The system was installed following the specifications and criteria
set by the Municipality of Anchorage and the Environmental Pro-
tection Agency in their Design Manual on Onsite Wastewater
Treatment and Disposal Systems.
Sincerely,
Steven L. Skaggs ~ ~ -
Licensed Contractor / Site Preparation / Concrete Foundations / Trucking / Grading / Top Soil / Sand & Gravel
REPLY
SIGNED
DATE
,/ /
SIGNED
CONSTRUCTION AND OPERATION CERTIFICATE
ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION.
PUBLIC WATER SYSTEM
APPROVAL TO CONSTRUCT
Plans for the construction of
public water system located
in
· Alaska, submitted in accordance with 18 AAC 80.100
.have been reviewed and are
[] approved.
[] conditionally approved (see attached conditions).
BY TITLE
DATE
If construction has not started within two years of the approval date, this certificate is void and new
plans and specifications must be submitted for review and approval before construction.
APPROVED CHANGE ORDERS
Change (contract order no. Approved by
or descriptive reference)
The "APPROVAL TO OPERATE" section must be completed before any water is made available to
the public,
Date
APPROVAL TO OPERATE
The construction of the
public
water system was completed on (date). The system is hereby
granted interim approval to operate for 90 days following the cpmpletion date.
BY TITLE DATE
As-built plans submitted during the interim approval period, or an inspection by the Department has
confirmed the system was constructed according to the approved plans. The system is hereby granted
final approval to operate.
BY TITLE ~ATE
CONSTRUCTION AND OPERATION CERTIFICATE
ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION.
PUBLIC WATER SYSTEM
APPROVAL TO CONSTRUCT
Plansfortheconstructionof Lo~ ~.~.1 ~l OClC [I j
o0
approved.
public water system located
, Alaska, submitted in accordance with 18 AAC 80.100
d~ ~,, _~- ~1/~( C~L,; w have been reviewed and are
~. ,~_,,~conditionally approved (see attached conditions).
'~1~' -- -- ' TITLE
If construction has not started within two years of the approval date, this certificate is void and new
plans and specifications must be submitted for review and approval before construction.
APPROVED CHANGE ORDERS
Change (contract order no. Approved by Date
or descriptive reference)
The "APPROVAL TO OPERATE" section must be completed before any water is made available to.
the public.
APPROVAL TO OPERATE ~
The construction of the ~ ~ public
water sys'{~m was completed on ~;~//~ //~2'~'~''- (date). The system is hereby
granted interim approval to operate for 90 days following the cpmpletion date.
TITLE / DATE
As-built plans submitted during the interim approval period, or an inspection by the Department has
confirmed the system was constructed according to the approved plans. The system is hereby granted
TITLE / ~
APPLI{' NT FILLS OUT UPPER HAl'-"' ONLY
~ '~ ' Phone
Buyer
Address Zip Code
Lending Institution ~rLJ~.i~ ~,.~ ~Z ¢~t~/~/~Jq Phone
Realty Co, & A~nt J ~ ~ Phone
Address ~ Zip Code
Type of Resi~nce f ~ ....
~ Single Family
Multiple Family No. of Bedroo~
Other
Water Supply
~ Individual A~ACH WELL LOG. A w~i log is required for all wells drilled since June 1975.
For wells drilled prior to that date, give well depth (attach log if available).
Community
~uBlic ~fility
Sowor ~isposa~
~lndividual Year Individual Installed:
~ Public ~ility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date ~ '~
Inspector Inspector Inspector Inspector
. /I , (J. , ~\.~ ¢~(ot,MUNICIPALITY OF ANCHORAGE
SE? ,S/982
gECE!VED
( ~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL
I ~ D~SAPmOW~
I ) COND~T~ONALAPPROVAL'
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
Well to Tank / (~ (~ ¢ Septic Tank Size
PO~JCH 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL_ PROTECTION
September 10, 1982
Richard/Gail Bemis
Star Route Box 363
Eagle River, Alaska 99577
Subject: Lot 2 Block 11 Lake Ridge Terrace Subdivision
Our records indicate a final inspection is needed on your
on-site sewer system.
This necessary information is required prior to issuing
the final approval to your lending institution.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
//Jam~s Roberts
Environmental Specialist
JR/ljw