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Home My WebLink AboutLAKE RIDGE TERRACE BLK 11 LT 9t 3,23 '"~ 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 ADD /~ LEGAL DESCRIPTION LOCATION Well ~ .. ,~ DISTANCE TO: ~/¢ Manufacturer -- ILiq, capacity in gallons IF HOMEMADE: DISTANCE TO: ,Well Manufacturer Wel ~ DISTANCE TO: I ~I:O No. of lines , Length of~h line TOO of tile to ~n,sh .tad.. ~¢ Tg~e of crib ~ I C~ass~ ; Depth I Building foundation DISTANCE TO: , · /PHONE [] NEW J~UPGRADE Abs°r .7;, Inside length NO. OFBEDROOMS PERMIT NO. No. of compartments Liquid depth IMaterial Dwelling PERMIT NO. Liquid ca.pacity in gallons PERMIT NO. Nearest lot Trench width Foundatio.~ Total length of?nes Material be~r ea(h tile Depth Distance between lines inches inches Total effective~n a,~ / PERMIT NO, Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO, Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS DATE LEGAL · rI_ICANT LOC:aT ION LEGFIL GAR'-t .'::- L'-,.'NN LINDQUIST DON CIRCLE L9 Bi! LaKE RIDGE TERRRC:E t.56B SC:ENIC W'¢ 995E11 LO]' SIZE '2;2_'50(~ _c..::¢_IRF.:E FEET T~'F'E OF SOIL RBSORPTION. S'T%TEM IS: TRENC:H MRNIMUM NJMBER OF BEE:,FtOOMS = 3: ~iFiII_ RRTING ,.'.'SQ FT,.."BR)= ·--5 THE REQUIRED SIZE OF THE SOIL RESARF'TION S'-,.'"--]TEM IS: [:. r£ F' ~' ~ == :5: L E ~-~ L3 TFt= 4 ± L--i F: Fl "-.-" E L [>EF' ]'- F~ =: ~5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF a TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF' THE GROUND aND THE BOTTOM OF THE E',,.;iCA'¢RTION (IN FEET). THERE IS NO SET I.,.tIDTH FOR TRENCHES· THE GRR'v'EL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE aND THE BOTTOM OF THE EXCFt',,,'RTION (IN FEET.'.". PERMIT HFFLI...HNT HaS THE RE.::,FUN..-,IBILIT'-t TO INFORM TFIIS DEPARTMENT [:,LIF::ING THE '[NSTFILLFITI]N INSPEI-:TII]N'-~ OF FINk' .IELL:, M[..TFtbENT TO THIS FR~FEF.'T, FIND ]'HE NUME:EF:: OF R. ESIE:,ENE:ES THFIT THE WELL HILL SERVE. 'T l.-a C~ ,:: '---: .':, B.BCKFILLING OF RN'¢ S'¢STEM WITHOUT FINRL INSF'ECTION AN[:, RF'F'F.'.n',/RL. B'¢ THIS DEPAF.:TMENT WIL.L BE SUBJECT TO F'F.:OSECUTION. MINIMUM DISTANCE BETHEEN R HELL aND RN'¢ ON-SITE SEHRGE DISPOSAL S'¢STEH IS :1..~."tf..Et FEET FOR A PRI',,,'RTE HELL OR '1_5E~ TO 2C1E1 FEET FROM A PUBLIC WELL DEPENDING UPON THE T"r'PE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRI'¢RTE WELL TO R PRI',,,'RTE SEHER LINE IS 25 FEET aND 'TO R COMMUNIT"r' SEHER LINE IS 75 FEET. OTHER REQUIREMENTS MR"r' RPPL'¢. SPECIFICATIONS aND CONSTRUCTION DIAGRAMS aRE RVRILRBLE TO IN'=.,URE PROPER INSTALLATION. I CERTIF'¢ THaT ±: I RM FAMILIAR HITH THE REQUIREMENTS FOR ON-SITE SEHERS AND HELL':; RS SE]' FORTH B'¢ THE MUNICIPFtLIT'¢ OF aNCHORaGE. 2: I WILL INSTRL. L THE S'¢STEM IN aCCORDaNCE HITH THE CODES. 3:: I UNDERSTAND THaT THE ON-SITE SEWER S'¢STEM MA'¢ REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ]: BEDROOMS· ............ '' 825 "L" STREET ANCI~ORAGE, ALASKA 99501 (907} 264-4111 GEORGE M. SULLIVAN, MAYOi~ [)L:'/,Ri,'.','.:'~i ':: ~i:.', ii'. ,',f.~(> !:,':k iROt',.MEt',TAL PROTECTION December 31, 1979 Earl Ellis 690 West Lake Ridge Drive Chugiak, Alaska 99567 Permit ~ 790472 Subject: Lot 9 Block 11 Lake Ridge Terrace Subdivision A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to docmment the installation date. If an enginee~ has inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please contact this office at 264-4720. Les N. Buchholz, R.S. · Senior Environmental Speci~t LNB/ljw enc: Copy of Permit F EF. II.[ T NO, [)EPFIRTHENI" OF HEF-ILTH RN[:'~ EN',?IF.'ONNENTFIL. r'I?OTECTION 825 "L" STREEI'., RNCHOF. tFIGE., FIE 995EE 264-4-720 FIPPL I CRN"I' E?iRL ELL. I S LOC:RI' [ ON LEGRL L9 B:Li LRKE F.:IDGE TEF:RFIC:E 69E~ [,.I. LRKEF.: I [:,GE DR LOT c f :~r: E":'P 225EE~ E;L.]URRE FEET T'¢PE OF SOIL FIE:SOF.:BTION SY'_-qTEM IS: TF.:ENC:H i',IRXINUN NLi',IBER OF EE[,F,:']3,1S =: ':;I]II RRTIN6 ,::'.51..-.! FT,..-IEIR)= ia,._ THE REQUIRE[:, SIZE OF THE S]II_ fqB.':,LF..PTION .:~=,TEfl IS: THE LENGTH [:,INEN'E, ION IS THE LENGTH (IN FEE]') OF THE TRENCH OP. D, RRINFIELD. THE [:,EPTH OF R TRENCH OR PIT IS THE DISTRNCE BETNEEN THE SURFRCE OF ']-PIE GROLIND RND THE BOTTOM OF THE ENCRVRTION ():N FEET). THERE I'=; NO SET NIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE HINIMUM DEPTH OF GRR',,,'EL BETI.4EEN THE OLITFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). "","' FH_.:, DEF'FIRTMENT D F.'INS THE FEF..[ I F RF'F'LIC:RNT HRS THE RESPZN$IBILIT~r' TO INFORN ' I'~' . IN:,[Ht_LNTILN INSPEC:TT]N'5 OF FIN'-/ [4ELLS R[:,JRCENT TO TH_=, PROPERTY FIN[:, THE NIJMBEF.'. OF RESIDENCES THRT THE HELL HILL SERVE. E,H..F. F ILLING OF RN'./ S~r'STEf'I [,~ITHOI_IT FINRL. INSPECTION RND FIPF'ROVFIL E:'¢ THIS [:,EPFfF.'.THENT [,JILL E:E SUE,'..TEC:T TO FF..U.~,EL. UTIJN NtNIMIJM [:,ISTFtNCE E:EI'I,.IEEN R [,.IEl_[. FINE:, RN'¢ ON-SITE SD,.IRGE [:,I'5PO'E, FIL S'¢E;TEM IS iEI(t FEET FOR R F'RIVRTE [4ELL.~ OR 15E TO ;?EE~ FEET FP]H FI PJBLIC [,.ELL DEPENDING UPON THE TYPE OF F'UBLIC 14EL.L. OTHER PD]~UIREMENT2 f'IRY RPPL.'¢. SF'ECIFIC:RTION'5 RN[:, CCNE;TF'_'ZTION [:,IFIGRRMS RRE R'v'RILRE:LE TO INz,_EE Ffi_FEE IN=Jd_LHr_UN. I E:ERTIF'¢ THRT ±: I RH F'RMILIRR [,.IITH THE REQUIREMENTS FOR ON-SITE SEHERS RND HELLS RS SE]" FORTH B'Y' THE N. LINtCIPRLIT'¢ OF RNCHORRGE. 2: t HILL INSTRLL THE S'¢STEN IN RCCORDRNCE 14ITH THE CODES. 3:: I UNDERSTRND THRT THE ON-SITE SE[qER SYSTEM MR'¢ REQLIIRE ENLRRGEMENT IF THE . _[:,RTE .......ut ................... VS:. 2 O & E ENG,;qEERING &. DEVELO, ,vlENT CO. Box 90, Davis St.i Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Performed for: Name: ~""~ / C Mailing Address: "~'/~ · ,~g X' Legal Description: jot Depth (feet) $oll Characteristics SOIL LOG 2__ 3__ 4 5__ 6__ 7__ 8 9 10. 11__ 12__ 13__ 14 Earl Ellis 688-2280 PLOT PLAN 15__ 16__ PERC. TEST Ground Water Encountered: Yes No ~ If yes, what depth Proposed Installation: Seepage Pit · Drain Field.__ Comments: Performed by: G~r.'~.~ER ANCHORAGE AREA BORO.!~'.~H ' HEALTH DEPARTMENT ' ' 327 EAGLE ST. ANCHORAGE~ ALASKA 9950! 279-2511 N? 47 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ~' ADDRESS ./.~,O,,f.~ ./ -,C.2~.~.-/'~ ,~2~; PHONE LEGAL DESCRmT~ON DISTANCE FROM WELL. '~ '" LIQUID CAPACITY GALLONS. NUMBER OF MATERIAL (2%' ~-2,/5¢/~~''''''~ COMPARTMENTS INSIDE LENGTH ,¢'¢"~INSIDE WIDTH ~ LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER / OR WIDTH /'~/ ~'~ LENGTH /~/ / . DEPTH ~"/' LINING MATERIAJ~g'~ ~"---J" (~/~ ~ ~. DISTANCE FROM WELl /~/ / BUILDING FOUNDATION~ ~, NEAREST LOT HNE ~ / ' ~' To~ ~EC~,V~ ~SO,,T,O~ ~R~ (W~LL ~E~) ~_ S~. ~T. TILE DRAIN FIELD: '''°'' D~:No: RTi:E 'O FINISH GRADE1.% LET~A~h' ~ATERIAL BEN EAT" TILE IN. ABO)VE TILE -- WELL: TYPF.~,~-"~/,~-~:'~¢::~ . DEPTH , BUILDING FOUNDATION..~,"~? SAMPLE NEAREST / SEPTIC - / SEEPAGE /.,o~' / / OTHER LOT LINE ~'~;? 4~" , SEWER LINE , TANK ~'~ , SYSTEM / '-~/ , CESSPOOL , SOURCES DISTANCES: DIAGRAM OF SYSTEM GREATEI~. ~NCHORAGE AREA_ HEALTH' DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 -ROUGH 279-2511 SEWAGE NAME OF APPLICANT RESIDENCE ADDRESS APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ~ ' ' PERC0kATION TEST RESUkTS DISPOSAL SYSTEM - APPLICATION & PE,~RMIT . . ? . ~? :. ..; f~ J" LEGAL DESCRIPTION ~.- '~"- i ~- o --' , :~ '~ ~. -' ,.~;+.~-'¢'¢ t~ ,SEEPAI3EPIT. v:' ,DRAIN FIELD ,OTHER. ~i. ..... - ' ~"": ~: .v~ ..,~ ~ .~,!;5 ':~, ~' ,' ~:: .... "¢.~ ~.~"/ TO BE ,NSTALLEO BY ANT,C,PATEO OATC;"i COMPLET,ON BELOW TO BE FILLED OUT 8Y HEALTH DEPARTMENT '- THIS IS TO SERVE AS ~ ',.' .: ' ' , , ~ PERMIT TO INSTALL A -,<.~>?.'~, ,~ _. ~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ n ~..~:~.. , .... ...,~.,. · SEPTIC TANK SIZE / 0 :~: TYPE ~}, · ~ ...... .. SEEPAGE AREA TYPE DIAGRAM OF SYSTEM DISTANCES: Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borou'gh Ordinance No. 28-68 and that the above described system is in accordance with said code. BATE / '' ~ .... APPLICANTSSlGNATURE ,~ !, "-~" '": . ': ~REATER ANCHORAGE AREA BOROUGH' ,~ HEALTH DE~A~TMEN'T CASE # _ .. ' 327 EAGLE STREET ANCHORAGE, ALASKA 99501 -' Date Performed Legal Description: 5Ore, lock This Form Reports a: Sells Log ~ ..... i'. ...Percolation ~esl ..... ~ ...... .:[ .... Depth Feet Soil Charac%eristics ....... F-'?--- "',-.' ' Was Ground Water If Yes, At What Depth_.~ Reading Date Gross Time Ne ~r~ola~bn ~ata' 1"/ '~ ~ Time Location Sketch Depth To H20 Net Drop Proposed Instali'ation: Seepage Pit g.--- Drain Field Depth Of Inlet .~-~,~' Depth To Bo"------~tom 0'~' 'Pit Or Tren¢~ COMMENTS: /~ ~ ~ (;~/ ~ ' . __~, · , . Test performed g~:~ -- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI~4UNlaPALITY OF ANCHORAGE 825 L Street - Anchorage, Alaska 99501 DEPT. OF HEALTH & ENVIRONMENTAL P2OTECTION ENVIRONMENTAL EN61NEERIN6 DIVISION Telephone 264-4720 MAY 1 5 1981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~~I~ ~ [DIRECTIONS: Complete aH parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. t - PROPERTY RESIDenT (If different from above) PHONE PHONE ~, LE~DI~ INSTITUTION ~ PHONE MAILING ADDRESS ~' ' 4. REALTOR/AGENT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One .~ Four [] Two [] Five J~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM : ~ ~ ~ ~) ~ **l~: individual/on-site, give installation date ~ I N DIVI DUAL/ON-Skl'E** J [] PUB LIC UTI LITY I ~ ~'~-~,\~("~- J~f 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 INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FiVE EJ 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~]INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade 8OILSRATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Ho]ding Tank IAbsorption Area Sawer Line I Nearest Lot Line I I WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS ¢+'/~'PPROVED FOR '3 BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED , -~ DATE BY ITit,elt/.~)~'/j~) LEGAL DESCRIPTION 72-010 (Rev. 3/78) ~1: Time Date Insp '¢''~UNICIPALITY OF ANCHORAGEs"'-, DEPARTMEN. JF HEALTH AND. ENVIRONMENT, PROTECTION 825 L Street,, Anchorage, Alaska ~9501 I - ~ _~' 264-~7210~ . ~ ~.j~~ v DaUe Receive .~ur~Novemoor , 1977 Time t 0 ! ~ ~ #3: Time [0 ~. :~0 a.m. ~2: 11~-77 Wednesday Ins REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Amfac Mortgage Company Mailing Address: 705 West 6th Avenue, Suite 201 Phone: 277-8588 Property Owner: Eddie/Jeanette Koontz Mailing Address: Post Office Box 21 99577 Phone: 688-2561 3. Legal Description: Lot 9' Block 11 Lake Ridge Terrace Subdivision 4: Single Family Residence: ~ Number of Bedrooms: Three Multiple'Family Residence: ( ) Number of Bedrooms: J Well System: Individual well (~ Community/Public System ( ) , Permit # '~ Depth of Well 162 Well Log on File ( Construction ~L~ [~ J Bacterial Analysis ~, Sewage Disposal System: On-site System (~ Public Utility ( ) Permit ~ ~ Installed 1970 Installer ~-~' septic Tank Si~e ~)~0 Manufacturer t~7)~[~-~ C~~ Absorption Area A~ Distances: Well to Septic Tank ~1 ~ to Sewer Line ~ Nearest Lot line Soils Rate ~, Material ~ to Absorption Area /~/ $~ ~,~ Absorption Area to Nearest Lot Line MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: Mailing Address: ~'~ ' Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: Location: CONV Day Phone: Phone: ~9~) - ~L~-~O~' 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility No. Bdrms. ~ .individual_~'/* If Individual, number of dwellings presently served ' If Individual, depth of well ~ ~ oc'' Sewage Disposal System Type of System: If Individual, date of installation Public Utility Individual (on-site). 72-003(3/76) · [~e ~b'o Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 9 Block 1.1 Lake Ridge Terrace Subdivision Comments: Affadavit Attached: (') Letter A%tached: Approved: ~ %...Q)._~.,A Date: Disapproved: Date: