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Home My WebLink AboutBROADWATER HEIGHTS TR H LT 5 MUNICIPALITY OF ANCHORAGE DEPARTIV~ENT 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 ~ ~,~,o: 1~2~o '~ 1~7~"~- ~"~ '¢- ~'*. ~~"/~z b ~ Manufacturer ~ ~~, ~ ~~/ ~o. of c~artme~ ~iq.~~llons IF .OMfiMADfi: InsiOe length ~idth kiquid dopth ' Q DISTANCE TO: Well f~ Found~ ~ ~ Nearest~ine ~ ~ ~i of lines / Length o~a~lineg Total Distance b~e2 ~ ~ ~ [[ Top of t~o ~n~grade ~ ~ ~ri~ bene~ ~ inches ' Total effectiv~absorption area Q ~ ~h __ ~ ~ ~1~ ~ Z inches Length Width PERMIT NO. Type of crib Crib diameter ib depth Total effective absorption area ~ Well Building foundation Nearest lot Hne ~ DISTANCE TO: ~ Class ~ ~ Driller Distance m ~o~ line PER~IT NO, ~ DISTANOE TO: Buildin~ foundation $ew~r Hn~ 8~i~ tank Absomtion area(s) OTHE~ PIPE MATERIALS ~- d c .~ .~ ~ . ~EMA~KS . ti.,, ~'~ J 72-01~ ~/78) ...................... PERMIT NO. DEPHRTMENT ~ HEALTH ~ND EN',,,'IRONMENT~L OTECTION ,_,.-._ '"L- STREET., ' C' - '--' ____ HN_.HUF..HUE., AK. '~.'~.~'-~l ~..IELL Ri'-I[:, I'-I~'-.~--~~- I TE SE L-JEF-.' F'EF-'r.i I T' ( 8];0t52 ) APF'L I CANT ALBERT BANDURSK I ,"..;;PAl iLSrll'.~ ~-'~-- -. ,-,C,~:l~ BOUNDARY ~2 '~.'-9..~'"'~ ~.~,":-'-.'='-='- LOCRT I ON LEGAL LSTRH BRORDHRTER HTS LOT SIZE 999399 SL-]URRE FEET TYPE OF SOIL RE.'SORPTION SYSTEM IS: DRRINFIELD MR',:'::IMUM NUMBER OF BEDROOMS = Z:: SOIL RATING (SL.] FT,.'"BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: t50 [:"EF"TH= 5 LEi'-.IG TH = ,~-_-; _--< ,.3 R R'-.-' E L [:,EF'T'H= ;2: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINF'IELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETHEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCRVATION (IN FEET). THE TE:Ef-IC:H 14 I[:"TH I~] 5. rEd-DEl FEE]'. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIF'E AND THE BOTTOM OF THE E×CAVATION (IN FEET). F-:E,;!Li I E."E E:, '.=]EF'T I r: TRI'-,iI-::: S I ZE= ::L C--~;-]"~-Z~ t3RLLC, i'-.IS PERMIT APPLICANT HAS 'THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY HELLS ADJACENT TO ]'HIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE HELL. HILL SERVE. TIqC, (2) I ~'__:;-F'EI]:TIIEIf-~'__-] ARE [:EI]!!_II [:E[:, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTION. MINIMLIM DI'- - P - c,-,-- :,THN_.E BETWEEN A HELL AND ANY ON-SITE SEHAGE DI_,FUz, HL ~'"- , :,~TEtl IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVRTE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. HELL. LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF' THE HELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS RND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT ±: I AM FAMILIAR HITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MLINICIPALIT~' OF ANCHORAGE. 2: I HILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF ]'HE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. S I GNED: APPL I CRNT ALBERT BANDURSKI I SSLIE[:, BY_ /,..~,, ' TE___~ V4. 0 l'lUIq I I.~ I PFIL I TY OF ANL-;HORF:i()E OEP~RTNENT OF HEFlt..TH Alii, ENVIRONtiENTh'L PROTEOTION' blELL RNO 13N---g · TE SEI~4ER PERH · T L~TRH -8ROFt~HflTER HTS Y, PFIUL$ON ~;04- 80UN~RRY #~ 9950 t:i', IlR.~£PllLtI'I /,tiJNSER OF BEDRO01'5 = 3 ~OIL RRT£NG ¢~O THE REQUIRE(> ~ZE OF THE ~OIL RB$ORPTIO~J SYSTEM 1~: E:~EP TH--' 5 LENGTH~ 63 ~RRVEL DEPTH"" 2 :': THE.I'ENGTH D~HEN~ION IS THE-LENEiTH (Iii FEET~ OF THE TRENCH OR 'i..~, THE O~TH OF R TR~ OR PIT [5 T~ O[~T~=E 9~T~EEN THE SUR~ OF ~E ~, THE TRENCH P4 IDTH I S 5. ~SB FEET. '- THE GRRV~ ~TH [~ THE~NIN[I4UM DEPTH OF F~RV~ BE~EEN ~E ~TF~L' -;- RNO THE BOTTOM OF THE'-~E~CRVRT~ ~N FEET), ~__P~HIT~~NT H~5 THE_~ESP~SIBILI~ TO [NFORIf THJ'$ D~~r-OuR~ -': ['NST~LRTION [NS~CTIF~S ~ ~ t~L5 ~;ENF TO TH~$ p~oP~rM ~o THE ~.'~ NUMBER OF RE~ID~ES ~RT ~E WELL WILL S~VE :~ BflOKFILLI~ OF ~'~ $Y$-~E~ 14IT~r FIN~ ~N$~t~T~ON ~0 flPPROV~.BY~ '~'~ DEPRRTIdENT 14~LL BE ~UB]EOT r0 PROSECUTION, ':'~ :',.': .~ H[N~I~Ut~ O~TR~E FROM fl PR[VRTE ~LL TO fl PRIVATE ~E~R L[~ I$ ~ FEET ~ :~ TO R COMHUN[T'~ ~E~R L~ I~ 75 FEEr. ' ." b~L LOG~ RR~ RE~U~O' ~ r~sr ez RETURNEO TO THE OEPRRTH~Nr-W[rH~N ~0 OF THE I~L COMPLETION. O~ER REGU~REfIEt~T~ Pt~Y RPPLY, 5PEC[FItgRTION~ R~ P~ISTRUCTION OI~~ REE [ CERTIFM THRT ' '. FORTH 'BY THE-'~UNICIP~[T~ OF ~CHOR~ ~; [ WILL [NST~L THE SYSTEM ~N RCCOR~Rr~ NITH ~E CODES. -~: Z U~ER~T~D THRT ~E ON-SITE ~EIdER SYSTEM MRY RELqUI~ ENLRRGE~NT IF .T~'-~ ~PLIC~IT ~ec~r 8~URSK[ PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 ~ 5 6 7 8 10 11 12 13 14 15 16 17 18 19 2O SOl LS LOG MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L, Street, Anchorage, Alaska 99501 264-4720 1_26 . COMMENTS '~' 14.5 SLOPE SITE PLAN ENCOUNTERED?' L O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE _..~ TEST RUN BETWEEN FT AND ~ FT v / ~,-/- (minutes/inch) 0 0 0 0 0 0 0 0 0 0 0 ¢4 f'~: 09 O~ O.J~ C): O: o o o o o o o o o coR Z ~) 0 ) II'oRILLING CO. P.O, Box 42 CHUGIAK, ALASKA 99567 PHONE 688-3199 NAME ADDRESS CiTY LEGAL DESCRIPTION LEGAL OWNERS BANK OR LENDING INSTITUTIONS CURRENTLY HOLDING DEED OF TRI HOME PHONE WORK PHONE DESCRI'PTION OF WORK WELL NUMBER I DEPTH I PUMP MAKE HP I SETTING SERIAL NUMBER MODEL All charges shall be paid in full within AMOUNT DATE MATERIALS OUT AMOUNT ten days unless other arrangements are made prior to work. The customer shall pay Interest at the rate of two (2) percent per month on any amount not paid within ten days. Failure to pay may result in a lien against the property. THIS IS A RIGHT TO LIEN SAID P~O~ERTY DESCRIBED ABOVE CUSTOMER SIGNATURE lI MATERIALS (FROM ABOVE) OTHERCHARGES PAY THIS AMOUNT unicil ity } PO/ ~1 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264--4111 TONY KNOWI ES, MA Y()R DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION October 9, 1983 Mr. Albert Bandurski 7406 Skyline Drive Eagle. River, Alaska 99577 SUBJECT: Water Supply Well, Lot 5, Tract H, Broadwater Heights Subdivision Dear Mr. Bandurski: Pursuant to our recent telephone conversations, this will sum- marize the findings of our several on-site inspections of the water supply well located on your lot described as Lot 5, Tract H, Broadwater Heights Subdivision. On three different occasions, the first of which was prompted by a request for a Health Authority Approval for Financing, personnel from this office were dispatched to your lot to conduct inspections of tile on-site water and sewer facilities. During the first of these inspec- tions, it was determined (quite by accident) that water was entering the water supply well at an abnormally shallow depth. Subsequent inspections confirmed that the casing was perforated at an approximate depth of 12' below ground level, and the casing was set (in bedrock) at approximately 19' below ground level. Following these on-site inspections, you and the Jay Williams Drilling Company were advised that the Municipality of Anchorage, Department of Health, would not approve your well, and would require that the well be corrected by some accepted procedure for sealing off the perforated area located approximately 12' below ground level. We have subsequently received a copy of a well report from the Jay Williams Drilling Company indicating that a 4" plastic liner has been set from surface to a depth of 455', and was cemented in the interval of 10' to 19'. By a note affixed to the Health Authority Approval Certificate by Mr. Les Buchholz, dated August 16, 1983, it is indicated that an inspec- tion following the above described repair operation showed the repair operation to be satisfactory. Assuming that the well's productivity is at least 150 gallons per day per bedroom, the well now meets the Municipal Code. Very truly yours, RR/ej/D7 Robbie Robinson, Manager Environmental Health Division APPLI( N T, FILLS OUT UPPER HA', ONLY PropertyOwner ~,(' ~~~ Phone Mailing Address --~ ,-~ ~ -- '~' S~'5~Code Buyer Address Zip Code Lending Institution Phone Address Zip Code Realty Co. & Agent Phone Address Zip Code Street Location Ty?e o__~L.R~dence ~ Single Family '~....._.._~ [] Multiple Family No. of Bedrooms [] Other Water_~.s.~W L~lndivtdual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. [] Community For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sew_.er~-' I,,,~lndividual Year Individual Installed: [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspeqtl~ ( ) APPROVED BEDROOMS * *CONDITIONS OF APPROVAL Soils ~afln9 Date ~wer Installed Well T~Absorption Area W~ Lo~ ~eceived Well to Tank ~eptic T~k Size 72-023 (3 I&?.) Prcperty OWner Mailing Address Zip (]ode Phone Buyer Address Zip Code Lending Institution I Phone Address Zip Code Realty Co. & Agent Phone Address Zip Code Legal Description Street Location Type of Residence ]] Single Family ii Multiple Family No. of Bedrooms ! ] Other Water Supply [ ] Individual AT'tACH WELL LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to lhat dale, give well depth (attach log if availaPle). '_-! Public Utility Sewer Disposal i !i]] Individual Year hldividual Installed: .................................. I ! ! Public Utility VVhen Connected to Public Utility: .................................. i : 'i Holding 'rank I NOTE: THE INSPECTION FEE MUSf' ACCOblPANY EACII IqEQUESr BEFORE PROCESSING CAN BE INI'rlA'I ED. j MUNICIPAt..tTY OF ANCHORAGE ~ "~::NT OF ' ': "'' '"'' DE, A RTI'v'~ .... '-* ' .... ~,_I , ,?~ t::NVIRONM,~:: ,~TAL. P~-IOTECT~ON 825 L Street · ;~,nchorage, ' .... ' , e~epnone 284.4720 Mailing Address 2. Legal Description .- ' ' "" - 3. Type of Dwelling 4. Sewage Disposal b. Water Supply ~ :~¢ Single Family ' r' I /% Individual ~ Individual ~ . Muthple Famdy ~ ' Public Utility Public .~,'~] Other ] t4oldiqq'i'ank i'- ~ ' ~ ......................................................... ' ' , ~ Y ' ...... , RE)ROOMS RY' ...... /, ~.;.~ ~:o~, ~ ~ ~ t I [ [)ISAF'i:diQV/,L THIS APPROVAL NOT VALID