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Home My WebLink AboutBRUIN PARK FIRST ADDITION BLK 5 LT 22111 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 NAME IPHONE [] NEW Pk', Iii' o .sso MAILIN6 ADDR~s~ LEGAL DESCRIPTION LOCATION NO. OF BEDROOM8 ]Well I AbsorPtion area Dwelling_/¢~, PERMIT NO. DISTANCE TO: ~ ~ /oo -- ~3 o~ Material No. of compartments Manufacturer ~o~[~_~ ~ ~/~ Liq. capacity in gallons Inside length Width Liquid depth ~//~ IF HOMEMADE: / Well Dwelling PERMIT NO. ~ ~ DISTANCE TO: ~ Z O Z ~ Manufacturer Material Liquid capacity in gallons Q Well Foundation Nearest lot line PERMIT NO. ~ = DISTANCE TO: ~ No. of lines Length of eac~in% / Total length of lines Trench width Distance between lines ~ ~ Z ~ ~ ~1~ ~aterial inches ~ ~ Top of tile to finish grade beneath tile Total effective absorption area ~ inches Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Cla~, ~ Depth Driller Distance to lot tine PERMIT NO_ i, ~ ~ ~' r ~Dso ption~'area(s) ~ Building foundation Sewer line / Septic tank ~ ~ DISTANCE TO: ~ >1 O ~' ~ OTHER PIPE MATERIALS SOIk TfiST ~ATI~G INSTALLER REMARK8 , ,- , APPROVED DATE LEGAL 72-013 (Rev. 3/78) OAAB-HD-I Gi" TER ANCHORAGE AREA BOROI' ~1 D~..~RTMENT OF ENVIFIONMENTAL QUALI,. 3.~00 TUDOR FiOAD ANCHORAGE, ALASKA ggs07 27g-8586 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY GALLONS. ~ NUMBER OF ~ MATERIAL COMPARTMENTS ~ ~ LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: LINING MATERIAL. DISTANCE / , BUILDING FOUNDATION NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA). SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL /~') /~'~FOUNDATION ~/'~-) /~'"' , NEAREST LOT LINE NUMBER OF LINES ~-~ DISTANCE BETWEEN LINES /"~'"~' TRENCH WIDTH ABSORPTION AREA ~'~--~ ~ DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGT~ _ ' ~"-~ OF LINES ~r- '~ IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ,/~-~,/~'~'/~¢~'~/J;'~ ~'~:~ / / (~'2 '~'~-~ //~"2 ~'~---/- ~- DEPTH OF FILTER MATERIAL BENEATH TILE ~ IN. ABOVE TILE WELL: LOT LINE TYPE ~'"~'-~-~-'-~ DEPTH ~/'~"~'~', ~ NEAREST ~,,,~,SEPTIC SEWER LINE , TANK DISTANCE FROM WATER BUILDING FOUNDATION.. ~'~ SAMPLE ,,,r~/~__,,/.,~-' ~.~ ~",/.~ SEEPAGE ,' . SYSTEM. //~-~'-) ~'-~ CESSPOOL. NEAREST OTHER , SOURCES~ DISTANCES: DIAGRAM OF SYSTEM DATE G.A.A.B. LOcation: Legal Description: t-~k ~ · 1 D- '~ 5 Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: ~j MUNICIPALITY OF ANCHORAGE Department f Health and Environmenta? Protection 825 Street, Anchorage, AK. 3501 264-4720 ~ * ~ HANDWRITTEN PERMIT ~ ~ ~ ~ ON-SITE SEWER PERMIT ~- ~ti%~ Mailing Address: Phone Number: %~[ Lot Size: Seepage Bed: Holding Tank: Soil Rating (sq.ft/br) DEPTH The Required Size of the Soil Absorption System Is: LENGTH -- GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). ~ ~ REQUIRED SEPTIC(H~) TANK SIZE = Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of~residences that the well will serve. ~ ~ ~ TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by. this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of' public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. ~ ~ ~ PERMIT EXPIRES DECEMBER ~1~ 1 9 $ 3 ~ I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the sy'stem in accordance with codes. · (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that~z~pdrooms. Signe~: ~pp~~~/~~ - Issued by: ~ ~~. ~~~ - ~ Date: ~//~/~ GrE:a~-er ANCHORAGE Area Bor~.ugH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALABKA 995102 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT LEGAL DEBCRIPT,ON INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH BOIL TEST RESULTS COMPLETION DATE ANTICIPATED PHONE SEEPAGE PIT ~ , DRAIN FIELD/./ , OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST r FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. BEPTIC TANK StZEgt ,~ ~ - /~/~-~.~tYPe REQUIREMENTS FOUNDATION TO BEPTIC TANK ~ ~ SEPTIC TANK E / 20' , ~EePAGE PIT ,, DRAIN FIELD TO NEAREST LOT LINE. ~ WELL TO SEPTIC TANK ~/ DRAIN FIELD ~ SEEPAGE PIT ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK Drain FIELD SEPTIC TANK, ~ ~' , BEEPAGE Pit TO RIVER, LAKE, STREAM. SEEPAGE PIT I00t , DRAIN FIELD CAST IRON INTO AND OUT Of S£PTIE TANK AND INTO CRIB CROSBING GAP OF F~XCAVATION S FEET INTO UNDISTURBED SOIL. 4~INCH DIAMETER CAST RON SIPHON PIPES ON BEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTight REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INBTALLATION. ~~ HEALTH\ ~~THORl T4 LICENSED DEB]GNER DIAGRAM OF SYSTEM I CERTIFY That I AM FAMILIAR With THE REQUIREMENTB OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRI/~SYSTEMIBINACCORDANCEWITHBAIDCODE, Vi.~/~_' ~E~_ ~~. APPLIC NT FILLS OUT UPPER HAL' ONLY - .. ,.. ~ .~ Phone Buyer Address Zip Code Lending Institution Phone Address Zip Code Realty Co. & A~nt Phone Address Zip Code Legal Description j. d) ~ .~ / ~ ~ ~ ~ ..~ /~~,~ ~)~j/~/~ Street Locatlm J [ '~ ~ (~ ~ /[_ L ~x~ ~ Type of Resi~nce ~lngle Family ~ Multiple Family No. of Bedroo~~ ~ Other Water Supply ~lndividual / ~ ~ ~ ~ (',./~: ~.ff_ 4~ ~.::,;~?,1/ A~ACH WELL LOG. A w~l Icg ts required for all wells drilled since June 1975. ~ Community .... For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility .."~,.~,, ~ Sewer Disposal ~lndividual Year Individual Installed: ~ Public Utility 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 Notes: _. /~' ~/' Field ~ ~./~ ,.. MUNICIPALITY OF ANCHOEAGE "~~ '~ DEPT. Of: HEALTH & ( ~....ow~ ~.oo~ 'oo.~,m,o.~ o~ ....ow~ Soils Rating Date ~w~lnstalled Well To Absorption Area Well Log Received ~ ~' ~ Well to Tank Septic T~k Size ~[~1 P~ 72-023 (3182) NAME. PHONE. DESCRIPTION AMOUNT SEPTIC TANK CESSPOOL I~ 328 ~Eace CHEMICAL & GAoLOGICAL LABORATORIES u,F ALASKA, INC~ TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER · / 5633 B Street .-~- Drinking Water Analysis Report for Total Coliform Bacteria _ TO BE COMPLETED ~Y WATER SUPPLIER TO,BE COMPLETED BY LABORATORY WATER SYSTEM: Water System Name Mailing Address State City SAMPLE DATE: SAMPLE TYPE: D Routine Mo. Day _ [] Check Sample (for routineoample) with lab ref. no. [] Special Purpose Year SAMPLE NO. 1 2 3 4 5 LOCATION Phone No. Zip Code Analysis shows this Water SAMPLE to be: ~'~tisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send flew sample. Date Received . Tl~.e Received ///~ Analytical Method: [] Fermentation Tube ~ Membrane Filter Lab Ref. NO. Result* Analyst ~/bf colonies/lO0 mi: ~ ~ :of Positi~e~pOrtions. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Rev. 1978 Data Collected ~ourca Oltl RICIIvI<I , Time Receiver p,m, Lab. No. Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mi 0.1mi 24 Hours : 48 Hours C, onflrmatory ,, 24 Hours : 48 Hour~ EMB. Broth 24 hours: ~ultlple Tube Report: IV~I, mbrane Filter: Direct CObnt ~/ilrlflcatlon: I_TB Final Membrapo~l~ll~;;tor RIlultI Broth 48 hours: 10mi Tubes Positive/Total 10mi Portlofls ~'~., . CO,~r.,/:O0,.I Time,. ~//If~ ~:~ C)' a.m. p.m. ISAACS PUMPING SERVICE (Norm Tibbetts, Owner) 6218 Quinhagak Street ANCHORAGE, ALASKA 99507 Phone 344-0114 RECEIVED BY 5214 All claims and returned goods MUI be accompanied by this bill, PRODUCT 609~ Inc,, Sr~on, t~ss. 0147], ALASKA I F1UIROFImI FITAL COFITROL $1 RUICi $, IFIC. ~nclineerino, 6 ~nuironmental Studies JUNE 27 1983 PHIL RUSSO P.O. BOX 6441 AK 99502 SELLER - PHIL RUSSO BUYER- SUBD IV IS ION-BRU IN PARK BLOCK-5 LOT-22 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 7/1/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 500 GALLONR FOR THIS HOUSE OF -~-- OI~ Xl ~ ~ f..........C4 I~ ~..' ~ .~'~ ,~ '*;~?.~ .o. ~.~ ...'~ 500 GALLONS IS INADEQUATE BY 3 BEDROOMS. 1200 LUest 33rd Auenue, Suite B · Anchoret]e, Alaska 99503 · (907) 276-1361 February 1, 1971 Mrs. i~ary L. Morrison P.O. Box 4-1758 Ant borage, Alaska 99503 SUBJECT: Sewer and Water Systems for Lots 21 ~ 22, Block Bruin Park Subdivision Dear Mrs. ~rrison: As per our letter dated October 2, 1970, the sewer system for the subject lots was installed in 1969 without a per, it or final approval from this ~epartment. Prior to construction, of any on-site sewer system within the 8orough, a permit must be obtained from this Department and the sewer system inspected prior to backfill. Since these requirements were itnored, the present sewer system must be upgraded to meet Borough standards. Because you have a rental unit, semi-public well protective radii must be met. ~is work must con~mence prior to June 1, 1971 and a permit must be obtained from this Department before the Job is started. Your cooperation in these matters is requested. Please notify this Department for any questions you might have. Sincerely, John R. Lee, Sanitarian rn bm HECEIPT FOIl CEHTIFIED MAIL~20~ STREET AND NO.~/'% -- CITY, STATE, AND ZIP CODE EXTRA SERVICES FOR ADOITIONAL FEES Return Receipt Del/vet to Shows to whom Shows to whozll, Addressee Only and when when, and where delzvered de//vered ~ 50~ fee POD Form 3800 NO INSURANCE COVERAGE PROVIDED-- See other s/de) Nov. 1964 NOT FOR INTERNATIONAL MAIL Oct. 2, 1970 m. lqtry L. P.O. Box 4-1738 ~chorage, Alaska 99~05 $~~ ~r md t~t~r S~scem far Lots 21 g 22. Block Sru!n P~ ~~im ~ ! and ~ s~r sys~ ~C~d p~or to b~:~til, ~";5ia~so instal~ti~ ~sis~d of~ dist~s~ etc. At ~t ti~ ~ ~ ~~ w~at m~s ~t ~ t~en to ~i~ this sit- Your cooperation in ~ nmtters is tgqu~sted. Sino~ly, C~IFFORD P. JUDKINS, R.$. Adainistratiw Director Sanitarian Complainant' s Name: Street Address: NUISANCE COMPLAINT FORM Phone No~.~ _~ ox No. .Description of Complaint: .,,f~,~ ~,,n-,/J. _~' ~~ ~L/.~ Name of Person Against Whom Complaint is Made: Owner's Address: Phone No.~//~//~ Street Address: Person Receiving Complaint:~_ ~~, , I certify that such statement ~f fac~s is' true to the best of my belief and know- ledge. I request that the fomegoing matter be investigated and that appropriate action thereafter be taken. I am willing to testify to the facts stated in the foregoing complaint in court if necessary. Complainant REPORT OF ACTION TAKEN Tn~s~ igatom: '~ate Investigated:, ~ ,ction Taken; COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT: