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Home My WebLink AboutBRUIN PARK FIRST ADDITION BLK 5 LT 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 NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ NO. OF BEDROO~S~ AbsorPtion area Dwelling PERMIT ~Z Manufacturer Q MatoriST~/ No. of compartments ~ ~ L'q. c~agal Ion': ~¢~FQME MA D E: Inside length I Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot li~ PERMIT NO. ~ DISTANCE TO: / ~_ No. of li~ ~ ~ ~-~ 0 Length ,f each I)ne~.~, l''M~aterialT~al lengthways ~beneath tile Trench w~dth~¢ inches Distance between lines ~ Top of til~ to finish grade~ ' ~ O Total e~c~e~s~%~rea ~ inches Length Width Depth PERM~ NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Welt Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS INSTALLER ~ ~ / ~: , ~ ~ ...... ~..,~ , ~ ., ~..,;./~.. , APPROVED DATE LEGAL 72-013 (Rev. 3/78) GPr 'TER ANCHORAGE AREA BORO"~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-251t N? 23 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS PHONE~ LEGAL DESCRIPTION DISTANCE FROM WELL LIQUID CAPACITY '~'/~'Y7 GALLONS. NUMBER OF / MATERIAL --'~'~-~--~--/---' COMPARTMENTS INSIDE LENGTH /~-' / / LIQUID INSIDE WIDTH ~' DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL~' ~) d'~- ~//~-~'/.,~ ~" / . NEAREST LOT LINE /'~" / DISTANCE TOTAL EFFECTIVE TILE DRAIN FIELD: WIDTH /~'/ / J / , LENGTH /:,~' , DEPTH ? .J BUILDING FOUNDATION /~-"- '/ (WALL AREA) 3~'~ SQ. FT. TOTAL LENGTH DISTANCE FROM W :OUNDATIOJ NEARE: OF LINES NUMBER __TRENCH WIDTH_ I1' EFFECTIVE ABS¢ AREA SQ. TOP OF TILE TO FINISH GRADE~ :PTH OF FILTER MAT)ERIAL BENEATH TILE IN. ABOVE TILE__ / WELL: Typ,~.~,~j/~,.~,~/~.~,~' DISTANCE FROM' / / WATER BUlLDINO FOUNDATION. jx~_)~ SAMPLE ~ , NEAREST LOT LINE /~:~ ! NEAREST SEEPAGE -/ ,~,...~ OTHER ~ SEWER SYSTEM /,~ CESSPOOL SOURCES ~ \ '/ DIAGRAM OF SYSTEM ; . ! .... ., . ~ DISTANCES: I. , ~,4.......-.~ f ~ ~ ~.~ ~/'~, ,i, ~ ~ GAAB-HD-I GP=~.TER ANCHORAGE AREA BOROI~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE~ ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DESCRIPTION PHONE SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY__ ! ~GALLONS. COMPARTMENTS SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE SEEPAGE PIT: I OUTSIDE DIAMETER D~STANCE FROM WELL "~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH J~ , DEPTH ~'), BUILDING FOUNDATION. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA FOUNDATION .DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE NEAREST LOT LINE TOTAL LENGTH OF LINES TRENCH WIDTH IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE. IN. ABOVE TILE__ WELL: TYPE "~ J~"l C'(".~PDEPTH ~'~'"'" LOT'.NE NEAREST SEPT.C SEWER LINE , TANK DISTANCE FROM ,~ 7 j WATER ,BUILDING FOUNDATION. . SAMPLE 70 ! SEEPAGE f~/ ~' NEAREST OTHER ~ SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE APPROVED~ PERMIT NO. DEPFIR'T'MENT HEBLTH BND ENVIRONMENTBL Y'FECTIOI'.~ 8;25 STREET, RNCHORRGE, BK. ,:~ 8±0879 ) RF)PL..ICBN'T LOCR'TION L. EGRL [:'[.',kiln LEMONS BO;:< t0-23]: BRLIIN PRRK LOT 23 BLK 5 BRUIN PI=IRK TYPE OF SOIL RE:SORPTION SYSTEM IS: TRENCH LOT SIZE 344 ::LZ::600 SQt..IRRE FEET MR',:':,'IMUM NUMBER OF' BEDROOMS = 4 SOIL RRTING (S~] FT?BF.:)= THE RE6]UIRED SIZE OF' THE SOIL RBSORPTION SYSTEM tS: 295 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR [:,RR!NFIELD. THE DEPTH OF' FI TRENCH OR PIT IS THE DISTFINCE BETHEEN THE SLfRF'RCE OF:' ]"HE GROUND RN[.'.', THE BOTTOM OF' THE EXCB'v'RTION ,:;IN FEET::,. THERE IS NO SET HIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETHEEN THE OLr'rFRL. L. PIPE FIND THE BOTTOM OF THE EXCR'v'RTION (IN FEET::,. PERMIT RPPLICRNT HI=IS THE RE:SPONSIBILITY TO INFORM THIS DE:PRRTMENT DURING 'THE INSTBLLFfTION INSPECTIONS OF 8N¥ HELLS RD.]'RCENT 'TO 'THIS PROPERTY F~ND ]'HE NUI'dBER OF RESIDENCES THFIT THE HE:LL HILL SERVE 8RCKF'ILLING OF' RNY SYSTEM HITHOUT FINBL INSPECTION RND RPPROMRL. BY THIS DEPRRTMENT 14ILL BE SUBJECT TO PROSECUTION. ,Mt'NIMUM [:,ISTFINCE BETWEEN A HELL RND RNY ON-SITE SEHRGE DISPOSAL SYSTEM IS t00 FEET FOR R PRIVRTE IqELL. OR ±50 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON 'THE TYPE OF PUBL. IC HELL.. MINIMUM DISTBNCE FROM R PRIVRTE HELL TO R PRIVRTE SEHER LINE IS 25 FEET RND TO R COMMUNITY SEHER LINE iS '75 FEET. OTHER RE6!UIREMENTS MRY FIF'PLY. SPEC:IFICRTIONS FIN[.'.', CON"STRUCTION [:,IFIGRFIh12; f:~Fi:E R',?RILRBLE 'TO INSURE PROPER INSTBLLRTION. I CERTIFY THRT ±: I Ftl',t FRMI!._IBR t.4ITH THE RE6!UIREMENTS FOR ON-SITE SEHERS Ri'.,ID HELLS RS SET FORTH BY THE MUNICIPFtLITY OF RNCHORRGE. 2: I HILL INSTRLL THE SYSTEM IN RCCOR[:,RNC:E HITH ]''HE CODES. 3: I UNDERSTRND THRT THE ON-SITE SEHER SYSTEM MRY REI]:IUIRE ENL. RRGEMENT IF THE RESI[:,ENCE IS REMODELE[:, TO INCLUDE MORE THRN 4 BEDROOMS. V4. 0 GAAB~HD.2 GREATE ANCHORAGE AREA )ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT LEGAL APPLICATION T0 INSTALL: SEPTIC TANK_ _, SEEPAGE PIT~ , DRAI - BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT TO I~STALL A DISTANCES: AS DESCRIBED BELOW. SIZE OF UNIT TO 8~ SERVED _~~__.;_~~_,.,,,._..,....~ · SEPTIC TANK SIZE L'/~'-~'~'2 TY-- -..-~ // ~ Vi: ~SEEPAGE AREA_ TYPE DIAGRAM OF SYSTEM HEALTH AUTHoRITy LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchora'~e Area Borqugh Ordinance No. 28-68 and that the above described syste/m/s in accordance with said code· /{,2~ ~/,.~/.g~ ~/~L)~P"' .~'c9/~ ~7~¢~---- a,n,-,,-2 ~ROUGH case No. ' GREATEL 327 Eagle St. · .NCHORAGE AREA HEALTH DEP.~RTMENT Anchorage, Alaska 99501 279.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS THIS IS TO SERVE AS LOCATION OF INSTALLATION SEEPAGE PIT. ~'~ , DRAIN FIELD ,OTHER TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION. ~----~ ,PERMIT TO INSTALL A DISTANCES: AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED · SEPTIC TANK SIZE ~'/~ TYPE ~ ~ ~°O-~/ SEEPAGE AREA TYPE ~ DIAGRAM OF SYSTEM 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 in accordance with said code. / / ¢/ DATE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST "-~ SOILS LOG '~ PERCOLATION TEST PERFORMED FOR: I~'~.~,, ~_..¢,~L LJ~W~ ~ DATE PERFORMED= q-~_,~ r ~ 1 5 --"-'- 9 10 11 12 13 14 15 16 17 18 19 2O LEGAL DESCRIPTION: ~.. (~'~'~" COMMENTS ~.,~TC ~_ ¢~ SLOPE SITE PLAN WAS GROUND WATER ~) (~ IS. ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop ~_ ~ // ~ : II /0 ,~ PERCOLATION RATE ~f_fo ' (minutes/inch) TEST RUN BETWEEN ~ FT AND CERTIFIED BY: 72-008 (6/79) CASE This F'o~m Reports at 5o.~]~ De,gt h , . I.,oc:at ion Sketch w/ia ,~ h,~ Srr, ~d ~o~,r'se sa~d..~'~ Was G~ound Water Encountez'ed?__~~, Der)th To }{o!'.)-- 1 Net Drop .... --- .... ~ ~.e ~.d Frcoosect ins.~:al~~;eepage Pit , ~~'; ~n' Pit r~,., '?~ench~.. ' ' , beptn to Bc,,.tom .i '~,. . 9ei:>t:b Of In'let ~~_. :_~_~.. _ ..0, ,:'1EI~. ,> · ' ' / -- ' · / APPLll, fiT FILLS OUT UPPER HA; ')NLY Property Owner ,/~-~///',,~ Z, c.~ ~Z,~, //,]~/,~Z .,~,~.,/;/.,~...p,,,,~._~ Phone Buyer Address ~ ~~ Zip Code Lending Institution Phone Address ~//~/~[~ Zip Code Address~-'-'-'-' ~ /~/~.~//~ Zip Code Typo of ~ Single Family ~Multlple Family No. of Bedroo~ '~ Other Water Supply ~lndividual A~ACH WELL LOG. A w~l 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 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 ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: - .~ ' ,,' ; MUNICIPALITY OF ANCHORAGE --. '- :"RECEiVED ( APPROVED BEDROOMS ~- ~ ..... /CONDITIO~I8 OF APPROVAL ( ) CONDITIONAL APPROVAL* Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (3182) ALASKA eI dlROFImeEITAL COIhTROL SeRUICe$, IBC. Enqinee~inq f~ I~nui~onrnentol Studies September 30, 1983 Department of Health & Environmental Protection 825 L. Street Anchorage, Alaska 99501 Attn: Robbia Robinson Dear Mr. Robinson: Our office was contacted on September 27, 1983 by Edward Lemons, owner of property in Bruin Park Subdivision Block 5 Lot 23, to do a Health Authority. A bacteriological analysis was done on a water sample and the results are satisfactory. The well casing stands 2' above the ground and has a sanitary seal. The wires are in a metal casing. The septic system is approximately 130' from the well and all existing neighboring septic systems are isolated by over a 100' distance. There is a clean out to an abandoned septic system 80 feet from the well. All standpipes are capped. The house is being sold as a single family dwelling and meets the health requirement for a single family dwelling. Sincerely, Laura Ogar Sanitarian Approved by: 1200 LUest 33rd Auenue, Suite ~., Anchoraqe, Alaska 99503 · {907) 276-1361 Municipality of Anchorage POUCH 6-65O ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ APPL! \NT FILLS OUT UPPER HA '~: ONLY Prop'rtY Own~;r ~ , ~0 ~,5 Phone Lending Institution ~~ Phone Address ~~~ ~ ~ Zip Code Legal Description ~ ~ ~00~ StreetLocat,. I f~~) ~}: ~ ~e~e d~ T~f Resi~nce No. of Bedroo~ ~ - Water Supply , . ~individual~ ~ . A~ACH WELL LOG. A w~l 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). ~lndividual Year Indiv~ual Installed: ~ Public Utility When Connected t~ Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Date Date Date Date Inspector Inspector Inspector Inspector ~A'( RECEIVED ( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received j ~- ~ ~ Well to Tank Septic Tank Size 72.023 (3/82) MunicipM t ,f. Pt_ OH 6~650. ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 ~()NY KN()W~ £,$', &'U~ Y (.) i ? hO DEPAF:ITMENT OF HEALTH AND ENVtRONMENEAL PROFECTION '~-~--~ ~a~8, L983 ~ .... / Subject: Lot 23 Block 5 Bruin Park Subdivision Approval for your sewer and water facilities cannot be granted until the following items have been corrected: (1) The three(3) wells on the northeast corner of the white house have not been sealed and the wiring put in conduit. / / (2) " (3) (4) The well or wells that are abandoned should have the casing cut off at ground level and filled with cement. ~ ~ ~ .~ There is one cleanout to the white house, t~w~~ be determined what this cleanout serves. If it is a leaching area, it is too close to the three(3) wells and will need to be abandoned and a new system installed. A permit must be issued by this department prior to the upgrade. The sewer system serving the log cabin was approved in 1981 for a four(4) bedroom. Your application request is for a six(6) bedroom. The septic tank will need to be enlarged by 500 gallons. Prior to the upgrade a permit will need to be issued by this department. (5) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private engineers performing the test is enclosed. This report needs to be submitted to this office for our review. Ed Lemons May 18, 1983 Page Two If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw DATE RECEIVED~ '"' ''~ ~ INSPECTION APPOINTMENTS Th'91E TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITy OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~ DEPT, OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONM~,fi'AL PROTECTION ENVIRONMENTAL SANITATION DIVISION OCT 1 3 1981 Telephone 264-4720 REQU EST FOR APPROVAL OF INDIVIDUAL WATER AND SEWEI~I~-A~i~i~t-~ D DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER j PHONE PROPERTY RESIDENT (If different from above) '~- PHONE 2. BUYER -- PHONE MAILING ADDRESS 3. LENDING INSTITUTION I PHONE I MAI LING ADDR ESS 4. REALTOR/AGENT ~/~/ I PHONE MAI LING ADDI:~4[SS - 5. LEGAL DESCRIPTION STREET LOCATION l, 6. TYPE OF RESIDENCE [] SINGLE FAMILY MULTIPLE FAMILY 7. WATER SUPPLY ' INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM NUMBER OF~BEDROOMS [] One [] Four [] Other [] Two [] Five Three [] Six 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,) INDIVIDUAL/ON-SITE** PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ~'~*~c.~, g2~_. . ~ ' :/"~"~:" ' "~ THIS SIDE FOR OFFICIAL ~JSE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] TWO NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE [~] PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS Septic/Holding Tank IAbsorption Area lSewer Line Nearest Lot Line CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE 72-010 (Rev. 6/79) ALASKA ENVIRONMENTAL CONTROL SERVICF INC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 276.1361 JOB SHEET NO. CALCULATED BY CHECKED BY DATE Z DATE SCALE Sept. 18, 1970 Mr. Robert Navrot Star Rt. A, Box 1779X ANchorage, Alaska 99502 SUBJECT: Sewer System for Lot 23, Block Bruin Park Subdivision #1 ~ear b~. Navrot: The soil test for the subject lot indicates that 250 square feet of seepage area per bedroom is needed for the sewer sys- tem. For a four bedroom house this would mean a total effective absorption area of 1000 square feet needed. Our records indicate that the sewer sysgem installed by your on- September 9, 1970 has a total effective obsorption' area-of 336 square feet. This is a deficiencg' of' 664 square fee~t. The seepage system should bg, enlarged to coincide with the findings of the soil test. Your cooperation in this matter would be ~preciated. Sincerely, CLIFFORO P. JUD£INS, R.S. ~ninistrative Director John R' ~, R.S.' Sanitarian ,~IL1ECT: Lot 25, !{lc~k 5, Bruin ;'ark Subdivision #1, t'~ater '3uPt)ly t~ar b~r. £inton: iqr. :~avrot h;,$ brou.~iat to our attentioa th~ fact that th~ 0iit~c~ nee~ ~or compli~)ce ~ould be i~eividual dtstalcl~s, i.e., SO' fra, septic t~s, lOo' frou: seei a;.~- pits w~ld imve no trouble cc.~,,~ly~n_i with. ~.~hila this i,~ould be an exi~msive alternativc for ~;-r. ;~avrot c~ld arant approval for his p~posal. :-~J.nccroly ~ BY: Jam ~'d' Lee, .R.:~. Sanitarian JRL:n~ cc: Robert