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HomeMy WebLinkAboutSPANISH HILLS LT 2
MUNICIPALITY OF ANCHORAGE
DE ITMENT OF HEALTH AND HUMAN SER\ -"S
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEI~ AND/OR WELL INSPECTION REPORT
No el Bedrooms
I
Townshq), Range, Section
TANK8
D/7 ! .g t 0
DISTANCES
SEPTIC ABSORPTION
TANK FIELO WELL
WELL / ~ O j~, ~
LOT LINE '70 "~ '~" ~. ~
FOUNDATION a~. 0 . j /'7/0 5~5
AS-BUILT DIAGRAM (Show iocahon o] well, septlo system, property hnes, foundahon,
SEPTIC [.] HOLDING
f
TYPE OF SYSTEM
'['~TRENCH [] BED [] W. DRAIN [] OTHER
SO FT
Number oi hnes Sod raImg
SO FT
Date Ir slalled ,
WELLS
[] OTHER (Identify)
......... j q 0181 []eplh
J Cased lo
FT FT
REMARKS:
Scale: J ,.~'~' ENGinEER'S SEAL
J Ins[).ochor]s Performed by: .,,;: % ' ('~lJ ,¢g ,~ ::, ,
I ~ ~~~ codify thai ti, is inspeclion was pedorllled according lo all': "~ [io.. 22 '; ~ [ "
~ '4~ -"'L".: ·. . ,',':"-
72-013 (3/85)
[L/i'~£~ DI]ILLING, Inc.
P,O, Box 110378 e 10330 Old Seward Highway
(907) 3,t9-8535
ANCHORAGE, ALASKA 99511
87-169
DtilLLING LOG
Well Owner _~iOJ3!e Eq.u.i tv Use of Well Domes tic
Location (address of: Township, Range, Section, if known; or distance main road
L~_t__2_ Block 1 Soanish Eills Subdivision
Size of casing
Static water level
Screen (
6" Depth of Hole_ 350' feet Cased to 304 ' feet
265 ' ft. (aJ~g~e) (below) land surface. Finish of well (check one) open end ( );
); Perforated (XXX). Original csg broke ~ 212'. 4" steel liner insca~
Describe screen or pcrforation..fror& 180' to 345' - perfd (torch slots) 305-345'
Well pumping test at_~3 gallo~'_,s pet' ~.~RW) (minute) for 17 hours with *** ft.
of drawdown from static level.
***Could not measure pumping level, bu.t
Date of completion 1 _Se_?.ter,_kb_er.__~98__Z.7 had not dra~m down to pump intake.
WL~LL LOG
Depth in feet frorn
ground surface
Give details of formations penetrated, size of material, color and
0 fie 103
103 TO 111
l!l TO 143
]43 TO 204
20~ TO 250
Existing well
Water bearing gravel --1 GPM
Brown silty gravel -- wet
Brown silty gravel
__~E-~O~_~ravelly hardpan
DEPT. OF HE~,~. ~
RECEIVr t)
?_50 TO 275
275 TO__Z95
Gray_gravelly harman
_B~iox:~_grav~j~ly'h_ardpan
29.5 TO ~P8
30~ TO 353.
__TO
Brown cemented gravel ~- waterbearing -- 1 GFM ~ 304'
Brovm cemented gravel -- waterbearing -- 5 GPM el 350'
TO
TO
.TO
.TO
.TO
NWWA Certified Contractor
Certificate No's. 814 & 973
1 -- CUSTOMER
()
4
!1. ,, /
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
(ENGINEER'S SEAL)
· ":':
825 "L" Street, Anchorage, Alaska 99502-0650 '
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
LEGAL DESCRIPTION:
WAS GROUND WATER
ENCOUNTERED?
5
6
7
8
9-
10
11
12
13
14
15
16
17
18
19
2O
SLOPE SITE PI. AN
IF YES, AT WHAT
DEPTH?
DeBth lo Wa(er Afler ~O
MDnitorin§? Bale:
I-
N
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE ~"*"~ (m,nutes/,nch) PERC HOLE DIAMETER ~ ~/
PERFORMED BY: ~ ~ ' ~, ~. CERTI~?~;;IS TEST WAS PERFORMED I"
I ALLSTATEANDMUNICIPALGU DELNES N EFFECT ON THIS DATE DATE / ~/, /~¢¢
CONSULTING ENGINEER
?03W 15thAVE"C' SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE:{907) 279-3916
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O.BOX 6-6650
ANCHORAGE, ALASKA 99502-0650
MAY 27, 1987
Subject: Ground Water Monitoring
Lot 2, Spanish Hills
Gentlemen;
Because a substantial amount of water was observed in the sump of
the drainfield located on subject lot, a test hole was drilled
and a monitoring tube installed on on May 11,1987. Total depth
of testhole was 15 feet. Ground water was not encountered during
drilling, nor was any water observed on May 18, 1987, seven days
after installation.
Yours ~"~
<_... ,,-R ANCHORAGE AREA BORL ..GH
/ GREA
It ~,,, <~, Department of Environmental Quality
...... 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME~"~'I (-~-- \/~JR ,'c~LjC MAILING ADDRESS~~'>~'~' '~c:s~ ~::~ ,~'~ A PHONE
LOCATION
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH_--
INSIDE WIDTH ~ LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY J ~$'OGALLONS
TILE DRAIN FIELD: I ~ TOTAL LENGTH ~_3~.0 /
DISTANCE FROM WELL _J0o~l~"~ F~OUNDATiON q O NEAREST LOT LINE_ JO OF LINES
NUMBER OF LINES I DISTANCE BETWEEN LINES _ J'J/~' TRENCH WIDTH'~/~. IN. TOTAL EFFECTIVE
ABSORPTION AREA fl L-~ (.j2 SQ. FT. LENGTH OF EACH LINE ?-) ("¢;> '
DEPTH OF FILTER
DEPTI4: TOP OF TILE TO FINISH GRADE q MATERIAL BENEATH TILE ~(¢ IN. ABOVE TILE. ~ IN.
WELL:
BUILDING
FOUNDATION--
CESSPOOL -
APPROVED
CONSTRUCTION
NEAREST NEAREST
LOT LINE_--, SEWER LINE__
OTHER SOURCES
DISAPPROVED REMARKS
DEPTH _
SEPTIC SEEPAGE
TANK--, SYSTEM_
DISTANCE FROM:
DISTANCe__
INSTALLED BY:(~?~')~- --
SEWER LINE DEPTH:
LOT SLOPE:
DIAGRAM OF SYSTEM
DAT,~Th~]~_ App R OV ED ___C4~_
G.A.A.B.
Form LQ-032
'l't"~l:!:: I.. liii:l',IGTI.'~ I::, ): !"!l::l'-,!:i: ]: i::)i'-.!, :!: 15 TH!:: I_.ii'~N('}iTH
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diF~:Ol..ll'41::, I::~N[::, !"1'41::: I~OT'i"OH O1::: Tiff: I:',:.~',CI:IUFI"I':i:Ot'.,I
T'I"]I: Gi:;~:FI',,,'I'~:I i)Ei!:::'"t'H '[ :~5 TI'"tI~: I"! ): H :!: HUH i::,l~:l:::'TII
F~NI::, T'I'"II~: E',OTTOH OF' 'fl'"l~: I:i:':/CF:I',,,'FI'f' :i: ON ,::
i:~::I:"I"t'Ii:F: FI C:I...FI:5::~; :[ OFf. :!: :i: l",i:~;i':' I::t]:'F'I4~:O',,,'I:~:I::, F:'I..I:::IHT
:i:
:1.:
F'OI:;i:'i'!.
;::: :I: i.'.l :!: ]..J... :!: l'.,l:~i;"l'(':ll._!. 'I'HI:!: ::!!;"d:-!;'t"l:H :!: t"4 FiCC(:~i::~:t:::,Fli",tt:::F: !,.I :I~ 'i"H -I'l-"l!i!: :::::::::::::::::::::::::
::!i:: ): UI.,Ii::,I::i';i'.t::!;'i"I::IN[::, THI:':I'I" TI'II!!: OI",I'"'::i; :!: TI:::: i!:!;I:I.,.iF:i',;: :i;U::;"f'!::H i'[l'::l"~" id:)::!I..i:[Fi:F!: !!!::NJ ,~::ll:R(::~l:i:i'ii:::l;4'!' :i:F' Till!!:
F?.ti:::!;
:i:; _( Gl",i~:l::, ' ........ ': .....................................................
FIF'I:;:'!... :i: CI::Ii",I']' I:~'::t<: [.,!F~: ~il'l't'
Log o;t.' l~ate~..iai, s
2!-- 6 t o p s o i !
7~26 gravei
2',/.~49
5().~U8 grayJ, r~h c];:~,y ;md sl,'ia~ I. ~a~,oun'l; 02' water
89--5)7 brownish cla, y and
97.-105 'b~oken :~:'ock~ water
MUNICIPALITY OF ANCHORAGE ~ /
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
Appiication Date
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
/
(b) Property Owner ~O~ .~lTy Telephone:
Mailing Address ~ 7t~ ~'~'-
(c) Lending Institution
I-AN
Home
Telephone
Business
Mailing Address
(d) Real Estate Company and Agent 7m,~ 1~4/"/~ C//~/', ~'
Address ~¢J.O I "C" ~ ~
Telephone ~ ~" ~" ~
(e) Mail the HAA to the followina address: or: Check here~, if hold for pick up.
List contact person and day phone number below.
TYPE OF RESIDENCE
Single-Family ~
Number of Bedrooms
WATER SUPPLY
Individual Well~' Communityr-I Publicr-I
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite ~/ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 fRev 8/861 Front
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.§
MUNICIPALITY OF ANCHORAGE (MOA)
..... c)~'/,,h~',' h .... ,. (I~IEALTH~ AUTHORITY APPROVAL (HAA)
~'~\c~?.~i~t '.;~:;/~ ': "~ ~'"' ..... CHECKLIST-FEBRUARY 1984
~.M~ V,~O~¢~ 264-4720
WELL DATA
Well Classification
Well Log Present (Y/N)
Total Depth ~,.~- C)
Static Water Level
';' /,2"
Legal Description:
5--_-~ ¢.6,
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
If A, B, C, D.E.C. Approved (Y/N) t"///,~
Date Completed q//*/¢¢ '~ Yield
Depth of Grouting
Pump Set At ~o T'FO
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
I O,~ ; On Adjoining Lots
I 2,. ~// ; On Adjoining Lots
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
N 12 1'4 ~. To Nearest Public Sewer
NI.O IQ ~. To Nearest Sewer Service Line on Lot ~ ! '~
B. SEPTIC/HOLDING TANK DATA
Date Installed /7 "7
Standpipes (Y/N) O/'¢¢.,--
Depression over Tank (Y/N)
To Water-Supply Well
To Property Line
To Water Main/Service Line
Course
Size /~'~(~) No, of Compartments
Air-tight Caps (Y/N) _
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
Foundation Cleanout (Y/N)
Date Last Pumped ~/z./~
~////"~-- ; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation f
To Disposal Field / L~
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed 7/7 ~
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot /~/62/~//::~
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ,~
To Cutbank (if present)
Comments
L,FT STA.,O. NO
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request
I certify that I have checked, verifieC~or conformed to ail MOA and HAA guidelines in effect on the date of this inspection.
Signed .~,~ Date
Company / MOA No.
Receipt No. /O
Date of Payment
Amount:
$
Page 2 of 2
72-026 (11/84)
Engineer's Seal
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF iNSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
'
GENERAL INFORMATION /MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) PropeHyOwner ~O~ ~u~T~ Telephone: Home Business
Mailing Address ~,
(c) Lending Institution Telephone
Mailing Address
(d) Real Estate Company and Agent
(e)
Address
Telephone
Mail the HAA to the followina address: or: Check here~.~ if hold for pick up.
List contact person and day phone number below.
TYPE OF RESIDENCE
Single-Family, S,,
Number of Bedrooms
WATER SUPPLY
~ Community [] Public []
Individual
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
/
Onsite/~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2
72-025 IRev 8/flRI F/onl
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leUOiSSe~o~d aLI~ U! SUO~SS~UJO ~o SJO~a ~o~ elq!suodse~ ~ou s! aSe~oq3uv ¢o/~!led!olun~ @q_L 'penss! s! eleoil!pe3 e a~o~eq
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iVlUNIcIPALt~y OF q ~
A. WELL DATA
0 Pd P-A
Well Classification p
Well Log Present (Y/N). ,/N/'
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4744
·
If A, B, C, D.E~C. Approved (Y/N) .
Total Depth ?~ ,~¢ .~,) Cased to
Static Water Level ,.-~
Casing Height Above Ground _
Electrical Wiring in Conduit (Y/N) .
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by _
Water Sample Test Results
Com ?
Depth of Grouting ~'~ O~',,¢ 1'~.
Pump Set At /.-gO 7- ~'-© ~/-~
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N) _
; On Adjoining Lots
/-// ; On Adjoining Lots
To Nearest Public Sewer
Nearest Sewer Service Line on
B. SEPTIC/HOLDING TANK DATA
Date Installed '~/~
Standpipes (Y/N)
Depression over Tank (Y/N)
Size /~-- ~0 No. of Compartments
Air-tight Caps (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) J~///-N
Separation Distances from Septic/Holding Tank:
To Water-Supply Well [O ~
To Property Line ,~-~ P
Foundation Oleanout .(Y/N)
Date Last Pumped ~'//~-/~'- 7
¢/^ ; for
Temporary Holding Tank Permit (Y/N)
To Water Main/Service Line
Course
To Building Foundation _ ~F
To Disposal Field / ~)
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72 026 fRev 8/861 Front
C. ABSORPTION FIELD DATA
Strata
Soils Rating in Ab~,rption
Date Installed _ '7//'p?
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well /,¢~' V
To Building Foundation /2/~'~
To Water Main/Service Line 0/0
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field ,.~,~
/
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adeq_~uacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ,~ 7'I'~
To Cutbank (if present)
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verifieCgor conformed to all MOA at~d HAA guidelines in effect on the date of this inspection.
Signed . 06-[~e.~/ Date
Company MOA No.
Receipt NO, _ /'/~
Date of Payment
Amount: $
Page 2 of 2
72-026 (Rev 8/86~ Back
Engineer's Seal
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALIH
DEPAFS£MENT OF HI/~i,TH AND ENVIRONMENTAL PROTECTION
APPLIC~VI'ICN FOR [-]?~AL'IH AUTHORITY APPROVAl, CEK~rlFICATE
1, G~F~eual In:forw~tion Application Date
(a) Legal Description (inclu¢~ lot, blcck, subdivisicn, section, township, range)
Locaticn (ad,ess or directions)
(c) eplicant is (check o~)Imnding Institution C'-[ ; e~nerpouiler
(d) ~nding Institution __Telephone
Adc~ress
(e) leal $statte Co. a Agent
Address
Te lc phor~
2. T.~ of ~,~.,.den_~,
Single-Family
Number of Redrooms
Other (describe)
3. ~tey Su.~=ljf~
Individual Well ~-?~]i Community t~_~, ~blic ~
Note: If ~nity ~ll system, must ha~ ~itten ~nf~m~tion frcm ~e State
T~par~ent cf ~viro~ntal Conservation attesting '~o t~ legality ~d status.
Is ~e ~1]. adequate for the n~r of ~c~ s~cified in this [~ ~)
Onsite _~.~j[ Rfiolic ~--~ C~m~unit!; t~I Holding Tank
Is the v~stewate.~ dispcsal system adequate fcr the hunter of ~dr~ras
[Page 1 of 2]
2-15-84
and Information
I ¢:m~ztify that I have checked, ve...fzec, or oonforraed to all MOA HAA G~idalir. es in
ins~etion.
effect on t~-,(~te of ~t~i}~_ , ,
Signed by
( ENGINEER SF~dL)
Ternzs of Conditional Approval
~l]~e Municipa].ity off Anchorage Departaent of Health and Env].rc~enta! P~ctection does
not guarantee the continued satisfactory ~erform~nc~ of the water supply and/or the
wastewater disDcsal system. This approval indicates that, as of the validation date
shcwn above, based on the data and info~mation furnished L7 an engineer registered J.n
the State o~ klaska, the water supply and wastewater disposal system is safe and func~
tional for the number of ~e. dro~nns and type of structure indicated.
( E{~EP SEAL)
7. Mail the HAA to the fol!c3,~ing address:
KB2/d5/s
[Page 2 of 2]
2-15-84
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
MUNICIPALITY ~
DEPT. OF HEALTH
ENVIRONMENTAL PROTECTIOI~
.RECEIVED
Total Depth /(p,~-~/ Cased to .//~,J~,.~x~, Depth/of Ghzouting /U/z~-.
Static Water Level ~L4~x~ Pu~r%~ Set At.
Casing Height Above Ground /./~ '
Electrical Wiring in ConduitS)
Separation Distances f~n Well:
To Septic/Holdin~ Tank cm Lot /~{.~?
To Nearest Edge of Absc~ption Field on Lot
Sanitary Seal on Casing ~N)
Dep~essiom A~ound Wellhead (Y~
; On Adjoining Lots
/:~'// ; On Adjoining LOTS._.
TO Nearest Public Sew~ Line /~,/~z~ TO Nearest Public Sews~
C leanout/Manhole /U ,/,~ To Neap:st Se%~ Service Li~e on Lot ~:
Water Sample Collected By ~/~ , Date ~,/~3 25~/~
B. SEPTIC/HOLDING TANK 5alTA
Date Installed 7/~ Size /j2~5-f> No. of Ccmpa~tments
Standpipes ~) / Air-tight Caps _~N) Foundation Cleanout (Y/N)
Depression ove~ Tank (Y~ Date Last Pumped ~/~_/~ ~' - C-~%1~=-~.>'
Pumping/Maintenanc~ Contra .ct, o~ File (Y/N) ~//~ ; fo~
Holding TaPJc High-Water Alarm (Y/N) /Q/~- Temporary Holding Tank Pe~-~,it (Y/N)/V/~
Sep. a~ation Distano~s f~c~a. Septic/Holding Tank:
To Water-Supply Well /~! To Building Foundation
To lh~ctDe~ty Line ~/ ...... To Disposal Field_
To Water Main/Servios Line A7[,.~ ,
To Stream, Pond, lake c~ Major D~ainage
[Pa~e 1 of 2] 2-15-84
[Z ;;o Z: ~e~]
· ~s~ ~,nb~m~ 6u3ar~ ssIDKD
ALASKA B UIRO[lme[ITAL CO[ITROL Sel mlCeS, IRC.
~nqineerinq 6 {~nuiro~menlol $ludies
MARCH 29 1984
RUSSELL BABCOCK
POST OFFICE BOX 8026
WALNUT CREEK CA
94596
SELLER - TRANS AMERICAN RELOCATION BUYER -
SUBDIVISION - SPANISH HILLS BLOCK - LOT - 2
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 946 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
4 BEDROOM HOME.
FLOW TEST ON WELL
THE WELL FLOW RATE WAS 1.5 GPM FOR 2 HOURS.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR
THIS 4 BEDROOM HOUSE.
1200 LUcsl 33rd Aucnu¢, Sun¢ B o Anchora§¢. Al~sk~ 99503'{907) 561-5040
DAT~:' RECEIVED
TiME TIME TIME
DATE DATE DATE
I INSPECTOR INSPECTOR I NSPECTO~
MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE
DEPARTME~TOFHEALTH&ENVlRONME~TALPROTECT,~PT. OF HEA~TIt &
825 L Street - Anchorage, Alaska 99501 ~[~NMENTAL f~:o'r~CTION
E~VIRONMENTAL SA~ITATIO~ DIVISION JLiN g 1981
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing,
1, PROPERTY OWNER
PROPERTY RESIDENT (If different from above) ~ PHONE
2. BUYER
MAILING ADDRESS
3. LENDING INSTITUTION ~ ' .
. . . ....... HONE
MAI ~ING ADDRESS
I'E. LEGAL DESCRIPTIO~2//,C~
6, TYPE OF RESIDENCE NUMBER OF~BEDROOMS
~ SINGLE FAMILY ~ One ~ Four
~ Two ~ Five
~ MULTIPLE FAMILY ~ Three ~ Six
7. WATER SUPPLY
Other
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
* 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,)
J~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANy EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
..o,o,.e...,,
- I
THIS SIDE FOR OFFICIAL USE ONLY
NUMBER OF BEDROOMS
1, TYPE OF RESIDENCE
I~] SINGLE FAMILY [] ONE [] THREE [] FIVE E~ OTHER
[] MULTIPLE FAMILY [] TWO [~ FOUR [] SIX
~ERMIT NUMBER
2. WATER SUPPLY
[~ INDIVIDUAL DEPTH OF WELL
[] COMMUNITY DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
PERMIT NUMBER
3, SEWAGE DISPOSAL SYSTEM
~INDIVIDUAL/ON -SITE DATE INSTALLED
E~PUBLIC UTI EITY
Connection Verified INSTALLER
[]Septic Tank or []Holding Tank
S ze If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
~ DISAPPROVED ~/~
DATE ~/
\\-
72-010 (Rev, 6/79)
82."5 "L" S"FREET
A,', CluOl~l\(:~:, Al_A, I', A d. ::,d
(907) 2C14-41 'i I
i'~AYOFI
June 15, 19dl
John/Sharon O'Hera
Post. Office Box 10-1632
Anchorage, Alaska 99511
Subject: Lot 2 Spanish Hills Subd:Lvision
Approval for th.e individual sewer and water fac].lities
cannot be granted until the following items have been
completed:
(1)
The water analysis report needs to be submitted
to this office from the Chem I..ab, 5633 B Street,
for our review. Effective June 1, ].981, the lab
fee is $20.00.
ill {:here are ar{y further questions, please call this
office at 264-4720.
Sincere].y,
Robert C. Pratt, R.S
Associate Specialist
RCP/ljw
~ - ,. DF,~EC~
INSPECTION APPOINTMENTS ~,~
TIME TIME ~/~//0~. TIME
DATE DATE DATE~) _
INSPECTOR
DEPARTMENT OF HEALTH & ENVl RONMENTAL PROTEOTION DEPT, OF
825 L $t~eet - Anchorage, Al~k~ 99501 ENVIRONME[~LqL
ENVIRONMENTAL SANITATION DIVISION ~/[I'~Y +~ 1980
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be p~o~essed, Please allow ten (10) days for processing,
PHONE
1, PROPERTY OWNE~
MAILING ADDRESS
P~OPE~TY RESIbENT {If different from above) ~Y PHONE
3, LENDING INSTIEU~ON
MAILING ADDRESS
~.' REA~TOR/AGE~ '
MAI LING ADDRESS
LEGAL DESCRIPTION ,"~
TREET LOCATION .,~ ? ~'
TYPE OF RESIDENCE '"'-~/~ .bJ.~rMBER OF,BEDROOMS
[] One ~ Four
., SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. Awell Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8, SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON'SITE** /e~'~ YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE'. THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) ~.~-~
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
THIS SIDE FOR OFFICIAL USE ONLY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3, SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE [] OTHER
[] TWO [] FOUR [] SIX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
E~Septic Tank or []Holding Tank
Size: ,~ /~Sz~ If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4, DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
Septic/Holding Tank
Absorption Area Sewer Line I Nearest Lot
5. COMMENTS
E~APPROV E D FOR 4 BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE I BY &
72-010 (Rev. 6/79)