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Home My WebLink AboutSTEFFES LT 33Bs MUN~C~PAUT¥ OP ANCHORAG~ ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~rlON 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 DESC R IPTIO/~.~ LOOATION Manufacturer DISTANCE TO: I F HOME,DE: Inside length I Width No. of lines Length ea 1 ' e ( ~ of t(le to finish grad, /f ~ Foundation ~3 ~-'~ Length Width Depth Type of crib Well DISTANCE TO: DISTANCE TO: Material NO. OFBEDROOMS ~ No. of compartmen s ~. Liquid depth PERMIT NO. Liquid capacity in gallons Class Nearest Iotz~e /~/.. PERMIT NO. /~l ! Jr '~/ Total effective absorption area Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line Sewer line Septic tank OTHER PIPE MATERIALS INSTALLER LEGAL DEPRRTMENT ~, HERLTH RND ENVIRONMENTRL , ,,~OTECTION '"' 825 "L-' STREET, RNCHORRGE.. BK. 99501 ': 2~4--472~ E~W--5 I TE SEI4ER PE~:~4 I T PERMIT NO. ( 880~46 ) FPLIuMNT-" _.. IN -C_,RR BO~,V 1_. ~,.., LOCRTION HE~UVR R[~ LEGRL L FF~ .UE: / T¢PE OF :,OIL~ffIUN :,¢:.TEN b. DRRINFIELD HR,..., I HUrl NUI1E, ER ~-~EDROOM .... 6 SOIL RRTING (SQ FT/BR)= ~2~ THE REQUIRED SIZE OF THE SOIL 8BSORPTION SYSTEM IS: [:,EPT~'q= ~ LE~-~L]TH= 1~35 GR~-]~w'EL DEPTH= 2 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFBCE OF THE GROUND BND THE BOTTOM OF THE EXC~VBTION (IN FEET). T~SE T'E:E~4CH ~qI[:,TH IS 5. ~30~ FEET. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFBLL PIPE BND THE BOTTOM OF THE EXCBV~TION (IN FEET). REQL! I F-:ED SEPT I C TFHq~:' S ][ ZE= 'iL ?SE~ GRLLC~NS PERMIT BPPLICBNT HBS THE RESPONSIBILITY TO INFORM THIS DEPBRTMENT DURING THE INSTBLLBTION INSPECTIONS OF BNY WELLS BDJBCENT TO THIS PROPERTY BND THE NUMBER OF RESIDENCES THBT THE WELL WILL SERVE. T~IE~ (~) I ~SPE;]TI"]~--c; B~:E RE~]LII F~Eg, BBCKFILLING OF BN9 SYSTEM WITHOUT FINBL INSPECTION BND BPPROVBL BY THIS DEPBRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTBNCE BETWEEN A WELL BND BNY ON-SITE SEWBGE DISPOSBL SYSTEM IS ±00 FEET FOR B PRIVBTE WELL OR t50 TO 200 FEET FROM B PUBLIC WELL DEPENDING UPON THE TMPE OF PUBLIC WELL. MINIMUM DISTBNCE FROM B PRIVBTE WELL TO B PRIVBTE SEWER LINE IS 25 FEET BND TO B COMMUNITb' SEWER LINE IS 75 FEET. OTHER REQUIREMENTS M8~ ~PPL~. SPECIFICBTIONS BND CONSTRUCTION DI~GRBMS BRE BVBILBBLE TO INSURE PROPER INSTBLLBTION. F'EE.'D~ I T E::-::P ~ RES DEL]E~NBER --?::.:[.. ~LL~80 I CERTIFY THBT t: I BM FBMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEWERS BND WELLS BS SET FORTH BY THE MUNICIPBLITY OF 8NCHORBGE~ 2: I WILL INSTISLL THE SVSTEM IN RCCORDBNCE WITH THE CODES, 3:: I UNDERSTBND THBT THE ON-SITE SEWER SYSTEM MB'Y' REQUIRE ENLBRGEMENT IF THE RE.SIDENCE IS REMODELED TO INCLUDE MORE THBN e] BEDROOMS. SIGNED:- _ ~_~_~-/_k_ .... ~ .............. FIPPLICF]~ 2. F'. - BBTLIN . [] ~01LS IJDG 10 I1 12 13 14 15 16 17 18 19- 20- Gross Net Depth to Net Reading Date Time Time Water Drop A1 i ~ Ir/ COMMENTS 72-008 (7/76) PERCOLATION RATE ///f~ (minutes/inch) TEST RUN BETWEEN / FT AND -- FT ~'- APPLIC~-NT FILLS OUT UPPER.HAI~ ~ONLY ~ ~ Prop. erty Owqer " C.P. Catlin / ~( Zip ;oa~ 99567 688-2782 Mailing Addre~ P.O. BOX 54~ ~ugiak ~we~ ~bert ~d L~ Jesser Add~ess S~ ~x 4246 ~ Chug~ak ~ zipco~ 99567 Phoae [onOin~ Ins~ilution ~ok~e ~Brggage Address 5201 C Street ~orage, ~ zip Code 99503 277-0543 ~a,~, Co. ~ A~n~ ~.~ P~o~ Todays Real Estate 688-2497 ~d.,~ P.O. Box 279 ~ak~ 1~ z,~Co~e 99567 688-3999 Legal Description ~ ~ .~ Ste~fes S~d~v~s~on t 55B Street Locati~ Co~e~ O~ Hell~a R6 ~d Valle~~Venue Type of Resi~nce ~~. ~ Single Family ;~' Multiple Family ~ ~Other NO. of Bedroo~ Water Supply ~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June ~75. Community For wells drilled prior to that date, give well depth (attach log if a~ ~ Public Utility Sewer Disposal ~ Year Indiv~ual Installed: 1980 See at~ched Individual ~ ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FE~ MUST ACCOMPANY EACH RE~EST BEFOR~ ~OCESSING CAN BE INITIATED. . . Soils Rating ~~stalled Well TO Absorption Ama Well Log Received ~ w~. to T~k Septi~ ~k 72-023 (3182) r ~ . '~ DAT~: RECEIVED · ' ~ INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSPECTO R INSPECTOR ,~ IUHI ~? ' · C A~.ITT~r Ai4CHO~G~ MUNICIPALITY OF ANCHORAGEr~/ DEPT. O~ H:>,LTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~~RONMENTAL P~OTECTION 825 L Street - Anchorage, Alaska 99901 AUG 1 2 1980 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF I~DIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will ~ot be processed, Please allow ten (10) days for processing. PROPE YOWNE PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above} ~ PHONE 2. BUYER t PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS / / ..... 5. LEGAL DESCRIPTJO~ ,/ / 0~ TYPE OP ~ESIDENCE SINGLE FAMILY MULTIPLE FA M I L'~-T'ft~. ~ ~)~--~ 7. WATER SUPPLY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five [] Three .~ Six [] Other INDIVIDUAL* COMMUNITY O~.h. ~.~ PUBLIC UTI LITY * 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 [~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOIViS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] 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 [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER E~Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~SAPPROV ED DATE BY 72-010 (Rev. 6/79) Unicipali of chor ¢ 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M, SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION August 18, 1980 C.P. Catlin Post Office Boxy§43 ChugiakI A1 as~)567 Subject. Lo~ 32~teffes Subdivision for~v-~r individual sewer and water facilities Approval cannot be granted~---~ until the following items have been completed: (1) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. (2) The septic tank pumped with a receipt submitted to this department. Locate the sewer system on the neighboring lots, so that measurements can be made between the subject well and these systems. 4) ~ as-bu~s Of the sewer system from thee engineer for the installation of the new sewer system ne~d to be turned into this office for our review and files. ' If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw DAVID A. SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 September 12, 1980 CIVIL ENGINEER MUNICIPALITY DEPL O~: HEALTH & ENVIRONMENTAL PROTECTION SEP 1 5 1980 Municipality of Anchorage Department of Health and Enviornmental Protection 825 L. Street Anchorage., Ala~9501~ Subject: Lot!$2B; Stifles Subdivision ~c~ a~!~r t° Mr' C'P' Catlin dated August 18' The following actions have been completed on each of the items described in your letter: S (1) The water analysis report was hand carried to your office eptember 9, 1980. RECEIVED 1980, kt(2) A new septic tank was installed as shown on the as-built ated August 3~ 1780; the original copy of which was forwarded o your office. ~(3) Sewer systems on neighboring lots were located and measure- ments indicate that all systems are in excess of 120 feet from Mr. Catlin's well. t) The as-built of the sewer system upgrade was forwarded o your office during the week of August 4, 1980. If another copy is required, your request should be addressed to this office. If there are any further requirements for Mr, Catlin's cer- tificate, please do not hesitate ~o address them to us. S)~,re ly, ~/ , CC: C.P. Catlin SRB 196X EAGLE RIVER, ALASKA 1. APPROVAL GREA~ER ANCHORAGE AREA BOROUGH '~ DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 2,9_8686 BATE RECEIVED:. INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR ADDRESS: PHONE: 2. PROPERTY OWNER: ~~. PHONE: NUMBER OF BEDROOMS: WELL DATA: ^. B. DEPTH D, CONSTRUCTION E. BACTERIAL ANALYSIS '~'~/m~,~ SEWAGE DISPOSAL SYSTEM: SEPTIC TANK (.IF HOMEMADE, SHOW DIAGRAM ON BACK) 3. MANUFACTURER 4. INSTALLER APPROVAL REQUEST FOR SEWER & WATER PAGE TWO FACILITIES B. SEEPAGE PIT 1. SIZE 2. LINING C, DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH REQUIRED MEASUREMENTS A. B. C. D. F. G. H. WELL TO SEPTIC TANK WELL TO SEWER LINE WELL TO PROPERTY LINE WELL TO OTHER POSSIBLE CONTAMINATION FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEEPAGE PIT TO PROPERTY LINE 8. COMMENTS: APPROV~ ~j DISAPPROVED: DATE: FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY GREATER ANCHORAGE_ AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR APPROVAL REQUESTED-BY: ADDRESS: PHONE: PROPERTY OWNER: LEGAL DESCRIPTION: NUMBER OF BEDROOMS: WELL DATA: B. DEPTH Co D. E. SEWAGE SIZE ~" CONSTRUCTION A///Z.//~42C2~) BACTERIAL ANALYSIS DISPOSAL SYSTEM: SEPTIC TANK (IF HOMEMADE, 3. MANUFACTURER SHOW DIAGRAM ON BACK) 4. INSTALLER APPROVAL PAGE TWO REQUEST FOR SEWER & WATER FACILITIES o SEEPAGE PIT 1. SIZE 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT C. WELL TO SEWER LINE D. WELL TO PROPERTY LINE E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT ~-?-~ "¥- ,. SEEPAGE PIT TO PROPERTY LINE COMMENTS: APPROVED :~ SAPPROVED:i/ DATE:' ' - '~' DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY ;,, GJ~F. AI'B'~ AICHgR~GE t'~."~ ~R01J61t ': TIME: REQUEST FOR APPROVAL OF iNDIVIDUAL SE~!ER AND ~IATER FACILITIES FOR 9 APPROVAL REQUESTED 9Y: ADDRESS: ~:~__~C_~ ~ , ~//~~' ' , , , ~PE FACILI~ TO ~E It~SPE~:~ 3, MAi~UFACTURER.__ LI, INSTA~ ~:R APPROVAl. REr'uEsT FOR S~!ER ~ "'"A-FER FACILITIES 2, LIHI;;~ C, DISPOSAL FIELD 1, iiUI'BER OF LIi 2, TOTAL LENG,~. Z, REQUIRED !iEASUR~IENq'S ~O~, HELL TO SEPTIC TAi.;K. B,' HELL T~) SEEPAGE PIT /"~ / C, I'!ELLTOo..,ERLIi:E°~ D, tIELL TO PROPERTY LI;IE E, !'!ELL TO OTi]ER ,,,...,~,,~: CO, T.A~1I, ATIOD~ F, FOUNDATIOH TO SEPTIC TAHK (}.,FOUNDATION TO SEEPAGE PIT ~m' ~/ Il, SEEPAGE PIT TO PROPERTY LINE ~//'vcG-~/Fc. /'~ ' 8, AREA BOROUGH DEPARTlqEF~ OF ~,~IRO~IENTAL eUALITY