HomeMy WebLinkAboutT15N R1W SEC 8 LT 56B
.',,~ , /\ /\SKA 9,9b0t
December 31, 1979
Kirk Mc Gee
Box 851
Anchorage, Alaska
99510
Permit if 790500
Subject: T15N RiW Section 8 Lot 56B
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal ordinance.
If you have drilled the well, a well ].og should be sent
te this department to document the installation date.
Ill an engineer has inspected
on-site sewer system, please
for our files.
the installation of the
have them send us the as-builts
If there are any further questions, please corttact this
o~.f~.ce at 264-4720.
Sincerely,
LNB/]_jw
eric: Copy of Permit
L. IEGi::II L56E~ .%8 T::LEiN F-'.:I.H
LOT SIZE;
':1-:1.. 9 ::;l [) S(;!I..IFIR[!!:
T'¢PE OF SOIl. RI3SORBTION SYSTEH ):S: 'FF.'.ENCH
THE I.;:.'I'EL::!I..IIF:ED SIZE ELF:' THE SOIL FIBSCII,.':F'T:[Oi'4 S'.r'E;TEI,1
'rile I..EN6TH [::, I I'qE[',,IS]: ON I :E; THE; I...ENEiTH ( I iq F'E:L::T) OF' THIE 'rF~:I!i:['.,IE:H 0[;?. [::,Fiff::l I i'4F ]1: E::I,.[).
THE DEPTH (31=. i':~ 'I"[;~[(i'.,ICH 0[~'. PIT !:!; THE; DI':E;TFINCE EECTP,IE:Elxl THrc SI.,II~:F:I=ICE: OF I'HE
G[;?.OIJN[:, FIND THE: BOTTOr,1 OF THE E',~.0.']:I:I'v'FIT :[ ON (];f.,I FE:E'F).
'I"HE[;:'.L: ZS I'.,10 SET P.I]:E:,TH I-:OF:: TI:;:E:NE:HES.
THE GI-~:FI',,,'tEI_ DEF'TH
Fllq[) THE BO'TTOI'q OF THE
F,'Ef(:i','IIT FIF'I~::'I,.IC:F'INT HFIE; THE FffESF'OblSIEC[I~.I f".r' TO IIqF'OFd','l THI:i; I::,EF::'AE:'I~i',IE]NT DI.Ji'tIl'.,161 TH[i:
INE;TFII...L.I:a-I"IOI'.,I IIqE;PE:CTIEINS OF FII'.,IY HEI.,.[,.S FID..TFI(::E:NT 1'Ci 'f'HIS F'f-~:OF'E:f;~'['¥ FIt'.,ID THE:
NIJHE=E[;?. OF RES~I)E:i'.,IC:I::S THFIT "f'HE 14[:],.1.. b!ILl,.,
E:FICI.(F ILl., :[ BIG OF l~i",l"r' S'¢STE:H 1.4 t THOLIT F' :[ IxlRl...( I"~:~;P[EC:T :1: ON F:IN[) FIF'F:'I,:':O'v'FII,.. B"," TH :1: S
DIEF'F'II'~'.THI~I'.,IT HIL.[... I:.i~E SLIEL.TE:C:[' TO ]::'F.!OSEC:UTION.
i'"I:(I",III'IUI"I DISTtai'.,tC'E BETHE[EI'.,I R HELl. AND r-:lF,iy OI'.,I-S]:'f'E: SEil,.IFIEiiE DISI::'OFi;FIL SYSTE'H
rI. EIE!~ F'EE:T FOF?. FI I::'F,'.I'v'I::ITE: HEI..L.~
;;LEiI::'I TCI 2. EI~Zi FEE:I' I';'f;?.ON I::1 F'UEIL. IC: 14F. J..L DEPEI",IE:,ING I_.IF'Cli'4 THE T'¢F'E. CIF PI..ItltL. IC I.,IFi[.t ..
I,.IEI..L. IOEiS ffll?.E I:?.E6!I. JtF~'.ED FIND klLIST BE F:'.E:TU~?.i'4E::[:, TO THE I::'EF'f:IF?.TI"IEIxlT
OF' TIlE I.,.IELI~ COHF'L.ETION.
EITHE[~ [;?.[EI]~!I,J I [E'.Ei'"IENI"2'; r,IFIY FIF'F'L.'¢. SI.',:'E;C;:[ F' ! I::~:1"1' I O1'.,1::_1 I::I1'.,1[) COI'.,I'::;I"F?.LIC:T :i: O1'.,I f::, :[ FIl:ilii:l':ll,lS I::II:;;:E:
I:1',,,'1::I :( I FiI3L[:: TO ~ NSIJF'.IC [:'[~'.OPE[;~: I NSTFIL.LFI-I" ;[ 01'4.
~ CEri:TIFY TI,fi:IT
::1.: I fql-,I FFII','IIL./:FIF?. HITH THE: [.?.IE;6!UIt~:Ei'"IL:;i'.,ITS FOR 01',~-..:~; ):1'1!:: SEI,.IEF;~:S RIqD HELI.,S f'IS SET
F:EIRTH BY THE HU?,,I I C: I F'FIL. I T'.r' OF' FII'.,IC:HO[;~:i:-'IEiI:~:.
;2: Z [,.1:[ Lt.. I N:E',TRI..L "file L~YS'['E:t',I .[ N FICC:OI-i:DF~i'q(;E I..1:[ TH THF:
2:: :( I..liq[:,I':i:F~E;TFli'.,ID THRT THIE Cd'.,I-S;IT[~:: SE:HE[;: S'¢S'I'Ei',I I'IFIY [;;:E;(;!I..I!F?.k~ [i!;i'.,!I..I:::h~(~iE;PII~:i'.,fT IF THF(
F[.:,_E.i.lq,,,.E ].,., f~:IEHCIR, E:I.,.E:D TO It'.,tC:I.~UI::,E: f'lOli:E THI=IN :!i: L[_[.,F ...... I1::.,, ~ ~.~,41.~-M..,..A~~ ¢~...
':" '[ ~31,,tEr::,: ................. ..,,Z.~ ........... :-~-.-..Z'-.. ;..~
I::IF~'L/1: C: FII",I T I'( ]. [U'( I'"lC:(!i[: E '.
· . .. .....
· 4/ J.4gg :o z, o wv,,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONiVIENTAL PROTECTION
t__rl,.,,, ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE ,~ NEW
MAI LING ADDRESS ~,.~1~1,' [~;~[ ~ t~'ll~ ~¢-~ ~,~tl ~',= ~--.
LEGAL DESCRIPTION
~ ~ Manufacturer
~ Tnside ,en,th~ I Width Liquid depth
Liq. capacity in gallons
~ ~ Well Dwelling PERMIT NO.
~'¢ ManufacturerDISTANCE TO:~ Material Liquid capacity in gallons
Q ~ Well Foundation Nearest lot line PERMIT NO.
~'1Z DISTANCE TO:I % ~ 6G ~O
~';~_ 2, m N°' °f lines-~ Length °f each linear4 Totallength of lines :~_. Trench wid~ inches Distance between lines
~ ~: ~ Material beneath tile .~ ~ ~t Total effective absorption area
~ ~ Top of tile to finish grade '~ O~~ O inches
Length Width Depth PERMIT NO.
~ Type of orib eter Grib depth Total effective Bbsorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
-I ~a[~ 0¢ Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS / ~ L -,
SOIL TEST RATING ~
INSTAELER
REMARKS .~ ~
P OVED DATE LEGAL
--~13 (Rev. 3/78)
~ DEPRR'rMENT HEALTM RN[:, EN',~I.~OI4MEr!TAL s.~OTEC'FION /%
KZ~K HGGEE BOX 851 ANCHORAGE 99~1~
~CENIC DRIVE
LOT 5~B SEC8 TISN RIM LOT SIZE 41995 SQUARE FEET
PERMIT NO.
APPLICANT
LOCA'r I ON
LEGAL._
TYPE OF SOIl. ABSO~RBTION SYSTEM IS: TRENCH
MFIXII~ttI'I NUMBER OF BEDROOMS
SOIl. RATING (Si2 FT/BR)= 95
THE REQUIRED SIZE OP THE: SOIL. ABSORP'rlON
[~ E IF'~ l" H=-- IE) IL.- E: r~ K3 T H == · &] R 11---'31 .~'IE~- IL.~ ID [~. P T F4 =
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR I)RAINFIELD.
THE DEPTH OF" A TRENCFI OR PIT IS THE DISTANCE BETNEEN THE SL.IRFFICE C'IF TME'.
GF?.OUI4D AND TME BOTTOM OF THE EXCFIVRTION (IN FEET).
THERE IS NO SET WIDTFI FOR TRENCHES.
THE [tRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEl_ BE'"THE. EN THE OUTFAL. L. PIPE
AND THE BOTTOM OF THE: EXCAVATION (IN FEET).
~L" E IC.~ Il_Il I I~
PISRMIT FIPPLIOI~INT HAS 'THE: RESPONSIt.~ILIT¥ TO INF'ORH THIS DEPF4R]'M[Nr DURING THE
INSTALLATION INSPEOTIONS OF ANY NFLLS FtDJACENT TO THIS PROPERTV AND THE
NLIMBER OF RESIDENCES THAT THE NELL NILL SERVE.
TI)JO <: ;~ :-', I NSPE~.C'T ! I_')I'-,IS FtRIF- RE---~U I AlS:E:,,
BACKF'"ILLING OF ANY SYSTEM NITHOLIT FIMRL INSPECTION AMD FIPPROVRL B"r' TliirS
DEPARTMENT NILE BIZ SLIBJEuT TO PRO:,ECU]'IuN.
MINIMUH DISTANCE BETNEEN R NELL AND ANY ON--SITE SENRGE DISPOSAL SYSTEM IS
Ioo FREE'[' FOR Ft PRIVATE NELL.: OR
:1.~50 TO 200 FEET FROM A PUBLIC NELL. DEPENDING UPON THE TVPE OF' PUBLIC NELL,
O"rHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
I CERTIFY THAT
1: I FIM F'RMI,LIRR NITN THE REQUIREMENTS FOR ON-SITE SEINERS AND NELLS FI,S SET
FORTH B"r' THE MUNI[:IPALITY OF' ANCHORAGE,
~: I NII. J., INSTALL THE SYSTEM IN ACCORDANCE NITH THE C:ODES,
2:: I UNDERSTAND TI-IRT THE: ON-SITE SEWER SYSTEM MAY RE~UIRE ENLARGEMENT IF' 'FHE
October 19, 1978
MUNICIPALITY CE ANCHORAGE
DEPT. OF HEALTH &
I=NVIRONMENTAL RROTECTION
OCT 2 $1978
RECEIVED
Kirk McGee
Box 85].
Anchor~,ge, AK
99510
Subject: Lot 56B, Sec. 8,
T15N, R1W, B.M.
Dear Mr. McGee~
We haw~- received and reviewed the plot plan showing the
proposed location of the Class C well you plan to drill
on the subje~=t lot. The well site is approved for the
features with which this department is concerned pro-
viding the following condition is satisfied:
1. The well which is to be located near the SE corner
of Lot 565 must be at least 150 feet from any septic
tank and/or soil absorption sy-qtem.
A well log and the results of a bacteriological analysis
of the water should be submitted to the department within
30 days after completion of the well construction.
Sincerely ~
James O. Starr
Environmental Engineer
cc:~DHEP-Les Buchholz
gml
0 0 O' 0 0 0 0 0 0 0 0
~ ~ ~ :~ -~ .: : : : : : :
0 0 0 0 0 0 0 0 0 0 0 0
m 0 0 0 0 0 0 0 0 0 0 0 0 ~
z ~
~IUNICIPALITYOFANCHORAGE '
DEPARTMENT
OF, HEALTH & HUMAN SERVICES · ,
D'i'{,kiion':dfEnvl~o'nrnbn:tal service§ ' '
, On-Site Services Section
P.O. Box196650 Anchorage, Alaska 99519-6650
343-4744
CERTI'FICATE OF HEALTFt AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel.I.D. # ._~/-- ['~"l.q-.-.'~c~ HAA# _ ~ (~°t~'l
'-,1, GENERAL INFORMATION '~ "~';""" '
· .: Cornplete legal description _ Lot ~;6B~.:,NE~,,...q66 g, :TISN;-R1W
Prc perty owner
' ":' ' Mailing address
. ~ Lending agency
:. Mailing addres~
?~'~' .', ' ' Agent
Location (site adCress or directions) 20640~S~ D~v¢
Ch~glak, AK
Dav~ and Kati~ Conro~ Day phone
HC04 Box 9589A Palm~r, AK 9964~
(w) 762-4752
(h) 746-0250
Day phone
Day ~hone
Address
Unless otherwise requested, HAA will be'held for pickup.
NUMBER OF BEDROOMS:
WATER SUPPLY:
Individual Well
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest..
lng to the legality and status of system. . ' ' ,' -
.',/,,V,',~/.-
TYPE'OF WASTEWATER DISPOSAL:
Public sewer _ __
NOTE: If commUntty wastewater system, provide wr tteh co ~fi~m, 'ation from State ADE~
attesting to the legality and sta'tos of system~
Individual o~-sltc -
Holdingtank
Comrnunity on-site
XXX
,., ;.E-..,. W,;; ..,
72-025 [Rev. 1/91) Front MOA#25
XXX__
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application siqows that the on-site water supply
an(~/or wastewater disposal system is safe, functional and adeouate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water,'
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm ,-?'"""~ Phone ,~'~Z/¢
$ & $ ENGINEERING //
Address
Engineer's signature Date ,.~-J¢¢'~
DHHS SIGNATURE
Approved for ~-
Disapproved.
Conditional approval for
bedrooms,
~)edrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional er~gi,d~er, registered in the State of Alaska. The DH HS does this as a courtesy to pu rchasem of homes
a~d {l~i~"i~ndi~ i~stitutions in orderto satisfy certain federal and state requirements. Employees of DHHS cio not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~'~ L,, ~ [~~ ~ ,/./~f,, '~;,~_z.. ~ .~'t. ~5',.~, ~,~J Parcel I.D.
A. Well Data
Well type ¢¢.t~t
Log present .~/N)
Total depth
Sanitary seal ~.~'N) _
Date of test
If A, B, or C, attach ADEC letter. ADEC water system number
Date cempleted \o ~ ~, - w/~ Driller .'3"-~{
Cased to ~.~-'5 ' Casing height
Wires properly protected (~N)
g.p.m.
FROM WELL LOG
Static water level
Well flow
Pump level1
AT INSPECTION
SEPARATION DISTANCES FROM WELL 1'O:
Septic/holding tank on lot \
Absorption field on lot
Public sewer main
Sewer service line '.'~
; On adjacent lets
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform O Nitrate
Date of sample: ~ ~ \ \ ¢ cA z~
B. SEPTIC/HOI. DING TANK DATA
Collected by:
Date installed
Cloanouts ~N) .
High water alarm (Y/~
Date of pumping
Tank size ~ oc-, ,b, Compartments
Foundation oleanout (Y,(~ ~-~' Depression (Y¢~
~' Alarm tested (Y/N) ~~ ~
~1~ ~ Pumper ~ ~s~
SEPARATION DIoTANCES FROM SEPTIO/HOI_DING TANK TO:
Well(s) on lot ~, o~ ~ On adjacent lots
To properly line ~ c>
Surface water/drainage \
Foundation
Water main/service line
72.026 (3/93)* Front CONTINUED ON 13ACK PAGE
C. LIFT STATION
Manufacturer
Date installed
Size in gallons
Vent (Y/N) "Pump on" level at
High water alarm level ~ycles tested
Meets MOA electrical codes~
Manhole/Access (Y/N) ~
~el at
Surface water
D. ABSORPTION FIELD DATA
Date installed
Length ~t
Total absorption area.
Date of adequacy test
Soil rating (GPD/FF)
Width '7~? Gravel thickness
\ c~ ~.~ Cleanout present~/N)
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y~.)~ /...l
~ "~ '~'/¢"~ System type
¢°¢'~ Total depth "7
Depression over field
for '~ Bedrooms
After test
iZ-~ ~ ~,! ...I If yes, give date ~
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot ! p O
To building foundation /
On adjacent lots
Surface water
Curtain drain
E. ENGINEER'S CERTIFICATION
/,~-
On adjacent lots / z) o Property line
! '~ To existing or abandoned system on lot
Cutbank "'~u/4-'/ Water main/service line
Driveway, parking/vehicle storage area
I certify that I have checked,/d~c~~ d~verified, or c d to all MOA and H~.AA guidefines ~; ' 'in effect on the da~ter.~'~'Of this inspection.
Signature //
Engineers Name 17n~,a. ~ ......... / c
Date Eagle Ri~e Alaska.~577
HAA Fee $ ,.~ OO . %
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-028 (3/93)* Back
TIME
DATE
INSPECTOR
-- DAT~ R L:CEIVED
TiM, , \.kl jA., T,ME
NSPECTOR INSPECTOR
~IJNICIPALITY OF ANCHORAGE DEPT. OF ,,EALTH &
OUN 2 b 1981,
fiNVI~O~ME~T~[ 8~lT~'rlO~ DIVISIO~
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER EACILITIES
DI R EC:TIONS: ComDmte al 9arts on page 1, Incomplete requests will not be prooesseo, Please allow ten (10] days for processing,
1. PROPERTY OWNER
MAILING ADDRESS
PROPERTY RESIDENT IIf different from above)
PHONE
PHONE
2. BUYER PHONE
3. LENDING INSTITUTION
MAILING ADDRESS
PHONE
4. REALTOR/AGENT
MAILING ADDRESS
PHONE
-~. LEGAL DESCRIPTION
STREET LOCATION
6, TYPE OF RESIDENCE - NOMBER OF~BEDROOMS
I~, SINGLE FAMILY E_h' One [~ Four [] Otner
Two [~ Five
[] MULTIPLE FAMILY E~1 Three [~ Six
7, WATER SUPPLY
;/,[~ ~ INDIVI DUAL" ~' ATTACH WELL. LOG. A well log's reauired for all wel s drilled
COMMUNITY since ,June 1975. For wells drilled prior to that date, give wel
[~ PUBLIC UTI UTY depth (attach ~og :~ available.)
"8, SEWAGE DISPOSAL SYSTEN
INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED
PUBLIC UTI LITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ [] ONE [] THREE [] FIVE [] OTHER
SINGLE
FAMILY
[] 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
[]Septic Tank or [] Holding Tank
Size: /d-'~(~(~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER ~,~
TOTAL ABSORPTION AREA MATERIAL '~
4, DISTANCES Septic/Holding Tank Absorpti~_t~rea Sewer Line Nearest Lot Line
WELL TO: '~//5~b ~'1
Absorption Area to nearest Lot Line
5, COMMENTS
E~'~APPROV ED FOR -~' BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
72-O10 (Rev. 6/79)
GEOTE HNICAL 8- DEVELO[
BoxgO, Days St, Eacle River, Alaska 99577
G94-2774 or 68B-22R0
094-27'/4
qENT
CO.
Earl Ellis
6R8-2280
Performed for: .........
Legal D e s c r t P t.t on: ~-.~L~.-~-~-(~-~---~
g~(f~e~. ~ 1 Characteristic~
Ground Water Encountered:
Proposed Installation: Seepage Pit ...... Drain Fteld~_
-- \~.,...._.~?~:~./~
Per fo'Freed by: ~.~-~