HomeMy WebLinkAboutT15N R1W SEC 8 LT 61
NAME
MUNICIPALITY OF ANCHORAGE ~"~¢_.~/~4/.~i- ~t~-'i~¢-~.V,~ [~'
DEPARTMENT OF NEALTH & ENVIRONMENTAL PROTECTION ~~. ~'
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ~~_ / ~
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~,~ ~ /
LOCATION ~ -- ' -- -- N~, OF BEDROOMS
DISTANCE TO: ]Well
Manu aot. er (¢,/8
Liq. capacity in
DISTANCE TO:
Inside length
Material
Width
No, of com~artments
Licluid depth
IF HOMEMADE:
Well Dwelling PERMIT NO,
Manufacturer Material Liquid capacity in gallons
inches
Well t
DISTANCE TO: I/~'
No. of line~ Length~..~of each li~] e
F'ound~t~
Top of tile to fi~h~!ac/]~
Length Width
Type of crib Crib diameter
Well
DISTANCE TO:
Class Depth
Buildin9 foundation
Total len~,.~th of ~ ines
Material beneath tile
Depth
PERMIT NO.
Distance between lines
Total effective absorption area
PERMIT NO.
Crib depth Total effective absorptioH area
Building foundation Nearest lot line
Driller Distance to lot line IPERPERMIT NO.
DISTANCE TO: Sewer line Septic tank A~s~)~m~ ~ea(s)
OTHER
P MATERIALS
iNSTALLER
REMARKS
DATE LEGAL
RFFL. I_.Ht~II I"IR. ~I...E,.,, SO"I'O
LOCFFION E.::O~,,IER"r',." N. BIRCHI,,IOOD LOOP
hl IU ~'-,~ ].] C: ][ F" !-3 L_ ][ T' '¢ (] F' IF=! t~..~ Et PI Eli F).' ~:t (3 E
I::,F'F, FtI:~'.T~,'IENT (' HEFILTH FIND EN'¢IRONMENTFtI_ ' ']TEC:TION
8;?.~5 '" L 9"REET., RNCHORFll3E., FIK.
264-4720
".D.; i i..-liEl~;: P E F-.".i¥i :E 'T
Fr. RT. B0'.:4 9:t. 0 688-'-22.~:.;9
LOT SIZE 'J. OEI~ZIE~E.~ SQURRE FEET
T'¢PE 0F SOIL. RBSORPTION S'~".:.-iTEI"I IS: DRRINPI~.~L[:'
MFI:.'-','IMLII',I NUI¥1BER OF BEE)ROONS -"-: S
SOIL RRTING (S6! FT,."BR)=: 85
THE RE~ZIIRED SIZE OF THIS SOIL ABSORPTION SYSTEf'I IS:
[:, E: F' ]- H ,= 2: L, E ~',,I 61 'IF FI =-' 4 .':5 ~3 R !"3 '..,' E'~ !-- B E F" ]" FI =: ::L
THE L. EN(.~I"H DIMENSION IS THE LENr3TH (IN FEET) OF' THE TRENCH OR DRRINFIELD.
THE [)EPTH OF FI TRENCH OR PIT IS T~IE DISTRNCE BETI.,.IEEN THE SURFRCE OF THE
(~F;..'OLIf.,ID F:IN[:, TNE E~OTTOI'I OF THE Ek',E.'.R~,,'RTION (IN FEE]').
T' Fi E: '"iF' F." E IN C: HI I-4 ][ ID T H I :~"; 5. E'"i E, 1~.3 F- E: r=:. T'.
'f'HE (3RflMEL DEPTH IS TI-IE MINII'"IUP1 DEPTH OF' GRRVEI_ BETklEEN THE OUTFFtLL F:'IPE
FIN['., TI-.IE BO]"Tor'I OF THE E).:',CFI~,,~FITION (IN FEFT).
PERMIT RPPI_ICI::II"fl" HIqS 'rile RESPONSIBILITY TO INPORM THIS DEPRRTItENT DURING 'rile
INSTFILLRTION INSPECTIONS OF FIN's-' ~,IELLS ¢~ErFICENT TO THIS PROPERT~'r' FIf.~D THE
NUI',IBER OF I~E..S;:[DENCES THFIT THE ~,EL.L 14ILL SER',?E.
........ T' ~.4 C, ,:: ;;;:: ) ][ l'-,I E; F" lie C ]- I 0 r'-4~ ~; IFI R E R ICE ~]-~ U :[ ~:~: E [:,
BFICKFILLZNI3 OF: RN'.r' S'.r'S"I"Er,I 14ITl--lOUT FINFIL INSPE(::TION RND FtPPROVE. E~'.r' THIS
DEPRR'E1ENT 14ILL ~.:~E StJB,~ECT TO PROSECUTION.
MINIMUI"I DISTRNCE BET~,~EEN FI WELL FIND Rt4Y ON.-SITE SEHF,3E DISt:'OSF~L Sb'STEI,1 IS
&BE~ FEET FOP:: R F'RI~/FE[E ~,EL.I_ OR :I..~;E.~ TO 288 FEET FROM R PUBLIC ~,~ELL. DEPENE)ING
UPON THE T'¢PE OF PUBLIC 1.4EI.L.
1'4INIl¥1Uhl DISTRNCE FROf,'t R PRI',,,'R'rE L,.IELL TO FI F'RIVRTE SB,.IER LINE IS 25 FEET FIND
'I'O R COI',II¥1UNIT'¥' SEI.,.tEF:'. LINE IS 7'~ PEET.
OTHER RIEL.]UIREMENTS Mkh'-r' FtPPL'¢. SPECIFICRTIONS RND CONSTRUCTION DIFI~]RRf,IS FIRE
F~',?F~ILRBLE TO INSURE PROPER IN':TFIL. LFITION.
F"EEIF~.".NI ][ If'" ~E)'::F:" ][ F," E 2"~; [:"E C:EI'¢IC B E g',", 3:1,..
I CERT I F'~" 'i]-IFIT
d.: I Bl'q FFIFIILIRR ~,~ITH THE REQUIREMENTS FOR ON-SITE 5EI'~ERS I:IND 1.4EL. LS RS SET
FORTH B"r' THE IdUNICIPRLIT"r' OF FINCNORRt3E.
2: I ~4ILL ]:NSTRLL THE '.S,',~'STEI~I IN FICCORDRNCE 14ITH 'rl-.IE CODES.
]i:: I LINDERSTRND THRT THE ON-SITE SEI4ER SYSTEM IdR'~~ RE.F.~UIRE ENLF~RGEf,'IENT IF ]"HE
RESIDE[.,ICE IS I;,:E£,II:)DEL. E[:, TO INCLUDE MORE TI-IRf.~ :S BEDROOMS.
~ I 3~'EI}: .......... /..,.,.~,: ..... .-¢-:---[
RF'PL. ICFINT MR. RLE~', SOTO
I'];S JE[' E?'r' .... [:'FITE ............ ~,"'{
O & E ENG,,~IEERING & DEVELOI-,,/lENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for;
Legal Description: L.-~- ~'~ /
Depth (feet)
Earl Ellis
8OIL LOG 688-2280
Namo:_~/~, /~Z_Z=?')4._ ~'T~, ~, . Tel. No.~'~"~&'~
$oll Charaoterlstlcs
PLOT PLAN
12 ___
13___
14___
15___
16___
PERC. TEST
Ground Water Encountered: Yes_/"~ No___ If yes, what depth
Proposed Installation: Seepage Pit _ Drain Field _
Comments:..
Alex Soto Well
July 1 97O
01d hole 74t deep
Pulled back to 57' (cut off 17!3")
2 hour labor
hole filled into 65'
drilled frcm 65'
New pipe from 57'
Hardpan at 74' start of undisturbed
Hardpan from 74' to 88'
Sandstone from 88' to 90t
Hardpan from 90' to95'
Shale from 95' to 103'
Little seep at 95'
Hard.~'an~from 103' to 115'
Sandstone from 115' to 117'
Little seep a~,~s115' ('~ gal per rain,)
Hard~,an 117' to 120'
coal shale from 123 to 125'
Water at 125' Hole cased to 95'
Brownish water, 01ears slowly.
~ gal per minute 65' rise
APPLIC
P,op~rty Owner ~Z//::i:,
'~?:'>~ ~//,//:~. t ~-/: /.~ ~1 I1~.,i:~ ......
Lending Institution
Realty Co. &
Address
NT FILLS OUT UPPER HA[ ONLY
Zip Code
Zip Code
Zip Code
Phone
Type of Residence
Multiple Family No. ol Bedrooms
Water Supply EJ Individual
[~ Cornmunity
[] Public Utility
Sewer Disposal [~: Individual
[] Public Utility
[] Holding Tank
ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975.
For wells [trilled prior to that date, give well depth (attacb Icg if available).
Year Individual installed:
When Connected to Public Utility:
NO'rE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time ~ ~
Date
inspector
Field Notes:
AFPROVED BEBROOMS
Date
Inspector
Date
Inspector
Insp6ctor
DISAPPROVED
~/~N DITIONAL APPROVAL'
BY: __ _
Soils Rating
72.023 (3/~2)
Date Sewer Installed
1Wel~ To Absorption, Area
Well to Tank
t Well Log Received /~//~/-
Septic Tank Size ,/ ~.)~.~ (.)
EXCAVATION
ROBERTA. SNAFER
WORK
July 30, 1983
CIVIL ENGINEER
694-2979
ATTENTION:
P.O. Box 848
Eagle River,
Alaska 99577
Dear
Reference: Lot 61; Section 8; T15N: R1W
A sewer system adequacy test was performed on the system-located
on the referenced property as you requested. The septic tank
was pumped and verified[ to have a capacity of 1000 gallons.
The drainfield was tested by a continuous flow of water
over a period of 48 hours without any adverse effect on the
sy st em.
It can be concluded from this test that the waste water disposal
system serving the two bedroom residence located on this
property is currently functioning adequately, howew~r, the
system cannot be guaranteed against subsequent failure.
service, please do not hesitate to call.
If we m~ be of fur'~her
sincere~3.~. ~'
cc: Municipality of Anchorage
Department of Health and Environmehtal Protection
SRB 196X EAGLE RIVER, ALASKA
APPLIC IT FILLS OUT UPPIER HAL! ')NLY
-¢roperty Ow~er~,~,,4Y,~L~,,~y,~ U~-~ ~-- Phone
.... / ' Phone
~]] Multiple Family No. et Bedrooms.
E] Other
Water Supply
~[ Individual ATTACH WELL LOG. A well log is required for all wells ddl[ed since June 1975.
] Community For wells drilled prior to that date, give well depth (attach log if awllable),
Sewer Disposal ' '
~/]~ Individual Year Individual Installed:
Public Utility When Connected to Public Utility:
~] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REC4JEST BEFORE PROCESSING CAN BE INITIATED.
TI m e///,/~ I~..-~... Time Time Time
Date Date Date
Inspector
Inspector
Inspector
Field Notes: ~.~
( ~ ) APPROVEED BEDROOMS
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE _~--E~O~~' '~'''
'CONDITIONS OF APPROVAL
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well to Tank
Well Log Received
Septic T&nk Size
EXCAVATION
ROBERTA. SRAFER
WORK
July
30, 1983
CIVIL ENGINEER
694-2979
Re/Max Realty
ATTENTION: Mary Thomas
P.O. Box 848
Eagle River, Alaska 99577
Dear Ms. Thomas,
"Nlun,,?~Oality of
Envi/.;/~Pn~ of Heal/;nO&rage,,
",entel ProtectT/on,'
Reference: Lot 61: Section 8: T15N~ R1W
A sewer system adequacy test was performed on the system'located
on the referenced property as you requested. The septic tank
was pumped and verified to have a capacity of 1000 gallons.
The drainfield was tested by s continuous flow of water
over a period of 48 hours without any adverse effect on the
system.
It can be concluded from this test that the waste water disposal
system serving the two bedroom residence located on this
property is currently functioning adequately, however, the
system cannot be guaranteed against subsequent failure.
If we m~ be of further service,
Sincere~
please do not hesitate to call.
cc: Municipality of AHchorage
Department of Health and Environmental
Protection
SRB 196X EAGLE RIVER, ALASKA
DATE RECEIVED
TIME TIME 'TIME
DATE DATE DATE
~UNICIPAI. I~ OF ANCHORAGE
~UNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SANITATION DIVISION JUl; ~ 1 1980
Tel.phone 264-4720 ~ ~ (; E J'V ~ D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FAbI'EIT[E~
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processe~, Please allow ten (10) days for proc~ssln~.
1. PI~ITY O~ER ~ PHONE
MAI [_I~AD~ffi~SS ~
PROI ERTY RESIDENT (1~ different from above) PHONE
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION PHONE
MAILING ADDRESS
MAILING'ADDRESS/
§. LEGAL DESCRIPTION
STREET LOCATION
6, TYPE OF R~.~DENCE
[~/ SING[.E FAMILY
MULTIPLE FAMILY
NUMBER OF,BEDROOMS
[] One [] Four
~./..-TTWO [] Five
hree [] Six
[] Other
7. WATER SUPPLY
iNDiViDUAL~
COMMUNITY
PUBLIC UTI LITY
8. SEWAGE ~ISPOSAI. SYSTEM
~IDIVIDUAL/ON-SITE*'
[] PUBLIC UTILITY
.ATTACH WELL LOG, A well Icg is required for all wells drilled
since June 1976. For wells drilled prior to that date, g ve we I
depth (attach Icg if available. I
YEAR ON-SITE SYSTEM WAS INS'FALLED,
NOTE: THE INSPFCTION FEE MUST ACCOMPANY EACH REQUEST BE[FORE PROCESSING CAN BE INITIATED,
72~0'10 t R ay. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ SINGLE FAMILY E3 ONE [] THREE [] FIVE E~] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] iNDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] iNDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY -.~
Connection Verified
INSTALLER
[]Septic Tank or []HoldingTank
Size: I~)O0 IfTankishomemade SOiLS RATiNG
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
~'/'APPROVEDFOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
72 010 (Rev, 6/79)
L_
~l~ ® 8S872