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Home My WebLink AboutT15N R1W SEC 8 LT 91 MUNICIPALITY OF ANCHORAGE DEPARTfVIENT O1: HEALTH & ENVIRONMENTAL. PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchora§e, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGIE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME LEGAL DESCRIPTION LOCATION. · Well DISTANCE FO: ~---- Liq. capacity i~ gallons i/ O O ¢~ 2HOMEMADE: Manufacture/ t./ /--/ Well DISTANCE TO: · Length of ach line No. of lines / Top of tile to finish grade Length Type of crib I)ISTAN Class DISTANCE TO: Absorption area Inside length ._ Dwelling Foundation Depth PHONE, [] UPGRADE NOiOFBEDROOMS ~ No. of compartments Liquid depth PERMIT NO. Material Liquid capacity in gallons Nearest lot line PERMIT NO, Distance between lines .~. ~z. ,t inches Total effective absorption area U ' PERMIT NO. Building foundation ~Nearest lot llne Depth Driller Distance to lot line PERMIT NO. Building foundation Sewer line )tic ~l~- Absorption area(s) OTHER PIPE MATERIALS ~ ~ ~ SOIL TEST RATING I 3,¢ INSTALLER REMARKS 013 (Rev, 3/78) [;,EF'RRTMENT t' HE~LTH RND EM ~ IRONMENTHL .] EL:TION 825 / 43 PO .14ELL_ R ~-.I [;. PERMIT NO. ( 82083:? ) STREET., 8NCHORRGE.. BK. 99b~t 264-4720 f"ml'-,I--S I 'f'E SE~-~ER RPPLICRNT LOCRTION LEORL CHBRLES R HILLBORN T~SNR~H S8 LOT SIZE: D.~.DD_'.a.D SQUFIRE FEET TYPE OF"' SOIL RBSORP'¥ION SYSTEM IS: DRRINFIELD MRXIMUM NUMBER OF BEDROOMS = __: SOIL RRTING THE REQUIRED SIZE OF THE SOIL FIBSORI:'TION SYSTEM IS: [:. E-- P'T H = 6 L_ENGiTI-t= ~i? GiR Fl'..-' E L DE:P-FH= 'THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINF:IEL. D. 'THE DEPTH OF FI TRENCH OR PIT IS ']'HE DISTRNCE BETI.,-IEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE E~CFtVFITION (IN FEET). 'THE TREEI"-,JIE:H [4 I DI-H I S ~.~. ID00 FEE]ET. THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL 13ETNE'(EN THE OUTFFILL PIPE RND THE'.' BOTTOM OF THE E:4CFIVRTION (IN FEET). PERMIT RPPLICFINT HR::-, TNE RESPONSIBILITY TO INFORM TI-lIS DEPRRTMENT DURING I'HE INSTFILI.FITION INSPECTIONS OF FINY HELLS FIDJFICENT TO THIS PROPERTY RND TNF NUMBER OF RESIDENCES THRT THE HELL WILL SERVE, ']"1.-!() ( ~"--. ) I I%I':~PEC.'.T I¢J I'-,1":~ BEE R:EC3. LI I I:;~EID BFICI<FILLING OF FINY SYSTEM HITHOUT FINRL INSPECTION RND RPPROVRL BY ']'HI_<; DEPRRTMEN]" WILL BE SUBJEC'T' TO PROSECUTION. MINIMUM DISTFINCE BETHEEN FI HELL FIND 8NY ON-SITE SEWBGE DISPOSFIL SYSTEM IS t00 FEF.:T F'OR FI PRIVFITE WELL OR i50 'FO 20['~ FEET FROM FI F"UBLIC HELL DEPENDING UPON THE ]"YPE OF PUBLIC HELL MINIMUM DISTBNCE FROM Ft PF,'.IVBTE HELl_ TO 1'3 PRIVFITE SEWEI;?. LINE IS 2.5 FEET FIND TO FI COMMUNITY SE,t,.IER LINE IS ,'75 FEET. HELL LOGS FIRE REC,,!UIF,:ED FIND MUST BE RETURNED TO THE DEPFIRTMENT WITHIN i%:~ DBYS OF THE HELL COMPLETION. OTHER REQUIREMENTS MFIY RPF'LY. SPEC'.[FICRTIONS RND CONSTRUCTION DIRGR. RM':.~ RRE FI',/RILRBLE TO INSURE PROPER INSTFILLFI'FION. I CFRTIFY THRT 1: I FIM FRMILIFIR HITH ]'NE REQUIREMENTS FOR ON-SITE SE.t,.IERS RND HELLS RS SET FORTH BY ]''HE MUNICIPFILITY OF FINCNORFIGE. 2: I HILL INSTClLL THE c;YSTEM IN RCCORDFINCE WITH ']'HE CODES. ]:: I UNDERSTFIND THFIT TME ON-SITE SEklER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. V4. 0 NELL- iFtN&~ CHRRLI--'~ R H}:LLE,2RN -T~PE.OF ~OIL IqB~ORPTZ~N E;"I~TEM ~:~: DRHI;NF[EI.D ~,IRXIt~M NUt'ISER OF BE'DRO0~ = ~ ~O~L RRT£~ <~ FT?BR)-- ~33 .'~i THE LENGTH D[F~N~;[ON I$ T~E i_I-'NGTH <~N FEEl") 0F THE TRENCH OR ~rHE TI~EN(~H ~I~DTH ~5 ~L eec FIEE:T. .O~RRT~[NT NIL,L 8E ~tJeJECT TO P~ FEEl' FOR B PR~VRTE I~t. OR t. gO TO ~ FEET FROM R PUBLIC ~LL ~[N[HUH D~E, TR~ FROH R PR~V~I? ~L TO R PR~VRTE S~ L~ ~ ~ ~L COM~ET~ON. OTHE~ ~EOUIREMENTS ~I~V ~PL.~. ~ECIF~CRTICI~ R~ CONSTRUCTION I CEI~TIF¥ THRT RP~_ICRNT u~RL~ R HELLSORN GRE, ER ANCHORAGE AREA BOF Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 'JGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LEGAL DESCRIPTION ~...Of' 9/ ~ ~' 'T/5-/V ~/g/-{'O' SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH__ / MANUFACTURER ~.~'t~{~}~ IO. MATERIAL INSIDE WIDTH LIQUID DEPTH NUMBER OF _ COMPARTMENTS LIQUID CAPACITY I{5~-)~) GALLONS. SEEPAGE" PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION CRIB SIZE; DIAMETER ~ DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEARFST LOT LINE ABSORPTION AREA (WALL AREA) ~-~-~ .SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE '~'1L L'EI) CONSTRUCTION ~'T'/gl ~(~ ~ I°~) BUILDING NEAREST NEAREST FOUNDATION /'tL'~o~ LOT LINE: -, SEWER LINE__ CESSPOOL OTHER SOURCES_ APPROVED DISAPPROVED REMARKS DEPTH /~)¥~;~/ /001 . DISTANCE FROM: SEPTIC SEEPAGE TANK /1~' SYSTEM I'ZS-' DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: DATE / /', ^PPROVED ~:3.A.A.B. Russell Oyster 694-2774 Civil Engineenng Soils Er Foundations C-J ~ E EIvGINEERING £:f DEVELOPME. NT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 SOIL LOG Ear/Ellis 333-5240 Surveying Land Development Performed for: Mailing Address:_~O ~ Legal Description:_~d'T ~j ~ ~ Depth (~ge~t~ 0 Name: ~tI//£( ~-S tt'IL,/~O~/,Y Tel. No.,~ S0il Character~sMcs_ lO ll 12 Ground Water Encountered: Yes__ No l~ If yes, what depth.~ Proposed Installation: Seepage Pit k~ Drain Field__ Performed b · APPLIC NT FILLS OUT UPPER HA! ONLY Property Owner Cha~'les R. t[il'lborn Phone MalgngAddress POSt Office Box 8-9137 Anchorages_ ZlpCode 99508 688-2069 Buyer Self Address Zip Code Lendh~g Institution Alaska Mutual Savings Bank Phone Address E~i~ River Zip Code Realty Co. & A~nt Phone Address Zip Code Legal Descrlptlon T15~] R1W Section 8 Lot 91 Street Locatl~ Sunset Boulevard~ Nor%h Birchwood Loop Roac~ ~ Multiple Family No. of 8edroo~ %hree Water Supply ~ Individual 120 ~ A~ACH WELL ICG. A wall Icg is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach Icg if a~agable). ~ Public Utility ~qA'] aC~ ~ Sewer Disposal ~ Individual ~ A(~ - / ~5~ ;~}-;g '~A Year Indlv~ual Installed: 1982 ~ Public Utility -- When Connected to Public Ullllty: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATEI). handcarry Time Time Time Time 11:00 Meet owner Date Date Date Date 12-15-82 Thurs. Inspector Inspector Inspector Inspector Pratt Field Notes: .~_o~O ~ (note: there is no outs~ -' faucet useab].e) ENVIR',J~ Jh' :N,A. ; ,O,~CTION (.~) APPROVED BEDROOMS ' CONDITIONS OF APPROVAL RECEI EI2 ( } DISAPPROVED Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received /O ~ ~ ~-. Well to Tank Septic Tank Size i O OC9 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMFNT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: LEGAl_ DESCRIPTION:, ---- O¢. e/.~rX~ ~._. '~' 1 2 4 ,/Yt4 5 6- 7- 8 SLOPE Lo i?./M,,17¢. I'~ IH DATE PER FORMED:.~'tCl, SITE PLAN 10 11 12-- 13 14- 15- 16- 17- 18- 19 20 COMMENTS 72-008 (6/79) ENCOUNTERED? __ ) -- -- o I~, E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /¢/~/ _(minutes/inch) TEST RUN BETWEEN ~__~ FTt~I __--. FT CERTIFIED BY~~/~_ CHEMICAL & GE lOGICAL LABORATORIES ~ 'ALASKA, E¥C. ~'~. TELEPHONE (907)-279,4014 ANCHORAGE INDUS'TRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATI:'R SYSTEM; I.C), NO, Water System Name Phone No. Mailing Address City State Zip Code TO BE COMPLETI"D BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (fDr routine sample with lab ref. no. [] Special Purpose SAMPLE NO. LOCATION :, I [] 'rreated Water [] Untreated Water Time Collected Collected By Time Received Artalytlcal Method: [] Fermentation 'rubs [] Membrane Filter Lab Ref, No. Result* Analyst L L / FT-] L J I-I-] READ INSTRUCTIONS BEFORE COLLEC'rlNG SAMPLE 06-1220 (b) Rev, 1976 BACTERIOLOGICAL. WATER ANALYSIS RECORD Presumptive ].Omi 1Omi 1Omi 10m1 1Omi 1.Om1 O.].ml 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Multiple Tube Report: Membrane Filter; Direct Count Verification: LTB Final Membrane Filter Rasultl Broth 24 houri: