HomeMy WebLinkAboutT15N R1W SEC 8 LT 31
i~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT ,OF HEALTH & ENVIRONMENTAL PROTECTION
ENVII~ONMEN'I'AL ENGINEERING DIVISION
825 L Street- Anchorage;, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE [)ISPqSAL SYSTEM AND/OR WELL INSPECTION REPORT
i rP H O N-~-~=-- [] NEW
~A[EING ADDRESS i
~GAL'DESCRIPTION
LOCATION { NO. OF BEDROOMS
~Vell ~ Absorption area Dwelling PERMIT NO.
i: Z Manufacturer ' ) ~ Material No. of compartments
~--~ Leng~~ I Total len~¢o~l~es Trench wiO;,~
~ ~ No, of lines
~ Type of crib Crib di,meter ~J/~ ~ Cr,b depth Total effective absorption ~rea
OTHER
~IPE MATERIALS i -~ -- ----
~OIL TES~ RATING
~NSTAL. LER i ~'¢ ' 1~
VED ' X i DAT~ LEGAL
72-013
THI: I. i:",l]~' I :, "I: ~',l:~: I]1'.,! i :i; I'11~: !1 .I!:l",ll:::i I"1-1 ,:: )]",! F:'I~:I", I]1:= TIq~!::I ~.1 b,'l ..H" O1:,;: I),F;:F:I 'I I",11:;: :[ [:'[ I::,
TILE: I)FiiF'TFI OF: FI "I't~:E:I".II::::I..I(:IF~ I:::':('t :['!i; 'fl'Iii:: I]::~: :,1 N.;I. 131~i:Tl.,.ff:ki]'q 'I'HI= :~;I. II;?f:'l::l:]:[: f'lF:: 'l"l.l!:i:
~3F;.'.OI.INE:, f:::11',1[) TI-fi!:: li~Cq't'OH OF: 'i'HI~
It" I!" l Il!lC t!" ~:¥:: I!iiF] ~",11H:::]::: IF'It b, 1! ]1:
THk' I:ii~;?.f::lVtii:L I::,t!i:I'::'FH :[:!!!; THE:
I:::ll",l[::, TFII.:: Ei:OF'f'[li"l I:)F: FIIt~: F:',:.::C:FI',,,'FfI'
I'1 :t: I",1 :[ J'"lLli"l t::, :[ ?i; Ft::'tF,II]:lii: !:iflF:FMk,:[!:N f::~ I.,1E]..I, FII",!I) t:::t!',l'r' I]N..:~:; ]: '1'1!] ::!i;E:],.lF:t(!i!!!:: [:,
:ll:'ll;i!l I:1:!:[:'1' Fill:? t::~ I:::'l:~:]:","l:ll!ii: [-'.l[i:[..I..;
':!.!!hill ]1] ;ii:li::.ll?l I:=E:[:i:T F:'I:;?.OH I::1 F:'I.I[31 ]:[: I.'.ll:ii:l.!. [:)I!i:F:'F:NI::,]:I'.tCi UF:'[)I'..I 'FI.lEE ]'r'l::'l:!:: or:.'
O]'llfi:l:,? FN:E:[;:!I.I]:];;:I!],II:!.]'.,IT:iii; i"lf::l"r' f::ff::'F:'l.?. ?SF:II!:I::::!:F:]:I:::FtT]:OI'-,I'.i; I=ff',tl], I]::I]I'.,iI!i;TI;i:I.f(:::]']:[H'.I
I::'t',,,'I:::I:!:t.FI[?,t.[!!: TO lt",ISUI:,.:iZ F:'F?.I]F'[~]:;?.
0
2
4
6
8
12
14
Steven A. Johnson
Box 76
Chugiak, Alaska 99567
Phone: 688-3085
Performed for
Legal Description_
Test Pit Location
soils Log
Percolation Test
Joan L. Evans
Lot 31 Sec 8 T15N, R1W SM
Date
~ee attached sheet
16
0'- 2' red brown gravelly silt w/organics
_~ater table at 2 feet__.. 275 ft2/bdrm
2'- 15' g~ay brown well graded sandy gravel
w/some silt (CW) and boulders to two
feet
140 ft2/bdrm
TOtal depth this test 10 feet
AVEI~GE ABSORPTION AREA REQUIRED FROM SOILS LOG = 1 67 ft.2/bdrm.
NET TIME (Min.)
NET DROP (In.
Percolation rate
~ minutes/inch l)
43
0
2
4
6
10
12
14
Steven'A. Johnson
Box 76
Chugiak, Alaska 99567
Phone: 688-3085
Performed for
Legal Description
JoaD L. Evans
Lot 31. Sec 8 T15N, R1W SM
Soils Log
Percolation Test
Date 8/15/78
Test Pit Location See attached sheet
2 ' red
2'- 15'
brown gravelly silt w/organics
275 ft2/bdrm
TOtal depth this test
gray brown well graded sandy gravel
w/some silt (CW) and boulders to two
feet
140 ft2/bdrm
water table at 7 feet
numerous seeps below 7 feet
10 feet
AVERAGE ABSORPTION AREA REQUIRE, D FROM SOILS LOG =
--ft. 2/bdrm.
Percolation rate
NE~ TIME (Min.)
Signed
NET DROP (In.)
PERC R AT~h"/in~__
10
12
14
16
Steven A. Johnson%
Box 76
Chugiak, Alaska 99567
Phone: 688-3085
Soils Log
Percolation Test
Performed for
Legal Description
Test Pit Location
Jo~n L, Evans Sate 8/15/78
Lo~ 31 Sec 8 T15N, R1W SM
Se~ attached sheet
0i'- 2' red brown gravelly silt w/organics (~IL)
275 ft2/bdrm
gray brown well graded sandy gravel
w/some silt (GW) and boulders to 'two
feet
140 ft2/bdrm
water table at 5 feet
Total depth this test 10 feet
AVERAGE ABSORPTION AREA REQUIRED FROM SOILS LOG = 167
ft. 2/bdrm.
Percolation rate
NETi TIME (Min.)
NET DROP
PERC RA.~
Signed
minutes/i~h
... ' '~ c~/e..': I "~3o'
' ii;; I . .- - ~ '.' ~ ~ i ' - - I 'i . . 1 .
e//~_,~ ENVllONMENTAL ENGINEERING DIVISION
RIEQUEST FOR APPROVAL OF NDIVIDUAL WATER AND SEWER FAI~ILITIEs'
DIRECTIONS: Complete aH par~s on page 1, Incomplete rauuests wild not ba proce~ed. Please allow tel3 {10) d~ys for processing,
1. PROPERTY OWNER PHONE '
Joan Evans 688-2666
mUNICIPALITY OF ANCHORAGE ~'~'~,"
DEPARTMENt' OF HEAL,TN & ENVIRONMENTAL PROTECTION ' ~ ~ ' '" - '
j825 L Street - Anchorage, Alaska 99501 [
MAILING ADDRESS
BOX 49:L 99567
2.PROPERTYBuYER RESIDEN3 (If different from abovel i . PH{JNEPHONE
John H./Dorothy A. Day:Lis 243-5429
MA LNG ADDRESS ,
6720 W<~imer Dr3.ve 99502 .
3~ ~,ENDING IN~'ITUTION 1 PHONE
Lomas and Ne~tle%on Co[~pany I 274-7661
MAILING ADDRESS
evard 99503
PHONE
% Betty Fields I 694-3355
lty
4449 Business Park Boul
4. REALT~OR/AGENT
Chugiak-Ea~le River Rea
MAILING ADDRESS
Post office Box. F,. 9956
E, LEGAL DESCRIPTION ,
T15N R1W Section 8 Lo~
STREET LOCATION
No, rth Birohwood Loop R~
6. TYPE OF RESIDENCE
[~X SINGLE FAMILY
[] MULTIPLE FAMILY '
7. WATER SUPPLY
31
[~;P~ NDIVIDUAL*
{~ COMMUNITY
PUBLIC UTI LITY
8. SEWAGE DISPOSAL SYSTEM
~ NDIVIDUAL/ON-SITE
[] PUBLIC UTILITY
ad
NUMBER OF BEDROOMS
[] One [] Four [] Other_
[] Two [] Five
~ Three {2] Six
ATTACH WELL LOG, A well log is required for all wei s drilled
since June 1975, For wells drilled ~rior to mat date, (.liVe well
aepth (attach Io.c if available,~
**If individual/on-site, give installation date
If system is over two [2) years old an adequacy test is required
by this Department,
NOTE: THE INSPI-'CTIC)N FEE MUST ACCOMPANY EACH REQU ~ST BEFORE PRC)CESSING CAN BE INITIATED.
'72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TiME TiME TiME
DATE DATE DATE
I NSP ECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] 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
[]Septic Tank or []Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions;
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
S. COMMENTS
~APPROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (Fetter must accompany certificate)
[] DISAPPROVED
DATE
~ (~-~'~ o__ ? (~. ]Y(Title)
72-010 (Rev, 3/78)
MiUNICIPALITY OF ANCHORAGE
Department of Itealth and Environmental Protection
~ 825 L Street, Anchorage, Alaska 9950].
~j/ 264-4720
~" ~/equest for Approval of Individual Sewer and Water Facilities
1. Property Owner:
Mailing Address:
497 ~.~ ~k. ~_56~__ ...... Phone: 6'88-2666
Name of Buyer:
Mailing Address: _~j%0_~~_.~_~t~ Phone:
]bending Institution:
Mailing Address: 44~
Realtor/Agent: (3u~i~-~_~ ~ ~o_o.22.q.., _~0~_,/ B~-,~. $, ~292~
Mai] ing Address: $,~. BOX 7 C4~f_'~, Rk._39567 . Phone: ~_"3355 __
]Legal Description:
° ~
,.,treet Location: __
Single Family Residehce: (X) Number of Bedrooms: .__3
Multiple Family Residence: ( ) Number of Bedrooms:
o
Water Supply: * Indigidual Well (X)
If ]individual Well, Well depth 62'
If Conm~unity System, name of system
Public/Co]tm]unity System ( )
Sewage Disposal System: On-site System (X) Public System ( )
If On-site System, date of installation: (q.r~n.omn.) Cu~g%e;~ ~Ta/~.
*NOTE:
A well log is required on ALL wells drilled since 6/75.
If on-site seweri system is over two(2) years old, an adequacy
test is required!by this department.
A fee of $25.00 ~ust accompany each request before processing
can be initiated!.
3/77
~,8, 1977
Dynamic; Realty
401 West Northern L:LUhts
;~ohorage, Alaska 9~9503
Subject: ~15~ ~'.].H S~t;ion 8 Lot 31
The adequacy test on~ the s~ject property failed.
~ ~I> ~zade of th~ ~:>~ozption area ~ required bsfore an
app~.o~al may be gristede. A ~ond:[t~Onal 'api>~oval would
be considered once a~ soils test has b~en conduct(~d on
property to establish upgradi~%q ~p~cifications. Funds must
be escro%.~ed for l;he ~pgrade an6 any interim pt%roping that
~aay be required.
above surroundzn~ gr{%nd level and the area areund the
well filled with 8oil slop,:~d away from the casing.
A $20.00 pe~it i~i~ed for ~;he ~rado. %?he upgradin(~
If there are any fu~he:r questions, please contact this
office at 264-.4720.
Sincerely~ ~
I, es N. ~3uchholz, R.S~
Senior ~;nvironmontal iSpecialist
!,NB/lb
l) 17 PAP, I'PiF
PROTI-CT[ ON
9951) 1
].2-19-77 Tues Date 12-20-77 Wed ~.~a.~
.................... ~'ibbs d~ing pump'fff9- ............ / ' "'
1.. Lendin~I [nst:i_Lution t{cqUes~: Mike Messick, D~namic Realty
MaJ.].inq Address: 401 W st Northern Liqhts Phone: 279-7611
2. Properuy OwntN.-: Joan ~vans Phoue: 688-2666
Mail. lng Address: . B~._~_~_._~_5~.
3. Legal Descr±pt~on: T15N R1W Section 8 Lot 31
Single Fama..Iy Residencel: (x)
MultJp.le FuaJ_.l.y Rcs.]donee: i
Number oi Bedrooms: Three
NLllllbor o]] ]~(ld33OOl//S:
5, Well Sys~cm; '[ndivLdu~,~ We1.1 (x) Conm]un~ty/PubJic Syst:om
Perrn±t ...................... Dbpt;h oi We].] . Z.6~_._a__E_p.r__ox~ Wctt Log en VLlo
Lo~) ~.t~z uc ..~ o ~ ................ j .........................Bac kef
Sewage DispnsaL SVSL~m]: ()ri-siLo Sys~eu (x~
Anal ys ls
Pub].].c Utili.l'y
Perm LL ................... ].l~ska [led .... }~? _k_n_ O?._n- I nsCailel7 ........................................
Septic Tank Size Hall
Absorpt. Aon A~:ea o3z.L,~ Rat.~ _ ............. Mat:er
LO No&rosh ],Oil l~].llC
o
MUNICIPALITY OF ANCHORAG~ P~O~e~t£~n
De[~artment Of ~I:eatth' and Environmen'tal
825 L S'¢reet, ~chorage, Alaska 99501
279-2511, ext. 224, 225 .....
oewer
~ues~ for Approval of Individual o and Water Facilities
ProperLy Owner: _~/
Mailing Address: . ~
Name of Buyer:
Mailing Address:
Phone:
Phone:
Lending InsEi%ution:, ~/~
Mailing Address: Phone
Real ~or/Agent: ~ [ ~-~ /4~r/3~/~-'' ~.~g~i ~
,
Single Family Residence: ~ Number of Bedrooms:
MulUiple Family Residence:---G-) - Number of Bedrooms: .....
Wa%er Supply: *Individual Well (~Public/CommuniEy SysEem ( ) /
If Community System, name of sys~:em
Sewage Disposal Syst%m: On-site System
If On-site System, date of installation:
Public Sysqem
( )
*NOTE: A well log is required on AL1, wells drilled since 6/75.
3/77
Piige 'l~WORequestD~oPrar~ot of
w~!l
Heal%h and Environmental Protection
of Individual Sewer and Water Facilities
Legal Description: T15N R1W Seohion 8 Lot 311
Comments:
Affadavit Attached: ( )
Letl:er Attached: ( )
Approved:
Date:
Disapproved:
]Date:
Department