HomeMy WebLinkAboutT15N R1W SEC 9 LT 58ALJ
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MUNICIPALITY OF ANCHORAGE
(i• i r DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
O ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORTg
NAME „t
/9/1 ter, { q /
Pi"
i" 0276:',
NEW
'UPGRADE
•
MAILING A ES0 t & (`,'` q"YrCY�/,+(�'t+ , a g
D�cTION R/ W UPec. 7 C. a r iff A
LOCATION /'K�'e,,rrVV//rec C /dg.
1fJ 17
NO. OF BEDROOMS
U2
i—ZZ
W F..
`n
DISTANCE TO:
Well
/O o' --r-
Absorption area
/ e, 1
Dwelling
ir (
W602,6S
Manufacturer 2 ,•ree�
1p /C
Materia
�Te c c_
No. of compar ents
Liq. .r •a!lust,Inside
'moi'IF
HOMEMADE:
length
Width
Liquid depth
o 2
..4-1Z
2 <-
DISTANCE TO:
Well
Dwelling
PERMIT NO.
Manufacturer
Material
Liquid capacity in gallons
TILE
DRAINFIELD
TRENCH
DISTANCE TO:
Well
a60
Foundation
^J
Nearest lot lin
-/..
PERMIT NOgy� L 7
�.LH oZ 66
No. of lines
/
Length of each line
a/
Total u��i of lines
p.1• /
Trenc d ,
inches
Distance bet}'77�'eep�) es
/(i// f
Top of tile to finish grade
(7�
Mater I beneath tile
7� inches
Total eff v tion area
SEEPAGE
PIT
Length
WidtH
Depth
PERMIT NO.
Type of crib
Crib diameter
Crib depth
Total effective absorption area
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
J
w
Class
Depth
Driller
Distance to lot line
PERMIT NO.
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE ATERIALS
SOIL EST RA NG »s,„
r.,-,....r
1D
(4.
INSTALLER
PS
P r
%%
64
eta
REMARKS
♦t
CPO
At
QC)r
o4�
APP'OVE
DATE LEGAL
Kacti 7/7/79
72-012/Rev. 3/78)
PE�MIT NO.
P40.3 IN4 A: F "T"Irn 5-111%uis IF1 :���
DFPHRTMENT OF HEHLTH AND EN;lRONMEMTRL Px�TE�TION
STREET, ANL: HRHGE, HK995@1
,�^_^�,o
^�� `/ �v �. �
�_ ���� ���r�I� v �.'�_
\��
APPLICANT MHRYIN H KRDGH
LOCATION PETERS CREEK
LEGAL T15NR1W S9L58
' v�
/�/,f �~///J77
^
"
LOT SIZE 101900 SQuHRE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS. TREHcH
MAXIMUM NUMBER OF BEDROOMS RATING (SQ
THE REQUIRED 57ZE DF THE SOIL HPSDRPTInN SY5TEM IS:
��I,'","-K11-4:— Tq r4 w T — EA.- !Ek'"����
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H TRENCH DR PIT IS THE DISTANCE BETWEEN THE SURFACE 0F THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET)
THERE IS NO SET WIDTH FOR TREHCHES
TUE GRAVEL. DEPTH IS: THE MINIMUM DEPTH OE GRH;EL BETWEEN THE D;TFHLL PIPE.
AND THE BOTTDM uF Mk. EXCAVATION (IN FEET).
11::;::±!..F. }Ft-- -11 ��� III�����
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIDEPARTMENT DURING THE
INSTHLLHTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF REsIDENCES THRT THE WELL WILL SERYE:
--- 1-11,111::m 27 ) ^="K: "T- T Ir4 ��1-1,::::.7.117AD,
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL. BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTHNCE BETWEEN 9 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVHTE WELL/ OR
150 TO 200 FEET FRUM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUB! IC NELL
OTHER REQUIREMENTS MAY HND CONSTRUCTION DIHGPHMS ARE
HVHILHBLE TO INSURE PROPER INSTHLLHTION
I CERTIFY 148T
1� I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN HcCDRDHNCE HITH THE CODES.
]: T UNDERSTAND THRT THE uN-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REUODELED,TO INCLUDE MORE THAN 6 BEDROOMS.
e.
RPpLlCONT MHF" N H KROGH
ISSUED BY_-
DOTE-....
VI
2
0 Et E GEOTcCHNICAL Et DEVELOI MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Ems Ellis
694.2774 SOIL LOG 688-2280
Soils & Foundations land Development
Performed for: Name: L ic,cso, -s 4cfc/.4Lc Tel. No.
Malling Address:_,
Legal Description: Lor Sg, v5ec . 9, 77F41, ,� /W, s
Depth (testi Soil Characteristics
0
1 M[ 5.r %r
2 42', 5P Czech c- S 10
CoRSCES G 26'0411--P0-12S 77
3 Aft S./L-7- /Ve4 Dees/rr
4
5
6
7,
8 moo
9,
10
11
12
13
14
15
16
‘esc.
evedgG s Aodc-0Fas
re /O qe, ciLEm'v
LO-os6
4/°0, /oo
�
%0772,.-1-( 69r �T
6-0/6,e
PLOT Peri
rV o SCALE
Ground Water Encountered: Yes No ✓ If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
Performed by:
Date: 61//79
14, 14.0�v.-.
KODIAK, ALASKA
,486.4826 `..,
CHUGIAK;.ALASKA;
^• 688-3199.;
•
_ •'}�" J` ,WE.SERVE•ALL �ALASKA,
:4 POST OFFICE BOX 42-CHUGIAK: ALASKA 99567'lr;'.••-
DEPTH OEWELL'"'"'4.j w. -
STATIC LEVEL'OF.WATERF IZO.:-.14;1,.ka+4,03.L-
. J.• .:
DRAW DOWN FTt:::£9•••J
• GALS: PER HR. rDO=SW '
.• KIND OF CASING ::.61,-,,:::s t._ n n ¢'-
FROM '.. r i,•iv
FROM '' FT. .TO 'F I:
FROM •
.•FROM ` ` • "•FL
-FR011 ..
:FROM
FROM'.
FROM
FROM
' FROM , c FT:.TO
FROM FT. TO:.. „...:-....� »:: FT.`
t
%% DRILLERS NAME -^% •c
POE
o C t\L,(1,SMn,/
DEPT. OF ENVIRONMENTAL CONSERVATION
Richard Weis
5613 Renne Circle
Anchorage, Alaska 99504
SOOTRCENTRAL REGIONAL OFFICE
June 5, 1979
JAY S. HAMMOND, GOVERNOR
338 DENALI SREET
MACKAY BUILDING, ROOM 1206
ANCHORAGE, ALASKA 99601
Subject:, BLM Lot 58, Sec. 9, T15N, R1W, S.M.
Dear Mr. Weis:
We have received and reviewed a plan showing the proposed
location of a class C well expected to serve 3 duplexes on
the subject lot. The well site is approved for the features
with which this department is concerned providing all septic
tanks and soil absorption systems are located at least
150 feet from the well. Enclosed with this letter is a
certificate approving construction of the well. The
"Approved to Operate" section of the certificate must be
completed by a representative of this department prior to
placing the well in service. The following information
must be submitted before we can issue the operation
approval:
1. The results of a bacteriological analysis of the
well water.
2. A copy of the well log and well yield data.
Please feel free to contact me at 2.74-5527 if you have any
question regarding our review.
cc: Lynne Lindquist-DHEP
Enclosure
blh
18.06 L H
Sincerely,
4711-14r
James 0. Starr
Environmental Engineer
INSPECTION APPOINTMENTS
DATE RECEIVED
.TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
RACE
MURaUPHLITY or ANCI I
MUNICIPALITY OF ANCHORAGE DEPT. OF I IEALTH &
OF HEALTH & ENVIRONMENTAL PROTECkTiJIUtONMENTAL Ff,DTECTION
825 L Street - Anchorage, Alaska 99501
JAN 9 1980
SANITATION DIVISION
Telephone 264.4720 RECEIVED ECEIVE
OF INDIVIDUAL WATER AND SEWER FACILITIES
DEPARTMENT
• ) r
r i ENVIRONMENTAL
REQUEST FOR APPROVAL
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days fo processing.
1. PROPERTY O NER
Mflhv)n� A• Kto(&H
PHONE
277 -2752-
MAILING ADDRESS
Ra. 60( 4.2324 AAtANbi2q(7- ' A,�, ggsoq
PROPERTY RESIDENT (If different from above)
PHONE
2. BUYER
5AM E
PHONE
MAILING ADDRESS
3. LENDING STITUTION
UM/(486t-
Nang
PHONE
MAILING ADDRESS
GE4)iYS,9v
4. Rl/EEA7/T��OR/AGENT
PHONE
G ADDRESS
MAI LIi.
5. LEGAL DESCRIPTION
3LM SEC q Lai SB A T7sA) 2/IV SA ,
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS
• One ❑ Four • Other
■ SINGLE FAMILY MII Two NI Five
MULTIPLE FAMILY IIS Three !I Six
7. WATER SUPPLY
lyn INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
nil COMMUNITY since June 1975. For wells drilled prior to that date, give well
• PUBLIC UTILITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM /�
] INDIVIDUAL/ON-SITE** /979 YEAR ON-SITE SYSTEM WAS INSTALLED.
• PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
72-010 (Rev, 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
OF RESIDENCE
NUMBER OF BEDROOMS
1. TYPE
In SINGLE FAMILY
• MULTIPLE FAMILY
s ONE IN THREE • FIVE • OTHER
• TWO • FOUR • SIX
2. WATER SUPPLY
PERMIT NUMBER
■ INDIVIDUAL
DEPTH OF WELL
COMMUNITY
■ PUBLIC UTILITY
DATE DRILLED
Connection Verified
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
PERMIT NUMBER
• INDIVIDUAL/ON -SITE
MI PUBLIC UTILITY
DATE INSTALLED
"j —""j q
Connection Verified
• Septic Tank�or 0 Holding Tank
INSTALLER
Size: I7S " If Tank is homemade
SOILS RATING
give dimensions:
TY -
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
~o
4. DISTANCES
WELL TO:
Septic/Holding Tank
AbsorptionA a
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
sAPPROVED FOR 6/ BEDROOMS
■ CONDITIONAL APPROVAL (letter must accompany certificate)
■ DISAPPROVED /
DATE
rt.a�-�-
BY !%
Xc-
72-010 (Rev, 6/79)
January 10, 1980
Marvin A. Krogh
Post Office Box 4-•2324
Anchorage, Alaska 99504
Subject c. Lot 50A T157 R1W Section 9
Approval for your individual sewer and water facilities
can not be gaanted until the following items have been
completed:
A well log submitted to this department.
The water analysis report be delivered to this office
from Chem Lab, 5633 3 Street, for our review.
sofir-
(3) Expose the standpipes to the sewer system for our
inspection
Please notiffty this department for a re -inspection when
the noted descrepancy has been corrected. If there are
any further questions, please contact this office at
264-4720.
Sincerely,
Robert C. Pratt, R.S.
Aesociate Specialist
RCP/ljw
cc: National Bank of Alaska
% Larry Campbell
Pouch 7-025 99510