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HomeMy WebLinkAboutTURNAGAIN BLK 4 LT 2  !>.~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchora§e, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAl- D SCRIPTION, 'kc , NO. OESEDROOMS ~ DISTANCE TO: IWell/~ ( IAbs°r~a~' Dwelling ~ ~ ~ Manufscturer ~ < ~~ Materi~y~ No. of comments ~ Liq. c~ga[Ions IF HOMEMADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ( Manufacturer Material Liquid c~pacity in gallons ~=Q DISTANCE TO: Well /~/ Fou n dation[~ ( .~ Nearest lot line,[~ [ P E R MIT N O.~z ~ ~ ~ ~o. of line~ kon~ o' each I~ ~ Total ,e~ ?, I,n.s Trench 'd h Distance ~,l,nes ~ Top of tile tb finish grade ~ inches Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well ~uildlng foundation Nearest lot llne ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area{s) ~ DISTANCE TO: OTHER REMARKS / ~' " ' I 72-0 ev. 3/78) ~ ~ O~--SITE PERMIT N0~ ( 800198 ) APPLIORNT RCJ ENTERPRISES LOCRTION ±28t E, KLATT LEGAL L2 84 TURNIGBIN BOX 4-25?? ANCHORAGE 9950? LOT SIZE 14400 SGURRE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = 5 SOIL RATING',"- THE REQUIRED SIZE OF THE SOIL ABSORPTION~EM IS: DEF"TH: 2LO LENGTH: ~ GRFtVEL DEPTH: ¢_~.~z~ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL~. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND 8ND THE BOTTOM OF THE E~CRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE E~CRVBTION (IN FEET). RE~..U I REC-' SEPT I Ii_: TFli'41'--'. S I ZE= :-t500 6F'~LLCINS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF 8NY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TW~::) .:: 2 ) I i'-,ISPECT I OI'-,tS F-II:~:E REQIJ 1 BACKFILLING OF f~NY S~t-TEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A HELL AND ANY ON-SITE SEHHGE DISPOSAL SYSTEM IS 100 FEET FOR 8 PRIVATE HELL OR i50 TO 280 FEET FROM 8 PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE BVAILBBLE TO INSURE PROPER INSTALLATION. PERM I T EXP :I: RES [:,ECEtqSER I CERTIFY THAT , ±: I RM FAMILIAR WITH THE REQLIREMENTS FOR ON-SITE SEWERS AND WELLS 8S SET FORTH B~ THE MUNICIPALITY OF MN~HORBGE. 2: I WILL INSTR~THE SYSTEM IN 8CCORDRNC:E HITH THE CODES, ~: Z UNDED~TRNDCT~BT" THE ON-~TE IF THE V4. 0 ~J'CONSTRUCTION TEST L~B ~ ~~ "One Test is worth a Thousand Opinions" 2204 Cleveland Anchorage, Alaska 99503 277-0231 Perfo~ned for RCJ ENTERPRISES Legal Description: Lot 2 -Block This Fomn reports: SOILS TEST Yes 4 Date Performed 6/3/80 Subdivision TURNAGAIN PERCOLATION TEST Depth Soil Characteristics Feet 2.0 BrOwn Organic Silt Brown Silty Fine Sand ~7.0 ,~,ray Sandy Gravel (GW) '8.5 Brown Silt Gray Sandy Gravel (GW) Bottom of. Trench 14.0 feet ~ ?RlIN 2H H )U ;E Was Ground Water Encountered NO If YES, What depth? Reading Date Gross Time Percolation Rate Proposed Installation: Depth of Inlet CO~iENTS: Five Bedroom Net TLme Depth to H20 Net Drainage Minute SEEPAGE PIT DRAIN ~IELD Ratinq: 100 square feet/bedroom, Depth to Bottom of Pit or Trench GW mater~ia_l Da ts Certified By: James R. Rin~s~a~,~,~ Date : 6/3/80 iTest Performed by. Bernard Nidowicz GAAB-HO-I GR~ER ANCHORAGE AREA BORO.U_~ J DEFAF~TMENT OF ENVIF~0NMEI~TAL 0.UALIT-~'i 3500 TUDOR F~OAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACI~Y~ J GALLONS. NUMBER OF MATERIAL (~i31~20 ~ i7I/~t; COMPAR[MENTS iNSIDE LENGTH INSIDE WIDTH LIQUID DEPTH__ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS ~ OUTSIDE DIAMETER NEAREST LOT LINE '- OR WIDTH . DISTANCE FROM WELL I 0 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ., LENGTH I~ , DEPTH BUILDING FOUNDATION ~'~'/ , TILE DRAIN FIELD: DISTANCE FROM WELl , FOUNDATION_ . NEAREST LOT LINE NUMBER OF LINES // DISTANCE ~ES~ TRENCH WIDTH OE ABSORPIION AREA SQ. FL [ENGIH DEPlH: lOP OF FlEE 10 FINISH GRADE DEPIH OF EI[IER MAIERIA[ BENEAIH TIlE TOTAL LENGTH OF LINES__ IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE ~,-)~ ~ J J~Jb , DEPTH__ J J 0 , BUILDING FOUNDATION -~ SAMPLE NEAREST SEPTIC ~7--z SEEPAGE LOT LINE -~'~" /0'6~ ~ , SEWER LINE_ -~ .,TANK /7 , SYSTEM //g)C~ , CESSPOOL · NEAREST OTHER , SOURCES DISTANCES: DIAG RAM OF SYSTEM DATE G~A.B. GREATER,_,.~NCHORAGE AREA [,_)ROUGH C.ssNo. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT DISTANCES: APPLICATION TO INSTALL: SEPTIC TANK ~, SEEPAGE PIT. ~,, DRAIN FIELD. , OTHER TO SERVE THE FOLLOWIN EAC,L,TY FINANCED THROUGH TO BE INSTALLED BY THIS IS TO AS DESCRIBED BELOW. SIZE OF~NIT~O RESERVED . SEPT'C TA"K S'ZE/~ ~/T TYPE YPE ~ ~SEEPAGE A~EA I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the with saki code. above described system is in accordance ~;~./~/~/j~ DATE /~ ~ APPLICANTS SlfiNATUR , '~REATER ANCHORAGE~ ~REA BOROUGH 327 EAGLE STREET ANCHORAGE, ALASKA 99501 This Form Reports a: Soxls Log ..~ · . .~ercoza~.on ~es,_ ...... Yec~ Soil Characteristics Location Sk~ch Reading } Date Gross Time Net Time Depth To Net Drop Percozazzon R~re l"l r.~o~sea. ' Zns~ai~Seepage Piz Dmain Field DepZh' Of Inle~ Depth To Boz,~om Of Pz~ Om T~ench Performed Bi "~ ...... ~' INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR  825 L Street- Anchorage, Alaska 99501 00T 8 ' 1980 ENVIRONMENTAL SANITATION DIVISION Temo.. m,, 0 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts cfi page 1. Incomplete requests will not ~e proce~ed. Please allow ten (10) days for processing. MAILING ADD~ESS MAILING ADDRESS 5. LEGAL DESCRIPTION~ 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ Other ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY ~:)~?.5"T~///~, ~/~ ~ /z~ ~ INDIVIDUAL* * ATTACH WELL LOG. A well Io§ is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ iNDIVIDUAL/ON-SITE** x/'~'~l~O 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) THIS SIDE FOR OFFICIAL USE ONLY ~- 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 UTI LITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Conoection Verified INSTALLER [~Septic Tank or [] Holding Tank ~_~ ~ ~-(~ Size: / .~7'0 b If Tank is homemade 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 ~"~AP~ ROY E D FOR .~Y BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~~_ DATE BY 72-010 (Rev. 6/79) PROTECTION ~/e.,~,~:~/,-.~/ \ DEPARTME, OF HEALTH AND ENVIRONMEN[ ~- E~---~-~'z / ' 279-2511, ext. 224 or 225 ~:Z/"~-I~'lj)~.~ Date Received: May 'ii, 1977 REQUEST FOR APPROVAl, OF INDIVIDUAL sEWER AND WATER FACILITIES 1. Lending Institution Request: Spokane ~0rtgage Company Time _ Il.00 #3: Time Date ~-~g/-~q Date ~=~-~ Insp Mailing Address: 3201 C Street, Suite 250 Phone: 277-0543 2. Property Owner: John C/Carol Mc Culloch Mailing Address: Star Route A Box 1396 99~07 Phone 3. Legal Description: Lot 2 Block 4 4: Single Family Residence: (x) Multiple Family Residence: ( ) Turnagain Subdivision Number of Bedrooms: Number of Bedrooms: Well System: Permit # Construction Individual Well (x) Con. unity/Public System ( ) Depth of Well Well Log on File Bacterial Analysis Sewage Disposal System: On-site System (x) Public Utility Permit ~ Installed 1971 Installer Septic Tank Size ~ Manufacturer ~ f~C2~'~(~ Absorption Area _,~7~ ~i~oi$~ls Rate ._ F~ Material ~_ Distances: Well to Septic Tank ? ~ / to Sewer Lille Nearest Lot line to Nearest Lot Line ~ / to Absorption Area /~ / ~-- ~ Absorption Area ~ ~ Department of Health and Environmental Protection · Request for Approval of Individual Sewer and Water Facilities Legal Description: Comments: Lot 2 Block 4 Turnagain Subdivision Affadavit Attached: i (i) Approv ed: ~~, Disapprov : Letter Attached: ( ) Date: Department worksheet: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY Sewer and Water Section, Fourth Floor, 825 L Street, Anchorage, Alaska Attention: Laura Harrison REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 99501 I. Type of Inspection: CMRO VA. 2. Property Owner: John C. & Carol McCulloch Mailing Address: S~A Box 1396, Anch., Ak. 3. Name of Buyer: Robert W. & Gloria K. Inman XX FHA CONV Day Phone n/a Mailing Address: 4. Name of Lending Institution: SPOF--~qE MORTGAGE CO. Mailing Address: 3201 "C" Street, Suite 250, A~ch., Ak.Phone 5. Name of Realtor or Agent: COLONIA~ I~ALTY, Jim Kudrna Mailing Address: Phone Day Phone 277-0543 277-3551 6. Legal Description: Lot 2, Block 4, Turnagain Subdivision Location: NHN Klatt Road, Anchorage, Alaska 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: EQ-O37 (1/74) Single Family No. Bdrms. three (3) Public Utility Individual if Individual, number of dwellings presently served If Individual, depth of well unknown Sewage Disposal System Type of System: Public Utility If Individual, date of installatior;L971 Individual (on-site) one (1)