HomeMy WebLinkAboutTERRACE HEIGHTS BLK 1 LTS 5 & 6 MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
E.v,ro..,e.,., ..,,. D,v,.,o. 0/7'--07
825 %" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Address
¥ownship, Range, Section
TANKS
SEPTIC/I.- I ~ [] HOLDING
No. of Corn p~,~ents
TYPE OF SYSTEM
[] TRENCH .,,~ED [] W. DRAIN [] OTHER
WELLS
~/PRIVATE [] OTHER ddentilv)
Cia$~tion (A,B,C) Total Deptll
REMARKS:
FT
DISTANCES
) M"~""'""'-~ SEPTIC ABSORPTION
~. TANK FIELR WELL
LL
r LINE \
JNOATION
LOT
17034 ~agle Rive~ Loop Rosc~ No
"- ' - __.~sedily t~e~ Ibis inspecllon was pedormed according to all
Eaqle River, Alas~;a 99577 ~ /,~ /~
Municipal and Sl~le guidelines in ellecl on ~date: - ~/ / ~ / ~ ¢
Health Depadmenl Approval: ~ Date /~
72-013 (3/85)
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED
Township, Range, Section:
3 '
4
5-
6-
7-
8-
9-
10 - WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
11
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
S
IF YES, AT WHAT
Ei
Depth to Waler Alle,(¢. it
Reading Date Gross Net Depth to Net
Time Time Water Drop
~ ~,.~t~'~o /:~? ---- ~ '_L/¢.:."
-~' 2.-; ~o /~," 7'~/'~~'
PERCOLATION RATE ~
(minutes/inch) PI--RC HOLE DIAMETER
/ /
PERFORMED S& $ ENGINEERING . i_~//¢~'''~
- RY. . .... ~1/ /~ CERTIFY TNAT TH~S TES~ WAS PERFORMED IN
- ~'70~g~o ~v~i~ ~uau NO. 204 ( / / ~ --', / /
ACCORDANCIE~b~b~I~ICIPAL GUIDELI~ FFECT ON THIS DATE DATE'
EAS~ENT APPURTENAN'[
WE, THE LINDERSIONED OWNERS OF LOT 5~ BLOCK l, TERRACE HEIGHTS
SUBDIVISION, AS RECORDED IN THE ANCHORAGE RECORDING DISTRICT, AND OUR
HEIRS, SUCCESSORS AND ASSIGNS, GRANT TO THE OWNERS OF LOT 6, BLOCK 1,
TERRACE HEIGHTS SUBDIVISION A FIFTY (50) FOOT BY EIGHTY (80) FOOT
EASEMENT APPURTENANT ON LOT .6 FOR THE PURPOSE OF USING AND MAINTAINING
AN ON"SITE SEPTIC SYSTEM TO SERVE LOT 6; SAID EASEMENT IS MORE
PARTICULARLY DEgCRIBED AS FOLLOWS:
COMMENCE AT A LOT CORNER COMMON TO LOTS 5 AND 6 °'F::sA~:!BC0~K 1;
TERRACE HEIGHTS SUBDIVISION, SAID CORNER LYING ON THE RIGHT-OR-WAY
LINE OF COX DRIVE. RUN THENCE ALONG THE LINE COMMON TO SAID LOTS 5
AND 6, NORTH 0.0 DEGREES 06 MINUTES EAST, A DISTANCE OF 50.0 FEET,
THENCE NORTH 89 DEGREES 54 MINUTES. EAST A DISTANCE OF 80.0 FEET;
THENCE SOUTH 0.0 DEGREES 06 MINUTES WEST, A DISTANCE OF 50.0 FEET.
THENCE SOUTH 89 DEGREES 54 MINUTES EAST A DISTANCE OF 80.0 FEEl' TO
THE TRUE POINT OF BEGINNING. CONTAINING 4,000 SQUARE FEET.
IT IS THE INTENT OF THIS INSTRUMENT TO EXPRESSLY STATE THAT THIS
EASEMENT RUNS WITH THE LAND AND DOES NOT I'ERMINATi-- WITH TRANSFER OF
D-AVID
DATED:
E-gELYN~q~O~S~[-R
UNITED STATES OF AMERICA, INDIVIDUAl. ACKNOWLEDGEMENT
ss. (ALASKA)
THIS IS TO CERTIFY THAT ON THIS. ~' ~AY OF ~/~J?.~__ , 1990, BEFORE
THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE"S'~TE ~F ALASKA~ DULY
COMMISSIONED AND SWORN, PERSONALLY APPEARED DAVID J. FOSTER AND EVELYN
J. FOSTER~ HUSBAND AND WIFE, TO ME KNOWN TO BE THE PERSON DESCRIBED IN
AND WHO EXECUTED THE ABOVE AND FOREGOING INSTRUMENT, AND ACKNOWLEDGED
TO ME THAI' THEY SIGNED AND SEALED THE SAME FREELY AND VOLUNTARILY FOR
THE USES AND PURPOSES THEREIN MENTIONED.
IAND AND OFFICIAL SEAL THE DAY AND YEAR WRITTEN iBOVE.
/
/ lunicipality of Anchorage
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O, BOX 196650 An(~horage, Alaska 99519-6650
343-4744
January 9, 1989
Ted Ives
7921 Cox Drive
Anchorage, Alaska 99516
Subject: Lot 6 BLock 1 Terrace Heights Subdivision
Permit #880123, PID #017-073-12
A permit issued by this Department'.for an individual well
and/or on-site'sewer system has expired as of December 31,
1988.
Permits are issued on a calendar year basis by authority of
Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system
not installed by the expiration date.
If you have drilled the well, a well log needs 'to be sent to
this Department for documentation of the installation and to
close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the original as-built inspection report
(three-part form) must be ~ent.to this office for review and
approval, and for dbcumenta%ioh.'
When applying for a new permit, the fees are: $90.00 for
an on-site sewer permit; $50.00 for a well permit; $140.00
for a combined sewer and well permit.
If there are any further questions, please call this office
at 343-4744.
Sincerely,
Daniel J. Roth
Acting Program Manager
On-site Services Section
DJR/ljw
enc: Copy of Permit
M t..J hi 1 C I P A I.... I / ¥ [) F' A hi C, H [) R A (3 E
8;.~,5 L. St. reI::~L, Ar~c:hcmag~z..,, Alaska 99501 :]:;4.5...'47;?.0
0 Ixl ..... S I 7 E S E W E R F:' IE IR M I '1'
.0 a k. e I s s u ~:-~(:1: 0 7 / :1. 3 / 8 8
UI:) g p a d e
9951,6
345- 1.654
F::'ar'cc.~ ]. I d ~I 0 ;L7-()73.-. 1,?,
I.ot Legal~ Subdiv
LcrL ~ii:i.;.~e 210700 (sq,, fi;,,, or
Max Bedr, c;ioms~ This I.:.'erm:i.'L~
Sl'ii]:::"l'];C '¥'Alxll-:::: M:i.n:i. mum i'.otal septic 'Lan,L,: c:al::~ac::i, ty,", :i.~,00() ga].].c*r~s,,
'Lal]l:: mu~4;t have a'L leas'L 2. cclml::h'!tr'Lml!.~rrks,, Depi,.h to top of sept;i.c
f (~c? t, r' (;.) q u i i"' ts)s i r'l ~ilLt :L alt. :[ or'l I:;)vi{e i" t a n k ( s ).
Each S~l::rL :L c:
tan!.~ is) '::: 4.0
INSTAI..I_.. I:'IER IENI:iIIxlEE]:~S DESIGN!, A BED ]'YPIE ABSORF'TI[)I',I SYEFT'IEM.
I.,.IEIqG'TI'I= ',b2'; W:I]DTI'I = 2,5'; MAXIMUM DEF:'TH '= 2!' "I'HIS I::'ERMI]' IS
IEiEiLIED I::OI;/ A SINGL.IE; FAMII..Y IRI}:EiIDENCE ONL. Y AND EXl::')Zl::/Li]il
IxlOT I I:::'YI;)l"ll"l,~}l PF;; I OR 'T[I IEA[;H I NEiI:::'I!!iC, T :1: Oixl ,,~1~*1 I]}i:L.E'X]TIR
RIE]J!UII::/E]} I::/]R ]HE I.,,,iF'f S'I'A'I'ION,,
J; CI!!]::~I'IF:Y THAT:
For~'Lh I;;)y i:.he IflLm;i,c;i. pal:Lty of Anchcapage (1113A) and the St*t,e c~t' Alaska.
EC, I *~;i,]:1. ;i.n~FLa],]. ti'lc ~[iy~ilt,~Hll :ir'l ac:ciopdaFicit;a w:i. th ali MOA Cl;Idl'~.Hi~i and pegu].at:i.[]ns~,
3,, :I: w:i. ll adhere 'L(:] a].]. MOA and Eit, ai:.J,~, of A:t, aska l'(:H::lLlil"i~qlic,irl'k,!~ I'ClI' the set,
d:ist, al'lCc~s Fl'Cilll any (;~xis'L:Lng w~.)l]., waste)water' dispc)saJ, system c:)r' pLtblic
4. ]] Ltl'ld¢,~r's'karld 'LJ"l/a't:. thJ.~; per'lTIJ.'[ ;Ls valid for ~":1 Ill~l<~mL.tfll C)t' :5 bl. TdPigclm~;,,
~::/~[Ei(:) LlrqcJ(;:,)l-St(:u'lcJ 'kJ']a'k, i'..hE] capacity c:)f '[hl.~;) Lclt¢:I]. !iSyB'[.({~lll :lEi ]]~; bl}Hi;JPclclm~i ~Ar'lcJ
a n y e n ]. a r g e m~. ~~en t~ w ;i. i I r' e q u i ~' ez,~ n a d ~::1 :i. 'L i c)n a 1 p e r' m :L i; ,,
(I]wn¢:.~r') TED :[VE~ ~
{,E~GINEER'S ~EAL)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION 'rEs'r
PERFORMED FOR:
L. EGAL DESCRIPTION:
1
2
3-
4-
5-
6-
7
8
9
10
11
12
13
14
15
16
17
18
19
20
S,,; (
DATE P E R F OR M ~ ~.):~
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTER
ED?
IF YES, ATWHAT .-- ~
DE PT,?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION HATE ~)
(minutes/inch) ~'ERC HOLE DIAMETER
Lc~T' S
L_oT- b
Lo-f 7'
I =~0
LoT ~,,'BI/-.. I., TF--.C.P-A6~
I
I'
I
__
GREATEF ~,NCHORAGE AREA ' )ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
Case No./Z9
) j SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
UA~ O, A,, ~AUT~. /~'~b~f _ mlU~G A~9~SS~V/ '~ V~.. ,HO~E U~.~
., ~ ~ /- , , ~ ,,
APPLICATION TO INSTALL: SEPTIC TANK_ (-~_, SEEPAGE PIT. v; , DRAIN FIELD , OTHER
BELOW TO BE FII. LED OUT BY HEALTH DEPARTMENT
, PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE UNIT TO BE SERVED
· SEPTIC TANK SIZE ~-~0 SEEPAGE
DISTANCES~
OF M
I certify that I am familiar with the requh'ements of Greater Anchorage Area Borough Ordin~ce No. 28-68 and that the
above described system ¢ in accordance with said code. ~' - --~- - ~ /~//~i~ ~/~ ~r[Q
~EATER ANCHORAGE AREA BO:RO~H
HEALTH DEPAkTHENT i
327 EAGLE S'I:REET I
ANCHORAGE, ALASKA' 99501
CISE ~
· Depth
' Feet
Pbrformed For Ted Ives Date'Performed July I17, 1971
Legal Desorzptzon: Lot 6..._Block 1
Th~s Form Repo~s a: So~ls Log X .. , ~e~cola~on
Loeat i;on Sketch
Was G~ound Wa~en Encountered? · No
If Yes, At Wha~ Depths_
Reading
Date
Gross Time
Net Time
Depth To H20 Net Drop
Proposed Instal~?-Seepage Pit Dra£n Field
Depth Of Inlet Depth"~o Bottom ..... ·
~MMr~,~.. ~ · , Of P~t Or 'l'renc~'~----'-----~'
...... ~;~ra--4~fee_~LP~e~ ~drqom reauired is 205 s~
Test Peefo~d BI~:~laska Geo~og[c~l Consultants ':~ ,~