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Home My WebLink AboutTURNAGAIN PARK #2 BLK 1 LT 4 ,lb? MUNICIPALITY OF ANCHORAGE ~,~./ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Liq.~t~ gallons IF HOME.DE: I inside length Width Liquid depth Well ~ Foundation Nearest lot line ~ ~ ~ 3 ~ ~inches · ~/~ Class ~ ~ Depth Driller Distance to lot line PERMIT NO. IV OTHER ~0 BOX ~]~{~]~9; STAR ]~OUTE A ANCHOI~A{]I~. ALASKA SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF DRILLED AT THE RATE OF ~20o 06) PER FOOT. PROPERTY OWNER f/~. ~[/~ce~ .~OC~, 345=2454 ~5-~ LOCATION OF WELL SITE DRILLER WELL LOG: 0 ...... 21~ ~ ~ ~ 4~ .... 79' ~. 79---108' 108--124' 124--725' ~ o~ We.2.L ~ ~ $_u~12.: ,~5oo. OO COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF. THANK YOU VErY MUCH. BERNi~-JyAUS OF RAMPART DRILLING WORKS SERVICE CHARGE 0 F I~% PER MONTH $SED ON PAST DUE ACCOUNTS. ~" LOCRTtON OFf: OLD SEWRRD LEGRL L4 BJ. TURNRGRIN PRRK TYF'E OF ..... ql-lI[ HB-,JRFTIuN Y=,TEM IS: MRXIMUM NI MBER OF E, EDROuPI~, = DRR I NFI EL[:, LOT 'q -~ - I,~E SOIL ' I .... '-- ~' ',- _.. RFtTIN.~ .... Q FT, ER..- 9F~ THE REQUIRED .=-,I~E OF THE .... 'z4]IL HB_,uRFTION ¥..,TEM IS: [:,E F'TI4 = .¢::2;. ~ L[E. ~'-.~ ~ T H = '-----' -~; ,-3 [;~: R %.' E L [:, E P"F Fl = ;-]- THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRYRTION (IN FEET). THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRYEL. BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F-: E L----~ b~ I RE[:, :~EF' T I F'_. T R ~'--~ ~'=:: '$. I ZE= :I_ 0 £'10 Fj R L L C, i'-~__.c; PERMIT RPF'L. ICBNT HRS THE RE_FLNz, IBILIT¢ TO INFORM THIS DEF'RRTMENT DURING THE IN_THLLRTIuN IIg_PEL. TIuNz, OF RNY WELLS H[...TRLENT TO THIS ~'oq~ ....... F~.-FE.~IT RND THE NUMBER OF RE_,Z[.ENuEz, THRT THE WELL WILL T'I...-gC, ,:] 2 -':, I I'-,~SF'EC:T I Clt'-.l'_z, RE:E F-:E6!LII I RED, E, HUh..FILLINb ElF RN"t ,--,,c - * -,T_,TEH WITHOI_IT FINRL INz, PEuTION RND RF'PRO',,,'taL B"r' THIS [.EFHR.HEFIT WILL BE :,UBJEuT TO PRO_,EL. LITION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS ±00 FEET FOR R PRIYRTE WELL OR ±50 TO 200 FEET FROM ~ PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTRNCE FROM R PRIVBTE WELL TO R F'RIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETBRNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. t CERTIFY THRT 1: I BM FtRMILIF~R WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLIT'¢ OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. g: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3: BEDROOMS. .......................... RF'F'LICRNT HRRMON E'XC. FOR LOCKRRD I_,_,LIED E · __[ HTE___~ ',,,'4, 0 ~[[ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST 4 5- 6- 0- 17 20- SLOPE SITE PLAN ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN 72-008 (6/19) FT AND FT DAi E RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & ) 82S L Street - Anchorage, Alaska 00501 ENVIRONMENTAL EROTECTION ENVIRONMENTAL SANITATION DIVISION SE? : 4981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND DIRECTIONS: Complete all parts oil page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. PROPERTY RESIDENT {If dlfferent from above) PHONE 2, BUYER PHONE MAILING ADDRESS 11 ./,~ ~'/' C *-- PHONE 3. LENDING INSTITUTION ~, -~-,~/..~ '¢¢ / ~3. ul~t,;~"t J ~h~P~'3 MAILING ADDRESS 5, LEGAL DESCRIPTION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS [] One [] Four ~.. SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~.~ Three [] Six [] Other ~ INDIVIDUAL* ~ ATTACH WELL LOG. A well log is required for all drilled ~-'~J COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ¢'~ INDIVIDUAL/ON-SITE** / ¢~'"/ YEAR ON-SITE SYSTEM WAS INSTALLED. 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 E3 COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~I/N DIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER [~'~e~tic Tank or [] Holding Tank Size: ,/,~.~'~ ~) If Tank is homemade SOILS RATING ~2 '~ give dimensions: TYPE OF TANK MANUFACTURER .7, TOTAL ABSORPTION AREA MATERIAL E, COMMENTS ~/~/ APPROVED FOR "BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev, 6/79) 825 "1.." STREET GEOR(~E M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION September 10, 1981 Lance C. Lockard Post Office Box 10-115 Anchorage, Alaska 99511 Subject: Lot 4 Block 1 Turnagain Park Subdivision #2 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (3) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. A well loq needs to be submitted to this office for our files and review. The depression around the well casing needs filled in with impervious type soil so that away from the well casing. to be it slopes (4) The depression over the septic tank needs to be filled in with soil. Please notify this office for a re-inspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, James S. Roberts. Associate Environmental Specialist JSR/ljw CC: Alaska Mutual Savings Bank % Claudia Jonas 3301 C Street, Suite 205 99503