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Home My WebLink AboutT12N R4W SEC 10 LT 43 S2 ?-'~ MUNICIPALITY OF ANCHORAGE i, · 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 NAME PHONE ANEW MAILIN ADDRESS NC. OF EDROOMS ~ DISTANCE TO: We'~ /~e'~ E°undati°n g.~, Nearest '°'t~le ~ ,o. of I,nes~ kenot?~/o each/~i lotal len,t~es Trench ~ ~ Top of tile to finish grade ~ ' ~ ( < ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ Building foundation Sewer line Septic tank Absorption area(si ~ DISTANCE TO: OTHER REMARKS 72-013 3/78) PERMIT NO, ~ELL ( 821115 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET~ ANCHORAGE~ AK. 99501 264-4?20 8~C~ s]~-~--SITE '__~.E~EF~ P ER~q IT APPLICANT LOCATION LEGAL JERRY LEMENSE T±2NR4W S~0 N2L4~ PO BOX 4-ii02 ~509 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [:.EF'TH= 14 LEI'~GTH: 25 ,3 F.: Ft %-' E L DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEETX 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 EXCAVATION (IN FEET). F.:E(~. Li 1' F~: E E:., '_=.EF"T I C -r ~]~-ll---. S 1' ZE= ::L250 Gi::ILLOI'-,tS PERMIT BPPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. T[~O (2> I P~SF"EC:T~E~P-~S RRE REL:~LII ~:E[:. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL 89 THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION, PEF-."Pl I T E~<F" I ~:E$ [:.ECE~'~BEF-." _~C1.o I CERTIFY THAT :L: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH Bb' THE MUNICIPALITY OF ANCHORAGE. 2~ I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF~ THE RESIDENCE IS I;:Ex~ICI['.,F-~..ED TO,INCLUDE MORE THRN 4 BEDROOMS. ~,~-y~t --RF'~L~N9 ~RRY LEMENSE ~--~ ~ ~t /'-'~' ~.k.~-~ i o-.~- z~ ~-~h ~: so~Ls LOC MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 b. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 7 8 9 10 11 SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 12 13 DATE PERFORMED: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop 14 15 16 17 18-- 19 20- COMMENTS PERFORMED BY: 72-008 (6/'79) LOT TH 1 2 3 4 5 6 7 8 9- 10--- 11 13- 14- 15- 16- 17- 18- 19- 20- LOT TH -~ 1- 2 - 4- §- 7 9 10- A.E.C.S., INC. 1220 W. 25TH. AVENUE ~ICHORAGE~ AK. 99501 Supplemental Soils Information r/~.~-,~ 5.~-.Mo~ ~-,~ Block ~3- 14- 15- 16- 17- 18- 19- 20- LOT TH 1 3- 4- 6- 7- 8- 9 - 10- 11 12 13 14 15 16 17' 18- 20- LOT TH 1 3- 4- 5- 6 7 8 9 10 11 12 13 14 15 16 17 18- 19- 20- CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of /OT' in by ~ I public water system located ldo ~'~ ~(~ , Alaska, submitted in accordance with ].8 AAC 80.].00 ~ /'~ ~ )ti (../,~ "('J~O )~ ~ ~ )~J"~ ~J L O 0 }D '~- ~0 C ~eCbeen reviewed and are approved. p conditionally approved (see attached conditions), DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract order no. Approved by Date or descriptive reference) The "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of the .public water system was completed on {date). The system is hereby granted interim approval to operate for 90 days following the cpmpletion date. BY TITLE DATE .As~built~ plans submitted during the interim approval period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted iroval to operate. TITLE DATE APPLIC' ' T FILLS OUT UPPER HAL'" ONLY P,~)peHy.Owner ~.~j~TL~ ~, ~__f~j~..~ ;' : Phone U~lling ~re~' /~ ~ .C~ .~l~f./~.p ~/h~'~ ~-', Zip Code Address Zip Code Phone Lending Institution ~,~, ~. Zip Code LegalDescription ~ ~'~'W //Z T12N R~W Section 10 N~ Lot 43 SW~ R4W ~'Othor Family ~o. of BeOroo~ ~1~ 5 A~ACH WELL LOG A w~l log is ,*quired for all wells drilled since June 1975. ~tyG°mmunity Individual ~-~Y°arlndivMuallnstall°d: ~ Public Utility 0 ~' ~%- ~¢When Connected to Public Utilit~ Time Time Time Date Date Date Dat~.~ ~~_ ~,~ ~ Inspector Inspector I~spector ~NV t~:~ AL PgO~C~tOm ( ) CON DITIONA¢ ~ROVAL* Soils Rating Date ~er Installed Well To ~sorption Area Wel~. Log Received ~// Well to Tank Septic T~k Size ~,~ay t0, 1983 Jerome G. Le~,iense P. O. i~ox 4-1103 Anchorage, AK 99509 Subject: T12N R4W Section 10 ~ Lot 43 SW~2 Approval fo~: the individual sewer and water facilities cannot be granted until the ~ollowing items have been completed: ~%~he water analys~s report needs to be submitted to th. is ~b?~o{ffice fro~,~ t~e Chem Lab, 5633 i~ Street, for our review. o ~'he well is considered a "Class C" public well and approval will need to be issued by the State Department of Environmeutal Conservation. Please notify this Depart~ent £or a reinspection i~hen ti~e noted discrepancies have been corrected. If there are any further questions, please call this offlce at 264-4~-u. Sincerely~ Robert C. Pratt Associate Environmental RP41/ej/E1 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: ~ 2. Property Owner: Phone: Phone: Mailing Address: 3. Legal Description: ~_~7~,~ ~'/~ T/~/~/ ~l~ 4. Location: J~'~7-~ ~/-' · ~ 5. Type of facility to be inspected . ~ No. of bedrooms 6. Well Data: A. Type ~Z~L ~ C. Construction /(~x~/ 7. Sewage Disposal System: A. Installed ~/~; C. Septic Tank: 1. Siz~~ 2. ManufactureJ D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: ~/~/j~, Linesm~~ A. Well to: Septic tank ~?~2~, Absorption area , Sewer Nearest lot line , Other contamination B. Foundation to septic tank C. Absorption area to nearest lot line , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re~..~st for Approval of Individual ~ \~'er & Water Facilities Legal Description Comments sapprove Date/-- Approve~~-~ //2 . d Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) July 25, 1~973 Edmond W. & June ~urke 636 Delaney Anchorage, Alaska 99501 Jle: S/ 1/2 Lot 43, Sec. i)ear ~r. aad }~rs. Burke: This department's files indicate that the sewer system serviJlg Lhe apartment building and laundry on the sub~ ject lo~ is adequate. The well cJistances from ti~e sewer for a semi-public well. l'?~e well ex~e~ded as mentioned in previous put,me,qt. to the well are adequate cas,ing still needs to be let'~ers frol.~ this de- Please conLact tills office when thc work Oil the well has bee~ comply'ced. you hav~ auy ques'&ions on ~he abow, pl~,ase co~ttac~ · ~his office. Sincerely, Lynn S. Coa~t, BAN ITAP, IAN LSC/ko Enclosure FROM: GREATER ANCHORAGE AREA BOROUGH S 1/2 of DEPARTMENT: ~.,.~(~ .. SUBJECT: 10 INITIATED BY: .... ~UA~.P.._g.,- gSW~t]~- DATE OF MEMO: DATE ANSWER TO: DEPARTMENT: ..... B.~ "i .!.~.'J .rt g~ ~ $. ~ .e~.'~,~ REQUESTED: RECEIVER: ................................................. REQUESTED ACTION SCHEDULE ~ "'~'"~'0~ i~'~ fi$~ 'o~'b/ ~";~"~E~:'{}'~-i~'~$~,~i~' ........ ~"~ ~ CALL ME BEFORE YOU ANSWER FOR IMMEDIATE ACTION FOR YOUR CONSIDERATIO~ ~ NEED YOUR RECOMMENDATION OTHER