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Home My WebLink AboutT12N R3W SEC 9 LT 52A DATE RECEIVED ( MuNICIPALitY O~- ~m~ ,~ .... MUNICIPALITY OF ANCHORAGE DEPT. O~: DEPARTMENT OF HEALTH & E~Vl RONMENTAL PROTEC~oNM~q-~,: L · 825 L Street- Anchorage, Alaska 99501 '~ ~ ¢~ ENVl RONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INBIVIDUAL WATER AND SEW LITIES DIBECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPE~OWNE~ . ~ PHONE PROPERTY RESIDENT (If different from above) PHONE 2. BUYER MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE ~AILIN~ ADDRE88 4, REALT~¢NT I PHONE MAILING ADDRESS 5, LEGAL DESCRIPTION ;TREET LOCATION 6. TYPE OF RESIDENCE ~, SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY NUMBER OF~BEDROOMS [] One [] Four [] Other__ [] Two [] Five Three [] Six * ATTACH WELL LOG. AweII log is required for all wells drilled since June Ig75. For wells drilled prior to that date, give well depth (attach Iog if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY /~.~- YEAR ON-SITE SYSTEM WAS INSTALLED. 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 [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER C-ISeptic Tank or [] Holding Tank,~_~/' ~-~.~, Size: IC, Y-~(~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line 1 WELL TO: Absorption Area to nearest Lot Lice 5. COMMENTS I~/'"APP ROVE D FOR ~'-~'~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~~.~.~.~ DATE BY 72-010 (Rev. 6/79) Health & Environmental "Pro~c~'lor, . Sanitation Division Environmental ~ 82~ L~Stroet, Fou~h Floor West ~ Anch~ra~, Alaska 99501 o~ g LOAN APP?-'fAL INSPECTIONS (Expose and mark stand-pipes and wells.) Draw map to property for inspectors use. ALASKA i rlUiRonmerlTAL COF1TROL $1 RUICeS, IrIC. ~nqineerinq 8 I~nuironmenlol ~iludies MUNICIPALITY OF ANCHORAGE DEPT. OF ;' ',i~ ', & ENVIRONMEh, h: . i LCTION December 16, 1980 Mike Hill 8200 Nadine Street Anchorage~ Ak. 99507 Seller - Mike Hill Subdivision - Jerry Hill Block - Sect 9 Lot - 52A The type of absorption system is a trench with an area of 400 The system is capable of accepting 450 gallons of water per day. The soils rating of the system at construction was 150 and now is 133 sqft/bedroom. Based upon the test data the system is acceptable for a:3 bedroom home. The septic tank was pumped on 12-15-80 RECEIVED 1220 W~:sl 25th Aucnue · J~nchora§¢, J~lasb 99503 · (907) 276-1361 CHEMI'CAL & GEc..~,OGICAL LABORATORIES ts..,..~, ALASKA, INC, TELEPHONE {907)-279-4014 274-3364 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking ,Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED 8Y WATER SUPPLIER WATER SYSTEM: Water System Name I.D. NO. · ,'~ II ','~', Phone No. ~ -~ ,.,~ /~ · Mailing Address F''~' .,"i .... City State MO. Day Year Zip Code SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. LOCATION I , [ Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sampmtoo ong in transit; sample should not be over 48 hours old au examination to indicate reliable resui[s. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube O Membrane Filter Lab Ref. No. Result* Analyst I I I I I-Fi READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-].220 (b) Rev. ].978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Lab. No. 24 Hours 48 Hours Confirmstory 24 Hours 48 Hours EMB Broth 24 hours: Broth 48 hours: Multiple Tube Report: 10mi Tubes Positive/Total 10mi Portions Membrane FIItsr= Direct Count Collform/100ml verification: LTB BGB Flnat Membrane Filter Results ; ,. Coliform/100mI Reported By ' ~ I:~' '* ;~:' ( ¢' Date ', ' ..... oGREL_: ANCHORAGE AREA BOE__j_.wH Department of Environmental Quality 3330 C Street INSPECTION REPORT ON-SITE SEWAGE DISPOS NAME ~;)~,~ Hill MAILING ADDRESS "~;ZJ~a ~"¢[~."H¢.. PHONE LOCATION LEGAL DESCRIPTION 'TIz¢ R3~ 5~ ~ '/~ SEPTIC TANK: DISTANCE NUMBER OF / FROM WELL (~,~( MANUFACTURER G¢'~/~' MATERIAL ~'¢~'~ / COMPARTMENTS INSIDE LENGTH ~ INSIDE WIDTH ~ LIQUID DEPTH ~ LIQUID CAPACITY [~)0~ GALLONS. DISTANCE FROM WELL [O/ FOUNDATION NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE,')] ~4~' NEAREST LOT LINE ¢ .,~ I TOTAL LENGT,~ OF LINES DISTANCE BETWEEN LINES O SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TRENCH WIDTH ~'"~(,'D IN. TOTAL EFFECTIVE ABOVE TILE 4 IN. WELL: TYPE 4 ~'~. ~\P~ A CONSTRUCTION Ck i~ O~¢'~V 8 BUILDING NEAREST NEAREST FOUNDATION LOT LINE __ SEWER LINE__ CESSPOOl OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE I , TANK <~/, SYSTEM I01 DISTANCE FROM: DISTANCES: INSTALLED BY: SEWER LINE DEPTH: t PIPE MATERIAL: LOT SLOPE: ~EuA~Ks: DATE APPROVED G.A.A.B. Form EQ-032 DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE, Z74-456 ! r~ y~ SEWAGE DISPOSAL SYSTEM'~-- APPLICATION AND pERMIT ,NSTALLAT'ON LOOAT,ON /J~/~ MAILING ADDRESS ~ ~'~ PHONE INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT DRA~N FIELD TYPE AND SIZE OF FACILITY TO BE SERVED -,~ ~ TO BE INSTALLED BY FINANCED THROUGH NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE QUALITY:AUTHORITY WILL BE SUBJECT TO PROSECUTION. DEPARTMENT OF ENVIRONMENTAL DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~-~ ~/' / FOUNDATION TO SEEPAGE pJ~T~ . DRAIN FIELD SEPTIC TANK TO SEEPAGE~T WALL SEPTIC TANK ~.;-~ TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD SEEPAGE 'F~T , DRAIN / ¢~)--c~ ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK , SEEPAGE PIT DRAIN FIELD / L? SEPTIC TANK, ~/~'~L/) SEEPAGE PIT .// (:)~ , DRAIN FIELD '/ ~ ~ TO R~VER, LAKE. STREA~. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING ~AP OF EXCAVATION 5 FEET iNTO UNDiSTURbED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTI~HT REMOVABLE ~APS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. I also certify that this home will contain a maximum of three (3) bedrooms, I understand an upgrade woul,~, e.~e~./ar?/~/~l//~/e bedrooms be added. SIGNATURE FORM NO, EG-01 $ GREATer ANCHORAge Area Borough DEPARTMENT OF ENVIRONMI~NTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION OF: SEPTIC TANK ~ ~ SEEPAGE PIT~~, DRAIN ~]E~D ~, OTHER TYPE AND SIZE OF FACILITY TO BE SERVED -~ ~~ ~ FINANCED THROUGH TO BE ~NSTALLED BY ~ FINAL I.~PE~ION: ~ .OU~ NOTI~ REQUI~ED. '~A~FId,__ __ NG ~'~NY ~Y~EM ~I~HOU~ FINAL INSPECTION .Y THE DEPART~ OF ENVIRONMENTAL QUALITY ~U~O~I~ ~ B~UBJE~T TO P~OSE~UTION. sePTiC TANK TO SeEPAge PIT WAll t ¥~ I SEPTIC TANK ., SEEPAGE PIT . DRAIN FIELD Well TO sepT,c TA.K ~ . SEePAge P,T DRAIN FIELD ALSO CONEIDER AREA WELLS. WATER MAIN TO SEPTIC TANK IO( . SEEPAGE Pit -- (a DRAIN FIELD . SEPTIC TANK, ~ ~ O{ SEEPAGE PIT ~O ~ , DRAIN FIELD TO ~IVER. LAKE, STREAM. EXCAVATION 5 PEet INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST iron SIPHON PIPES on SEPTIC TANK AND SEEPAGE PIT FITTED WITH A~RTiGHT REMOVABLE CAPS. G~VEL BACKFILL CONFORM TO BOROUgh REGULATIONS REG~ING INSTALLATION. LICENSED DESIGNER CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE APPLICANT'S SIGNATURE May 21, 1974 [qr. Joseph' B.urch~ Surveyor Box 667 Anchorage, Alaska 995t0 R~o. Soils Log-Lot 52A : De~r: Joe: · .: - . We have enclosed four (4) copies of the soils log on Hr. Hill"s test hole. , ,..¢~:'-"If you need additional copies please give us a call and will be happy to supply -';":'":.-';-!>':,.':.you with more. . -" -, · em.. et '"'.'~"L.],' -' There shou!d be no problem with the soil for_an~ o.n-s, lte.se, wage_sy~s~t , ., cent ravel from about the z T. oo~ ~eve/ down ~o ~z -re , , ': ..'.::', :~The "' de . .. tes~..nole~snow.s ~ ~ g~--~-~nm~nt~l Oualitv so31s classification of app, o. "~-';~¢..:' :' indicating a ueparsmen~ o~ u,v,.~ ........... -. ( imately.~lO0 square feet per bedroom in the last 6 feet. The average class- to determine the 3-~ca~.~m3 ,~s 145 square feet per ~edroom, and will be used size of the seepage pits. Assuming a normal three (3) bedroom house and mult- ipling it by 145 we arrive at 435 square feet of seepage pit required. If you use a pit that is approximately 21 ~eet by 21 feet you should have no trouble meeting these requirements. During construction please advise you client that i's necessary to main- tain a minimum of 100 foot separation between his well and seepage pit or septic tank~ Also Borough and 5tare requirements for location of seepage pit, septic tank and well should be met. When submitting the topo with the proposed plat please draw in the location of the test hole and include a copy of our soils log and this letter~ If you have any questions concerning the test hole or any of the Borough requirements for tocatioms of on-site u~itities give me a calt~ Very truly yours~. : Gordon D. Unwt n ~ P ~ E. Partner GDU/mk Enc,.lo~ure GORDON D, UNWIN, LEO SCH~EN~ JJ~,~ P.~o ----~..--~. *'--~-~ . ' ..,.'.,~'.".' '.. ,, ..... . .' . _ ~ .:'/"' "t. .'; ':/,, , ;', . " .',,. '.,' , , ~ ~,'.;,,. , ,, .... . . ...... - ~ . ,~ .... ; ....... · ........ . ........ .--.*~lO~ ....... ~ ~ · ',RATT~{ O~ ~1~1 ~ ;:"' ',-",' ' ' , '' ' ,,' ' ' . , ,' . . . .... ..... :, . .,..,..,.,, ,_ ,,. . .: ,.. '~ ;.... '. ................ ~ ..... ~...~,.:.:.,,~::.~..,*:~ ~-~,-~ y ~~. *..-- ~ .T ~.(.::' ': '1~ · .-, 1,5 ::iii.?: z8 · .>;~ : 20 !.:.'.'?.% ell Ix / i o~ b't ? [ ,'P/ / /I ~ Well Owner_ ..... M-W DRILLING, Inc. - P.O. Box4~1224 · 1310C International Airport Road (907) 274-4611 ANCHORAGE, ALASKA 99509 DRILLING LOG Use of Well Location (address of: Township, Range, Section, if known; or distance main road_ Size of casing (> ' Depth of Hole Static water level ?C) ft. Screen ( ); Perforated ( 45:: feet Cased to. ~';'. feet (below) land surface. Finish of well (check one) ). Describe screen or perforation Well pumping test at 1 5 gallons per of drawdown from static level. open end ( (minute) for .! hours with Date of completion i /u~(~o 1975 ); ft. Depth in feet from ground surface ~' ~TO ~ ~, TO .i 5; ~TO - TO. .TO_ TO TO .TO. TO TO .TO_ TO TO TO WELL LOG Give details of formations penetrated, size of material, color and hardness NWWA ~Cm-lifi~l Contractor Nos. 814 & 9'/3 2--STA?E