HomeMy WebLinkAboutT15N R1W SEC 18 LT 69
t 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
NAME PHONE []
LEGAL DESCRIP¥1ON
LOCATION~A~4~ ~ ~. NO. OF ,~DROOMS
Manufacturer Material No. of compartments
Liq. caRacity in gallons Inside length Width Liquid depth
Y¢OO IF HOME'DE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
= Well /'OO
~i DISTANCE TO: Length ,a~ 'ne Total lense ,nes Trench¢i,// Distance between I,nes
-- N°'oflines [ inches Total ~f3t~ absorption area
~ Top of tg, to finish grade ~/ Material beneath tile 8/ inches
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Totel effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ ClassA , · . ~ Bepth Driller Distance to lot lJne PERMITNO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOl L T EST RATING
REMARKS
F
APPROVED DATE LEGAL
72-013 (Rev, 3/78)
E!: CI'?( t5 ;[~: 2
"F"r'PIE O1:::' SO I [,. F:IE:SOR:EFI' I ON !!!!;","'S'I"EM I :::;:
MI::I',:',;IMUM i",IUME:IEI::i: OF E:EDI:;;:OOI'"IS~; ....
TI'E: F~:E(;;g...IIF(:E:[:, SI;;~:E OF THE SOIL FIEY.:i;CIF?.P'TION :E;"~"ti!i;"f'IEI'"I :Ill;;:
"H"IIE L. ENG'T'H DIME]",ISIOI*~ IS THE: i...IZi",I[!iTH
THE DE:F'T'H O1:::' I:::1 TRENCH OF;: F'IT I'.5 THE DIS'TFIhlCE E]:IE'T'I4EIEN THE; t!!;I...IJ:;?.F:'f::lC;J!i[ ([[iF: THE
Eil:;?.OLli'q[:~ I:::lbl[:, THE Ero'rTOM OF THE E?,:.:',CI:::iVI:::ITICiI'.,I
"I'HEF;~'.Fi[ I':'i!; I*.,IO :!!!;IE'T' I.,IIDFH FOR 'TI;;i:ENCHE;:iii;.
'FFIE GF;?.F:IVEL [:,IEF:'TH IS THE!; MII'.,IIMUM
F:It'.,II[) 'TFIiZ BOTTOM O1::' THE; E?,:4Ci::iVF:FT'IOt'.~
I:::'E]:;i:MIT I::IPF:'I_ICFIblT' I'..IFI:!~; THE I:;~:ESPON'S!E:ILI"r~.d 'l"Ci IblI::'OF~:'.M
IN:!ii;FFiL.L..FiTIOi'.,I It'qSF:'EX::'FZ[)i'.,I:!~; O~:::' I::li'-,P.r' I.,IE]..J....:i;:; f::I[:CrF:K:::I:EI',F] ]"O
NUMI~i!~E:F?. (;:il:::' RE*:'~;I(::,E::blCES THF:I'T' THE: NIELL. blI[...L SERVE.
]'l..lI:!!i; I;:)IZF::'FIRTMI:~:I'-,IT l],LIf;i:II'.,K;ii "l"l..lli!!:
'rHJ;~!!; F:'F~:OF'E]:;?.T"r' FIN[:, 'THE:
I!~:I:::K]I<I:::'IL~L. II'.,I(] OF' f']N"r' S"r'STE]'"I I.,.IITI.IOL.rT' I:::'INFIL. INSI:::'E]]:T'IOI'.,I I:::fl'.,l[:, f::If::'F'I:;?.CIVF:IL.. I?T'
[:,E]:::'I::II:;UFME:NT I.,.IIL..L. IBE; :!~:;L.IE!L)E]BT TO PFi:CISIECLrTION.
I"IINIM[IM [:, :[ :i:;'FI:zINCE Eff.]i;"Fb. IEE[I',I F:I I.,llii!;L.l._. Fli'.~[) FIN'./ Oi',h...!ii;'.[-FIZ !i;IEl.,llqGl:i!; [:,I:i;F'OSFII... S'.,.'S'f'!:ii]','! ]:S
l[i!lO FEE'[' i~:;'l]ll:;?. I:::1 I:::'F~:I',,,'FITE: 1.4E:L.L.~ I.'.')F~:
:1.50 TO ;:?.O0 I::'E;ET t:::'I:;i:OM F:I F'L.IEIL..IC I,.IE]..L. [:,EPEJ'.,I[:,ING UPOI'.,I ]]...IEi: 'T'.dI:::'E OF' F'L.II!!!:I...IE: 1.411!iJLI
O'FHEF?. P.E(;!UII:;~:EMEI'.4T::il; MF:I'.r' FII::;'F::'L.~'r'. :!~;F'E;CII:::"[C:f::IT'IEIN~; I:::Ibl[:' C:Oi",I:;!~;TI:;;:LIC:TIOI",! DIf:lEil:,?.l:::lM':'i; f:;lI;;i:Ei[
I:::IVF:IIL. f:Ili~L.E 'T'O II"4::i!;LII:~:IE I-::'I~:OPI:~]:~: INSTFIL.I...FFFIOI",I.
IE:E]:;~:'I'IF'T' "l"l"ll:::l'l'
:1.: ! FIM FFqMILIF:IR 14I'I"H THE; I:;~:Er_.':!UIf;?.EJ,'IFZI']T:!;!; F:'OF;~: ObI....SIf'E; SIEHE]:;?.:!S f::tl'.,l[:, I,IE]...I..S I:::!S SET
I:::'1;[11:~:"1"1..I E:'.¢ THE MUNICIF'FII...IT't' OF;' F:INCHORI:::IGE.
2: I I.,III...L II'.,IS'FFIL. L. 'T'HIE '.~;'.r'STEM ZN FICCOR[:,FINCI[:: 1.4ITH THE COPE:S.
]~:: I UN[>E[I::~:STI::~I'qI::, "rHFIT THE: ON....SITE SEI.4EF;?. SYSTEM I',]FI'? RE;QUIRE E]'.,tL.FIF?.GE;MIEN'I" Il:::
RESII],E~;I'.,ICE: IS I:~'.EMO[:,EL..E~;D 'T'O INCI...L.IPE[ MOP. E; "f'HI:::IN ;;~: IBIEI;:,ROOMS.
,
.... ].L~hlLI, "bl~ ' L.] ..' HI I-.I.. ~: I::::[~;T.'
I:~i;:~[~;UE[::, EP.d. ............................................. ...................... [)l:::l"l"l~J ....... ~ ',,,'~;. 2
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-222~
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR: W~4,
LEGAL DESCRIPTION:
4-
5
6
7
8
9
10
11
12
13-
14-
15-
16-
17-
18-
19
20
'~LOPE
SITE PLAN
ENCOUNTERED?
IF YES, AT WHAT
DEPTH7
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ ~v~ ~d /~ ~ ~- o. ~
PERCOLATION RATE ~/ (mlnute$/inch) ~'~ ' ~' ,! 7'~' ~ I ~'~
TEST RUN BETWEEN , '"'~' · FT AND -- , ET
COMMENTS
MOENING-GREY &
CERTIFIED BY: A~qr~CT~ITFq, '[N£
72-008 (7/76)
APPLI(' NT FILLS OUT UPPER HA[ ONLY
Address Zip Code
Lending Institution Phone
Address ~/ 1~ 5 t< f~ ~J~ ~' ~ Zip Code
Realty Co. & Agent Phone
Address Zip Code
Street Locatl~
Type of Residence
~gle Family
~ Multiple Family NO. of Bedrooms
Water Supply
~dlvidual ATTACH WELL LOG. A w~l Icg Is required for all we s drilled since June 1975.
~ Community For wells drifted prior to that date, give well depth (attach Icg if ~vallsble).
~ Public Utility
Sewer Disposal ~
~aividual Year Individual Installed: J /
~ Public Utility When Connected to Public Utaity:
~ Holding Tank
NOTB: THE INSPECTION FEE MUST AOOOMPANY EACH RE~EST BEFORE ~OOESalNG BAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector inspector
Field Notes:
(~') APPROVED BEDROOMS *CONDITIONS OF APPROVAL
r
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE
72.023
Mr. charles Breese
P.O. Box 771022
Eagle River, Alaska
99577
· 'n
S & S Englneerl g
SRB 196X
Eagle River, Alaska
October 3, 1983
99577
MUNICIPALITY OF ANCHORAG'E
ENVIRONMEN1 AL PRO I'ECFION
RECEIVED
Dear Mr. Breese,
Reference: Lot 69: Section 18: T15N: R1W
A sewer system adequacy test was performed on the system located
on %he referenced property, as you requested. The septic tank
' ' d The
was pumped and verlfle to have a capacity of 1000 gallons.
absorption trench was tested by a continuous flow of water over
a period of 4.8 hours without any adverse effect on the system.
It can be conc].uded from this test that the waste water disposal
system serving the three bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed against subsequent failures.
At.the same time the adequacy test was performed an' inspection
%~as made of the well located on the property. The well casing
was e~uipped with an adequate sanitary seal and the wires were
placed ~n conduit. The earth built up around the well casing
provided adequate drainage away from the well. A water sample
wss also taken from the hose b~ib on the side of the house
and submitted to Chemical and Geological Laboratories of Alaska.
,l~he results of the coliform bacteria analysis on this sample was
satisfactozy.
If we may be of further service, please do not hesitate-to contact
BERT A. SHAF/~R,
S/ss /
/cc: Municipslity of Anchorage
Department of Health and Environmental Protection
i ' '~ - NSPECTIONAPPOINTMENTS
--~ ,, - r-Tri[v~'- '~ ~, j ~ k '- T M~
/ 'I' ~ ' DATE
TE DA E
..... pE~ ru~
........ ~ . - -
: _ MUNICIPALITY OF ANCHORAGE -
. ; ~ DEPARTMEN~ OF~EALTH& ENViRoNMENTAL PROTE~oNMEN~AL P~OTECTION
~ ~ I [ __~ 826 L St~eet,
-~ ;.v~.o.~.~A~ s,U~T~o. ~V S~o. AU6 t ? 1981
'~ ' - ~ ea arts o page ~. neo~ ~tecaq~es~ w not bepYoce~d. Please 811owten (10) deys for proceaslng
D RE~T ON8 ~omp ~ P
~AILI~G ADDRESS ~ ' ' -
PR~R~Y RESIDENT flf d~ffer;nt from abeve) + ,'
2, BU ,
- ~R ' .... ~ ~ ~ .... PHONE
~AILING ~ODRESS ~ ' ' ~
3 LEN~:ING NST T~T ON
-~AI~ING ADDRESS · -
ANCHORAGE, ALASKA 99501
(907) 264-4111
August 21, 1981
Ivan Bucinsky
% Curt Carley
Re/Max Properties
2702 Gambell Street
Anchorage, Alaska 99503
Subject: T15N R1W Section 18 Lot 69
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1) The water analysis reports for both the brown and
white residences needs to be submitted to this
office from Chem La~, 5633 B Street, for our
review.
~(2) The septic tank pumped with a receipt submitted
to this office for the white residence.
An adequacy test needs to be performed on the existing
(3) leaching area. This test will determine if the system~'~
is ade uate according to National Standards. A li~ti~g
'q . rmin the test is enclosed. Th~s
of private f~rms perfo g .....
report needs to be submitted to this off~ce ~or our
.~ review. This adequacy %est needs to be performed on
the white residence.
A cleanout needs to be installed to the seepage p~t
to the white residence.
If there are any further questions, please call this office
at 264~4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RcP/ljw
ALASKA eFIUIROFImeFITAL COF1TROL SeRUl£eS, II'lC.
~nqince,'incl S (~nuit'onmental Studies
MUNICI?ALITY OF ANCHORAGE
DEPT OF I!I~',1 &
[NVJRONMEN'D\L i ~ O[ECTION
AU{~ 1 7 ~,c 81
RECEIVED
8/13/81
REMAX PROPERTIES
2702 GAMBELL SUITE 101
ANCHORAGE AK 99503
SELLER - BUCINSKY
SUBDIVISION-S18 T15N R1W SM.
BLOCK-GOVT. LOT-69
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN UNKNOWN AREA.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 8/13/81
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 3 BEDROOM HOUSE.
1000 IS ADEQUATE FOR
1220 [.U¢st 25th/~uenue ·/~nchoraqe, /~lasb 99503 · (907) 276-1361
ALASKA eFIUIROFImI FITAL £OFITROL SeRUICE!$, IIIC
~n§ineerJ.§ ~ ~nuir'onme.lal Studies
MUNICIPALITY OF ANCHORAGE
RECEIVt-j)
9/14/81
Rm X/CARLEY
2702 Gk~IBRrZ. SUITE 101
ANCHORAGE AK 99503
S~Z.nC.R - BUCHINSKY
SUBDIVISION-T155~lw SM
BLOCK-SECT 18 LOT-69
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 464 SQFT.
THE SYSTf}4 IS CAPABLE OF ACCEPTING 300 GALLONS OF WA'i'~i{ PER DAY.
THE SURGE CAPACITY OF THE SYSTF/~ IS 400 GALLONS.
BASED UPON THE TEST DATA THE SYSTA~ IS ACCEPTABLE FOR A
1 RRDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 9/14/81
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 1 BEDROOM HOUSE.
1000 IS ADEQUATE FOR
1220 UJest 25th/\ucnue ·/~nchorc~cje, Alaska 99503 · (907) 276-1361
DAVID SLENKAMP
694-90SS
S~S ENGINEERING
SRB 196X
EAGLE RIVER, ALASKA 99577
1 SEPTEMBER 1978
ROBERT A. SHAFER
694-2979
Mr. Bob Woolsey
Birchwood Loop So,'Mt 1.7
Chugiak, AK 99657
Dear Mr. ~/oolsey:
A sewer system adequacy test was performed on your one bedroom cottage
located on Lot 69, Sec 18, T15N, RI~, Birchwood Loop So.
The septic tank was pu~ped on $0 August 1978 and verified to be 1,000
gallons. The system consisting of a se~paEe pit ~as charged ~ith 800
gallons o~ ~ater. Percolation over a 24 h~r period as recorded on
~1 Au~st 1978 results in the re~oval by percolati~ of ~6t gallons
from the system or 464 gallons per bedrid.
On the basis o~ the above su~ey and test, it is dete~ined that this
system (septic tank and seepage pit) is adequate.
Sincerely ~
CF: Dept of Health and
Environmental Protection
r
THIS SIDI
TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
R SUPPLY
[] INDIVIDUAL
[~J ONE [] THREE
[] TWO [] FOUR
NUMBER
[] FIVE
[] SIX
[] COMMUNITY DATE DRILLED
[] PUBLIC UTILITY
I Connection Verified : ED ,
I 3, SEWAGE ~DISPOSAL SYSTEM I PERMIT NU~MBER
I [] ND V DUAL/ON -S TE DATE INSTALLE~3 ~. ~
I [],UBL c UT L T¥ ~ -- ~ ~F
~ Connection Verified .... I/NSTALLER
1 []Septi.p TarzkAr []HoldingTank I
~ Size: ~ if Tank Isrhomemade [ sol ES RATING
ions: _.
MAI
DRPTtON AREA
OTHER
~'Absotpflon Area to rea
[] CONDITIONAL AL (letter must accompany certificate)
[] DISAPPROVED ,