HomeMy WebLinkAboutWAKEFIELD LT 4
Locatzon.
Legal Description: Z- &/
Type of Soil Absorption System Is:
Trench: Drainfield:
Maximum Number of Bedrooms:
INICIPALITY OF ANCHORAGE
Department o~ Health and Environmental 3otection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT
]~/0R ON-SITE sEWER PERMIT
Mailing Address: ~O
Phone Number: c~Tc~
Seepage Bed: Holding Tank Soil Rating (sq.ft/br)
The Required Size
of the Soil Absorption System Is:
DEPTH LENGTH GRAVEL DEPTH WIDTH
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 feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * *
Permit applicant 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.
* * * TWO(2) INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 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 a private sewer line
is 25 feet and to a co~ununity sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 1 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
include more that 3 bedrooms.
the residence is remo/~d to
App 1 ic~ant Date: ~/~ ~/~
GRFATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
327 EAGLE S1'. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ~',/~ PHONE
ADDRESS
SEPTIC TANK:
DISTANCE FROM WELl
LIQUID CAPACITY__ [~:~OO
· /,-,-¢~.-J __MATERIAL ~F,~CI?~'"'[I~ 6k~-Jd NUMBER GE
· COMPARTMENTS_
GALLONS. INSIDE LENGTH ~./ _ DEPTH~
__ _IN, DE-WIDTH 5' I LIQUID
NEARESI LOT LINE ~/ TOIAL EFFECTIVE ABSORPTION AREA (WALL ~)
BUILDING FOUNDATION
sQ. ET.
TILE DRAIN FIELD:
/
DISTANCE FROM WELL ~¢"~/~") ~ , FOUNDATION
NUMBER OF LINES _~) DISTANCE BETWEEN LINES_
ABSORPT,ON AREA__ ET.
DEPTH: TOP OF TILE TO FINISH GRADE_
NEAREST LOT LINE / f~'' / f
t/01 TRENCI-' WIDTH ~ IX, GL t,'~'~') IN. 'OTAL EFFECTIVE
LENGTH OF EACH LINE ~=~gJ
DEPTH OF FILLER MATERIAL BENEATH TILE ~. ~ IN. ABOVE TILE ~
WELL: TYPE~-~e,,~/2, DEPTH
NEAREST
LOT LINE . SEWER LINE
DISTANCE FROM WATER
,BUILDING FOUNDATION._ SAMPLE , NEAREST
SEPTIC SEEPAGE OTHER
TANK , SYSTEM , CESSPOOl , SOURCES.
DIAGRAM OF SYSTEM
DISTANCES:
DATE
APPROVED
GAAB-HD-2
GREATEr,, ANCHORAGE AREA
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501
)ROUGH
279-2511
Case No. r-~~1-
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPL,CANTJ,
RESIDENCE AODRESS (~ _fz-'~
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK_
TO SERVE THE FOLLOWING FACILITY
FINANCFD THROUGH
PERCOLATION TEST RESULTS_
MAILING ADDRESS
__ LOCATION f)F INSTALLATION_
PHONE NO
/ , SEEPAGE PIT. ,DRAIN FIEkD.
~ ~//n/ ANTICIPATED DATE OF COMPLETION
/
BELOW TO BE FILLED OUT BY HEALTH DEPARTmEnT
, OTHER
THIS IS TO SFRVE AS
ASDESCRIBFD BELOW. SIZE OF UNH'TO BE SERVED
· SEPTtC TANK SIZE. .TYPE SEEPAGEAHEA-- ~mTYPE
DIAGRAM OF SYSTEM
DISTANCES:
Health Authority
I certify that I am familiar with the requfl'ements of Greater Anchorage Area Borough Ordflmnce No. 28-68 anti that the
above described system is in accordance with said code.
~]'" /,?'~' "~'"~' .~ ?' (' t-';-/ ~ g~'~' NE[~I~'"~G AND S~ RVEYING ' ' ,
,'~ ~'" A, ~ ~,~2E. INTE~TIONALAI iPORTROAD , ~ TEST
-- .... ~--~.~, ~ J
LEGAL OESCRIPTION:~ W~_ ~ ~ ~ I- ~ ~ ~
SLOPE SITE PLAN
10
11
12
13
WAS GROUND'WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
14
15
16
17
18
19
20
COMMENTS
Reading Date
...... __
.~;'~'... & ~,~
TEST RUN BETWEEN
Gro$l Nat Depth to ~ Net
Time Time Wator Drop
(mlnutel/inch)
~..--.-- FT AND ~ FT
Municipality of Anchorage
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ONSITE SEWER/WELL PERMIT APPLICATION
NAMF OF APPLICANI:~
INSTALLATION LOCATION:
LEGAL DESCRIPTION: L
METES & BOUNDS:
TYPE OF PERMIT:
LUMBER OF BEDROOMS:
TOTAL DEPTH: FT.
SOIL RATING:
PIT
TRENCH
DRAINFIELD
SI--WE R UPGRADE
WELL HANDWRITTEN
· (Number only)'
COMBINED '
GRAVEL DEPTH:,
FOR UPGRADE ONLY ADD TO LENGTH AND/OR ADD GALLON TANK.
FEE: COLLECTEDBY: OFFICER:
72-012 (7/77)
A permit issued by
system has expired
Permits are issued
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be
this department to document the installation date.
FT.
EXT.:
this department for a well and/or sewer
as of December 31, 1981.
on a calendar year basis, as stated on
sent to
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Les N. Buchholz~.~.
Program Managert-~
Sewer and Water Program
Enclosure: Copy of Permit
5 Fig~i,r.
NORTH
(¥J
ANCH
George M Sullivan
Mayor
RAGE WATER & SEWER
3000 Arctic Boulevard
Anchorage, Alaska 99503
(907) 277-7622
ILITIE$
Owned by Ihe Municipality
of Anchorage
June 29, 1981
Security National Bank
880 "H" Street
Anchorage, Alaska 99501
Re: Public Sanitary Sewer Availability
to Lot 4, Wakefield Subdivision
To Whom It May Concern:
Public sanitary sewer will be made available to the subject property
upon construction of Bruce Lateral Improvement District No. 115,
Phase II. Construction of this phase is estimated to be completed
and available for connections during the 1982 construction season.
Sincerely, ~
RAY BL~CKMAN
Managgr, Engineering & Construction
Anchorage Water & Sewer Utilities
DCK:deb
cc: DHEP, Les Buchholz
DATE RECEIVED
.... INSPECTION APPOINTMENTS
-~ATE DATE DATE
INSPECTOR INSPECTOR I NSP ECTO R
MUNICIPALITY OF ANCHORAGE
) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorags, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720
REQ[JEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing.
~ PROPERTY OWNER ~ PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different from above) ~HONE
~ BUYER PHONE
MAILING ADDRESS
~'LENDINGINSTITUTION ~ PHONE
I
MAI~ING ADDRESS
4, REALTOR/AGENT '
MAILING ADDRESS ( /
5, LEGAL DESCRIPTION
STREET LOCATION
6, TYPf: OF'RESIDENCE
[~SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four
~ Two [] Five
[] Three [] Six
[] Other
7, WATER SUPPLY
~'"" INDIVIDUAL* * ATTACH WELL LOG. A well log is reqUired for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available,)
8. SEWAGE DIS OSAL SYSTEM
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY · '
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ SINGLE FAMILY [] ONE I~] THREE [] FIVE E] OTHER
[] MULTIPLE FAMILY [] TWO E] FOUR [] SIX
PERMIT NUMBER
2. WATEFI SUPPLY
~ INDIVIDUAL DEPTH OF WELL
E3 COMMUNITY -~ATE ORILLEP
~ PUBLIC UTILITY
LOG RECEIVED
Connection Verified --
~SEWAGE DISPOSAL SYSTEM PERMIT NUMSER
~INDIVIDUAL/ON -SITE DATE INSTALLED
Connection Verified _ ~ INSTALLER
~Septic Tank or ~ Holding Tank
Size: ~(~ If Tank is homemade SOILSRATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line ~ Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
~ APPROVED FOR . BEDROOMS
~ CONDITIONAL APPROVAL (letter must accompany certificate)
~ DISAPPROVED
72-010 (Rev. 6/79)
825"1 "SFF~EET
ANCIIOh>AGJi, Al ASI'(A 99501
(90/) 264 4111
July 30, ].980
Silvester Alford
1740 Wakefield
Anchorage, Alaska 99502
Subject: Lot 4 Wakefield Subdivision
Approval for your individual
can not be granted until the
completed:
(2)
(3)
sewer and water facilities
following items have been
The water analysis report be delivered to this
department from Chem Lab, 5633 B Street, for
our review.
The septic tank pumped with a receipt submitted
to this department.
The existing sewer system is failing, therefore,
an upgrade will be necessary. Prior to the upgrade,
a soils test wi].l need to be obtained so that this
department may issue a permit fo~ the upgrade.
A listing of private firms performing soils 'test is
enclosed.
If there are any further questions, please call this
department at 264-4720.
~lncerely, ,/
Robert C. Pratt, R.S.
Associate Special. ist
RCP/ljw
cc: Spokane Mortgage Company
3201 C Street - Suite 250 99503
Bill Price % Tanner-Magowan
5333 Fairbanks Street 99502