HomeMy WebLinkAboutWESTGATE PARK BLK 7 LT 107
MUNICIPALITY OF ANCHORAGE
He&~a and Environmental Prote .on
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ~,aS'O~- ~/~% LEGAL DESCRIPTION (_.~\O- (~-~ ~-~-~qF_C)-~
SEPTIC TANK:
FROM WELL
INSIDE LENGTH
MAN~JFACTURER _.__C.~_ MATERIAL ............. COMPARTMENTS
INSIDE WIDTH .... LIQUID DEPTH
LIQUID CAPACITY ~OO~ALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
FOUNDATION
ABSORPTION AREA
DEPTIh TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
____NEAREST LOT LINE ..... OF LINE
DISTANCE BETWEEN LINES .... TRENCH WIDTH____ IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EA~tt LINE
DEPTtt OF FILTER
MATERIAL BENEATH TILE IN. ABOVE TILE IN.
SEEPAGE PIT:
DIAMETER -- OR WIDTH [ENGTH DEPTH
Log Crib Rings/CRIB SIZE: DIAMETER___DEPTH_ DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA)
SQ. FT,
Well I
Class: Depth:
Well Distance To: Lot Line
Bldg: Sewer Line: __
Pipe Materials: C.~ ~o~
# of Bedrooms:
Installer:
Remarks: ~[~%~
F'ERMIt" NO. ,.. r,'b,'b .
F PL I _.HN1
LOCFFF I ON
LEGFIL
T E D J A C K S 0 N
NIELm, L N ~
L::LO B,'-" WESTGRTE F'K
LOT SI,"E-'E ;-]'~.-~.-~.3~:~ '_--I'J)LtRRE FEET
T'fF'E OF _-,UIL MB_,uRE, TIuN ::,'r.=,lEM I .... DRRINPIEL[:'
MR~<IMUM NUMBER OF:' E, EE:,RuUM .... .s
cf"ilL RHFIN-~ ,"q]~ F1.E,F- .... 0
THE REQIJIRE[:' ::,I,~E ElF THE .=,uIL FtBSORF'TION bT._ FEM
THE L. ENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PI]" IS THE DISTRNCE BETWEEN THE SURFRCE OF' THE
GROUND RND THE BOTTOM OF THE E>:',CRVFtTION (IN FEE]').
THE 'TRENCH WIDTH FOR DRRINFIELDS IS 3 FEET'.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRR',,,'EL BETWEEN THE OUTFRLL PIPE
RN[:' ]'HE 60TTufl L]F. ~HE,EXF:RVRTION ,:; IN FEE]':).
F"RE:k;Ri3E IPL. R~'-,l-f' C,F'T l~ C,N
R PRCKRGE PLRN'T MR¥ BE INSTRLLED RT THE PERMITTEE'"S OPTION SUBJECT TO THE:
FOLLOWING CONDITIONS:
i. EITHER R CLRSS I OF.." II NSF RPPROVED PLRNT MR'¢ BE INSTRLLE[:,.
2. R CONTINUOUS MRINTENRNCE RGREEMENT IS REQUIRED. IF' R MRINTENRNCE
RGREEMENT IS NOT KEPT CURRENT ~r'OU I"IRN¢ BE REL.]UIRED TO ENLRRGE THE SOIL
RRSORPTION c]'¢STEM RND/OR 'T'OU MR~r' BE SUBJECT TO PROSECUTION.
-r i...! {] ..-. ;~s_.-. ::, i I--.! =. P E L- T .1[ O t'-,~ '_'~. R F-: E] F.: E L;~ tJ ]] F-: E [: .........
E, HL.k. F ILLINL~ OF ¢1N¥' '_=;"r'STEM WITHOUT FINRL INz, PEL. TI.JN RN[:' RPPR. O'¢FIL E:"r' THI_,
· ' ' -" F'ROSECLtl" I ON.
[:,EPRRTMENT WII_L BE :,LIE,,IE..F TO
MINIMUM DISTRNC:E BETWEEN R WELL RND RN¥ ON-SITE SEWRGE [:,ISPOSRL SYSTEM IS
i00 FEET FOR R PRIVRTE WELL OR 200 FEET FOR F~ PUBLIC WELL.
OTHER REQUIREMENTS MR'¢ RPPLY. SPECIFICRTIONS F~ND CONSTRUCTION DIRGRRMS FIRE
RVRILRBLE TO INSURE PROPER INS]"RLLRTION.
I IZ:ERT I F"r' THFiT
I I ..... ET
i: I FIM FFIblILIFtR WITH THE REi.~LIIREMENTS FOR uN-_,ITE .:,EFIER_, FIND WELLS
FORTH BY THE NUNIL. IFHL. tTT OF HNi..,HURFILiE.
2: I WILl_ INSTFII_L THE _-,'r..,IEI1 IN H_.CCRL)HN_.E WITH ]"HE EODES].
I F ]'HE
3:: I UNDERSTRND 'THRI" THE ON-SITE SEI.4E~'¢STEM MFfT' REQ?IRE ENLRRGEMENT
F.'E'--,IDENCE IS REFODELED "'0 IN[;L.O~)E MO~ THRN 3: BEDROOMS.
I ,'-,tIED B¢~~-~ [MFE .
MUNIC~.~LITY OF ANCHORAGE
POUCH 6-650 · ANCHORAGE, AK 99502 · PHONE 279-8686
FINANCE DEPARTMENT
RECEIVED .
CASH RECEIPT
No. 25764
DATE ' ,.-
REMARKS
I'.,I::P~Hd I I I I I I I I I I I I I I I I I I I I
Org/CC Acct/Obj Cost Center 6
40-007 (Rev, 1/77) DISTE~I~J~(O~J: :White ~ Treasury; Yerlow- Custqmer: Pink -- Bo~k; Goldenrod -- Department
POUCH 6-650
ANCHORAGE, ALASKA 99502
(907) 279-2511
GEORGE M. SULLIVAN,
MA YOR
August 3,
#76930
Ted Jackson
4000 Spenard Road
Anchorage, Alaska
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(825 "L" Street)~C~~
1977 /
99503
Subject: Permit Expiration
Dear Mr. Jackson:
A permit issued by this department for well and/or on-site
sewer installation on Lot 11 Block 7 Westgate Park Subdivision
has expired since the issue date exceeds one (1) year.
In the event you still plan to install the well and/or on-
site sewer system, a new permit is required. The original
soil test may be used to obtain a current permit.
If the well has been drilled, a well log should be sent
to this department to document the installation date.
If you have any questions regarding the above matter, please
do not hesitate to contact this office immediately at 279-
2511, extension 224 or 225.
Sincerely,
1 R S
LNB. lj h
~76930
Ted Jackson
4000 Spenard Road
Anchorage, Alaska
99503
Subject~ Pez~r, it Expiration
Dear ~. Jackson:
A permit issued by ~%is department for well and/or on-site
sewer installation on Lot 11 Block ? Westgate Park Subdivision
has expired since the issue date exceeds one (1) year.
In the event you still plan to install the well and/or on-
site sewer system, a new permit is required. The original
soil test may be used to obtain a ourre~t permit.
If the well has been drillc~l, a well log should be sent
to this department to document the installation date.
If you have any questions regarding the above matter, please
do not hesitate to contact this offioe immediately at 279-
2511, ~xtension 224 or 225.
Sincerely,
Les N. Buchholz,
Sanitarian
L~m · lj h
GRE/!, R ANCHORAGE AREA I~OF 'JGH
DEPARTMENT OF' ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
'""PSA.DS,.EDFF,'.,:.L,.',''ro.EsE.,'EO, '.¢~ ~' ,t':' ./.9~., .· /.:. >~. ~.. , :: :;~
- ,~,- ¢ ,/;-' ?' ¢,
",NANGE. T. ROL'G.__ ~O.'~,.STALL.O .',' .f,'-/ /: -
SOIL TEST RE~L~LT$ NOTF-~ PER~IT IS NOT VALID WITHOUT SOIL TES'
co,., ':T,OND~+,:...T,O, ATE,:,--.¢4~, ) · .: ,/.: ;"*Z ! . . .
~,.,,,,i., ,..,"~:T,O., .,, ,-,0,.,. NOT.,:..E,:,U,RED .*.,::~F',LL,NO O'4~.¥ ~Y.','~ W,T.OU',' .,N*L ,.~P.CT,O,', .',' T
DEP~TMENT OF ENVIRONMENTAL QUALITY AUTHORITY ~'~ BE SUB~E~/T TO PR(~SECUTION.
"'OU"':'*T'ONT~:"SEPT,DTA.K. [ ~ \ I . , .
'O"N'~AT.O. ~-. GEE?,,.E p T ' / '__ ..^,N.,L'_\ / .......
· ;~~, OT LINE· ~ / . / '
SEPTIC TANK. SEEPAGE PIT _ DRAIN FIELD
TO RIVER, LAKE. STREA~
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATIO'N
/
GRE~.~'~R ANChORAge Area BO' 'ugh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C"STREET ANCHORAGE, ALASKA 9~503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
TYPE AND SIZE OF FAC{L[TY TO BE SERVED
SEEPAGE pIT , DRAIN FIELD ,
PERMIT IS NOT VALID WITHOUT BOIL TEST
COMPLETION DATE
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHI
SYSTEM WITHOUT FINAL INSPECTION BY THE
TO PROSECUTION.
AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTB
N FIELD
}ER AREA WELLS.
;E PIT
DRAIN FIELD
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF BYSTEM
IGNER
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUG ORDIN CE NO. 28-68 AND
THAT THE ABOVE
ISAACS PUMPING SERVICE
(Norm Tibbetts - Owner)
1601 Tudor Road
ANCHORAGE, ALASKA 99507
Phone 272-3731
STATEMENT
Hunicip~!ity Of mrtchorage
Pouch 6-650
,~,.nchor,~ge, Alaska 99502
Dep'b: Health and ~]nviror~ent~! Protection
TERMS: .
~ttent~on: S. Blair
$
BA~NCE FORWARD ~
o,,en contacted by Continental
ISAACS PUMPING SERVICE .^-. ,~,sT ^MO.NT
~N Ti:IS COLUMN
MUNICIPALITY OF ANCHORAGE
He~ ]:'~ and Environmental Prot~
'~ Fourth Floor West "'~'/'
825 L Street
~chorage, Alaska 99501~ '
ISAACS PUMPING SERVICE
(Norm Tibbetts - Owner)
1601 Tudor Road
ANCHORAGE, ALASKA 99507
Phone 272-3751
STATEMENT
DATE
Municip~!ity Of /q%chorsge
Pouch 6-650
,~,ncho~,~ge~ /~!~sk,% 99502
Dept: He~lth nnd ~*mvmroment~ ]. ]~rotection
Attention: S. Blair
Is~acs Pumping Service has
been contacted by Continent~
].~oto..s of 6239 McKay Street
to pump their new Septic
comple'bed.
ISAACS PUMPING SERVICE
MUNICIPALITY OF ANCHORAGE
He~'- 11 and Environmental Prot~ ,~on .......................... ~'-~.~
~ Fourth Floor West ~
825 L Street f--
Anchorage, Alaska 995011 (%
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSi-E~M-~.,,_.
DISTANCE
FROM WELL.{~-~'~ MANUFACTURER
NUMBER OF
~-~ MATERIAL ____'~ COMPARTMENTS
INSIDE WIDTH '~- LIQUID DEPTH ~ LIQUID CAPACITY°~C~'gALLON5.
INSIDE LENGTH_
TILE DRAIN FIELD:
DISTANCE [:ROM WELL ...... FOUNDATION__
TOTAL LENGTH
NEAREST LOT LINE ....... OF LINE
DISTANCE BETWEEN LINES
__TRENCH WIDTH__-- IN. TOTAL EFFECTIVE
ABSORPTION AREA _ SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
DEPTIh TOP OF TILE TO FINISH GRADE_. _MATERIAL BENEATH TILE._ IN. ABOVE TILE __IN.
SEEPAGE PIT:
DIAMETER __OR WIDTH .., CENGTH DEPTH
Log Crib Rings/CRIB SIZE: DIAMETER ..... DEPTH. DIS, TANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FODNDATION NEAREST LOT LINE __ ABSORPTION AREA (WALL AREA)
.SQ. FT.
Class: pth:
Well Distance To: Lot Line
Bldg: Sewer Line: __
Pipe Materials: ~ ~
~ of Bedrooms:
Installer:
Remar__ks =.