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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 =.