HomeMy WebLinkAboutWILK LT 2A
GAAB-HD ~
GREATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ~' ~ '~.
ADDRESS C~tL~'.:S !
LEGAL DESCRIPTION ~'~
SEPTIC TANK:
~ , ~.~.~_ NUMBER OF
DISTANCE FROM WELL ~"~' MATERIAl COMPARTMENTS
LIQUID CAPACITY -~"~'~ GALLONS. INSIDE LENGTH INSIDE WIDTH·
LIQUID
DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
I
TILE DRAIN FIELD: i~$.~,,t
D~STANCE EROM WEL~
NUMBER OF LINES
ABSORPTION AREA '~/
DEP~IH: TOP OF TILDE TO/fINISH GP~DEJ~
~'WELL: , DEPTH.
~ EAREST
LOT LINE ~ LINE
, FOUNDATION. '~ , NEAREST LOT LINE
DISTANCE BETWEEN LINES ~ TRENCH WIDTH
Bc . FT. LENGTH OF EACH L,NE
/2--"
· OF LINES
IN. TOTAL EFFECTIVE
DEPTH OF F LTER MATERIAL BENEATH TIL~:. IN. ABOVE TILE
/~,~) DISTANCE FROM ~ ~6 1 : WATER J~/'zg
_, BUILDING FOUNDATIOIq. · SAMPLE . NEAREST
SEPTIC i ~-Ot SEEPAGE ~/,-~,~ .~--~.~'- OTHER ~
iANK , SYSTEM , CESSPOOl . SOURCES
DISTANCES:
DATE
DIAGRAM OF SYSTEM
APPROVED~( ~' /~' '~HEADH AUTHORITY
GAAB-HD-2
GREATEF ANCHORAGE AREA '-OROUGH Cye No. ~fg
327 Eagle St. Anchorage, Alaska 99501 279-2511 ·
. ;?
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT '7~-'~ ,~/~g'C~"L
RESIDENCE ADDRESS ¢~i.~_
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
MAILING AGORESS/¢,2.~/ ~¢,~ //_~, PHONE NO.~:¢/...Q'-g~',~<:
LOCATION OF INSTALLATION ~/¢-.:~-.,,2/~' L~ ,~_~.
SEEPAGE PIT ~ ,DRAIN FIELD ,OTHER
TO SERVE THE FOLLOWING FACILI.T~' .
FINANCED THIrd'uGH , f i TO BE INSTALLED BY
P~RCOLATmN TEST RESU~T~ ~-- )~'~ ~EP~mANT*C~PATED aATE OF COM~LET~O.
, .
~B~LOW TO BEeF LLED OUT BY HEALTH DEPARTMENT .
' t~HIS IS TO SERVE AS~i '/~ ,J//~,q;~.':L "~ -,-PERMIT TO INSTALL A
~' AS DES~RiBED BELOW. S',Z, OF UNITTO BE SERVED
SEPTIC TA'Nk SIZE /~:¢ ' ~Pk~ SEEPAGE AREA
DIAGRAM 0F SYSTEM
DisTANcEsi
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above/~so~bed system is in accordance with said code. ~ff~(~ L~~
: /?7:
BATE /~ APPLICANTS SIGNATURE
~GREATER ANCHORAGE AREA BOROU~
HEALTH DEPARTMENT ~-~/ CASE # Y06
327 EAGLE STREET "
~ ANCHORAGE, ADASKA99501
o Unhma~ed /
Performed For H ...... e ' ". _ ~D . e .ormed._J~t~_,ul 2, 1970
Legal Description: Lot Z-ABlock__~n Wtlk .......
This Form Reports a: So~--~sLog X ~~'~'~'- ....
Depth
Feet
iff,
Soil Characteristics
Brown Silty Sand (ML)
Dark Gray and Brown Peat
Fine to Coarse Well Graded
. (sw)
Was Ground ~iater Encountered?__Yes
If Yes, At ~',;~at Depth.~ .8.0 .
--------
Readi ~te Gross Time
Net Time
Location Sketch
Depth To H20 Net Drop
Proposed Inst'aliat~on:?~-~-~-Seepage Pit Drain Field
Depth Of Inlet Depth To B~'~tom Of ~it Or
COMMENTS:
, ~, ~re Ieet c[r~in~-e surfnce~per h~droom will ha nacco~sary ........
Test Performed By: R.E. Carlisle, National Testing Services
Data Certified By:
Date:-- -
DEPT. OF ENVIRONMENTAL CONSERVATION /~/~1~ -
/
ANCHORAGE, ALASKA 99503 PHONE: (907) 563-6775
October 24, 1991
Mr. Roger J. Shafer, P.E.
s & S Engineering
17034 Eagle River Loop, Suite 204
Eagle River, Alaska 99577
Subject:
Lot 2A, Wilk Subdivision, Class C Public Water System,
Anchorage, Alaska, ADEC Project Number 9221-DW-022;
Review
Dear Mr. Shafer:
This is in response to your submittal, received in this office on
September 3, 1991 in which you requested a letter of approval for
the above-referenced public water system. Based on the submitted
information, this office's files and other agency's files, it
appears that this system, if previously approved, was approved as
a single family water system. Assuming 16 gallons per minute (gpm)
for a peak demand, with a well yield of 7.7 gpm, it appears that
there is a need for additional storage. To resolve the problem
that someone needs to close on this property, an Interim
Operational Approval is being issued at this time. An Interim
Operation Certificate, constituting this approval, is enclosed.
Prior to the expiration of this approval (January 28, 1992)
additional hydropneumatic water storage tank capacity of 42
gallons, effective storage, will need to be installed. Written
verification, under your stamp as a Professional Engineer, that
the need volume has been installed will enable me to issue the
Final Operation Approval.
At this time, the Department is assigning Public Water System
Identification (PWSID) Numbers to all Public Water Systems in the
State. As a result, the pWSID Number assigned to this system is
217429. The current State Drinking Water Regulations do not
require any routine water sampling for Class C Public Water
Systems; however, if the regulations change, the Department will
notify your clients. In order for the Department to contact your
client on the changes to the State Drinking Water Regulations,
please have them complete the highlighted areas on the enclosed
"Inventory Update Form" and return it to me.
~oger Schafer 2 October 24, 1991
Thank you for your cooperation with this Department. If you have
any questions, please do not hesitate to contact me.
Sincerely,, ! ~
Keven K. Kleweno
Environmental Engineer
KKK/cf
Enclosures: As Stated
cc: ~'~ohn~Sm~.~a.'/,DH~S~,~
~.,..~ATER gNC4OP~GE gREA BOROUGH
I~^LTI-I DEPARTbIENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
279-2511
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITIES
FOR
2, Property Owner ~~ PHone
4. Type of Facility to be Inspected
Number o_~ Bedrooms
5. Well Datai
A. 'Type ' 'D 1(1 I L~(~,
B. Depth ,' /-'2-0
C. Size ~
E. Bacterial ~alysis
6. Sewage Disposal System:
A. Septic Tank (If homemade, show diagram on back)
1. size
5. Manufacturer
4. Installer :~
325 ~affle ,~X~i~ ...... ~200 Cranberry Road
-~nchora~e, Alaska ~02
Anchorage: Alasks. 9950]
}~{ SUBJECT ~Urity Protection of Semi-Public Class fl
-- ~
At the present, I am attempting to secure easements to insure purity of my
water system. Request that~ sanitary system Rermits be deniedto any and
all applicants who apply for permits on adjoining property unless they
the subdivision plat. On a previous personal visit to your office I have
noted that you already have on fil:e a diagram of the well location.
In the event denial of a sanitary system permit is not feasible or within
i,[ R~.1~thirty (30) days so that I may obtain legal remedy. Presentlyt I have
been refused my request for an easement from the owner of Lot lB, Wilk Subd.,
~.~ ~ ~,,,~. I h~v~ z'ea~on to suspect ~ha~ he will at%erupt to znstall ~
a sanitar3 system which wi%l ~n~:rl~ e ~nnn ~ma/n~ ~n~m~ ~9 ??.~er
system which is in existence on ~ property. ~
Sincerely_~ ~
Richard A. Peternel
SEND PARTS I AND 3 WITH CARBON INTACT - PART S WILL BE RETURNED WITH REPLY
Redi~prm® 4S 472
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