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Home My WebLink AboutWINDCHIMES LT 3 "~') ,ME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF FIEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE [] NEW MAILINO DDR E$8,~ LEGAL DESCRIPTION ¢~;7~ LOCATION~{~ ~ ~0~[~ , ~ DISTANCE TO: ~ ~ [0 ~ ~z / Manufacturer ~~ ~ Mat.rlal ~o. of com~.nts ILk capacity in gallons Inside length Width Liquid depth ~O IF HOME'DE: Well Dwelling PERMIT NO. DISTANCE TO: Manufacturer Material Liquid capacity in gallons Well Foundation Nearest lot line PERMIT NO. DISTANCE TO: No. of lines Length of each line Total length of lines Trench width Distance between Hnes inches Top of tile to finish grade Material beneath tile Total effective absorption area inches Length Width Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absolption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) NC. OF BEDROOMS OTHER PIPE MATERIALS SOl L TEST FIATI NG INSTALLER REMARKS APPROVED 72-013 (Rev. 3/78) F'ERHI T D, EF'FIRTMENT Or HEFILTH FIN[:' EN"/IRONHENTI':IL. FKO"FE:iCTION 025 "L'" STF.'.EET, RNCHOR~GE., I:IK. 99.5~-1. FIF:'PLICFII',,IT ,h:li'.'lES L .... STEF'HEI",ISON F'O BOX :~t636;~.3:}~ 34.9 LOT ~FE L,F ..~UIL ~E:~uRETIUH ..z_FEH ~- EE.HI~4FIEL. E MFIXIHIJr,1 NI_IrlE, LR OF EE[.,~ .... H> = ~. SC L RFI'TIN~ F'f',,'BF -f'HE REC~UIRE[:, SIZE OF THE SOZ[.. FIBSOF;'.F'TION 5YS;TEM THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRF:I]:I',IF':I:EI_..B,. THE DEFq'H OF' R TRENCFt OR PIT IS THE DI:STRNCE BETP.IE'EI",[ THE SUI~:FFICE OF THEE GROUND RN[:, THE E:OTTOH OF THE: EXCRVRTIOi'4 ':;IN FEET::'. THE I:iRF:I',,,'EL. DEPTH ZS; THE f4Zf.,lZi',lUi"l [:,EPTH OF GF.'.R;,,'EL.. E:EETHEEi'.,I T}IE OUTFFfl_L.. PIPE; FIN[:, THE E~OTTOf'I OF THE E~-¢CR'v'RTION ,.'.IN FEET). PERMI"I" RF"F'L I CRNT FIRS THE REZ, F'CINS I E:I L. I TY 'ro I NFOF:P1 THIS DEF'RF;:THENT [:,UR I NG INS]'FItA_RTION Z N'.'5i::"ECTIONS OF F:Ii"',IY HELLS RDJFICENT TO THIS F'ROF'EF:TY I'~i',1[:, THE NUHBEF: OF RESI[:,ENC:ES THRT THE:. NELL 14II..1_ SERVE. THE ............... "T" ~-~ C) ,:: ;;.~: .5, :E: ~'-.~ %£:7,; F' E~: (% 1"" ~: EEl ~"-JI ::..-~.. FI ~'~.~ E(i[ I~ E ~%'P. IL...I1 ][ ~F;:?: IE=Z [:;: ..................... E':FICKF I EL :lC NG OF RNY SYSTEM 141 THOUT F I i'.,IFIL I NSF'ECT I ON FtND f:iF'F'RO'¢I=IL E:'.~.' TI.-I I E; [:,IEPFIF.:THEN'r !.4IL..I_ DE SUBJECT TO PROSECIJTION. P'IINIMUM DISSTRNCE BE'f'HEEN R HELL FIND ANY ON-.SITE SEHRGL:. I)ISPOSFtL. S'.?S'f'EP1 IS :LEIO FEET FOR R PRIVFITE !,.IELL.~ OR :l..SE~ TO 2E)O FEET FROH FI PUE:LIC HELL. DEF'ENI)IN(:~ UI='ON THE T"r'F:'IE OF F'UBt..IC 1.4EI....L.. O"I"I4EI:~ REC4UIREHENTS MFIY RPF'L.Y. SPEC:IFICRT:[ONS RI",ID CONSTRUCT;i:ON [:,IREiF?.FIH:i!!; I=IRE FtVFIII_I=IBLE ]'O INSURE PROPER INSTFILLFITIOi"',I. I CERTIFY THAT l: I f:lf'l FFIMILIFtR HITH TI"IE REC!LilIREMENTS FOR OI'4-SI]"E SEI4ERS RN[> 1.4ELL.S FIS SET FORTH E:Y THE HUN~CIF'RLITY OF RNCHORR(~E. ~?: I HZLL ZN:STflL. L THE SYSTEH %N RCCOR[>RNCE HITH THE COl>ES. 3:. I UN[)ERSTRN[) THRT TIlE OhI-BITE%BEHER S rBTEII f1¢1~ KEC¢...III~.E EI"4LFIRGEHEI',IT IF THE RESI[)ENCE IS REHO[:'EI..E:[:' TO INCLU[~[~ P10RE THFIN :3 BEE>ROOHS. 5; :[ GNED ~'d.. % L./ () ' 'x ................. John M. Lambe, P,E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 NE',!/ PHONE NUMBER 276-4113 SOIL ABSORPTION SYSTEM TEST PERFORMED F~QR: LSGAL DESCRIPTION: ~ / NO, OF BEDROOMS: '~_, , RECORDS ON FILE: CRIB // DRAINFIELD ~O/gm~o'm~ OTHER TELEPHONE: .~ 4:'-'9 OATE OF TESTS: TEST PERFORMED IN ACCORDANCE WITH JML STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ANCHORAGE~ DEPT. OF ENVIRO~G[ENTAL QUALITY ON ~.~Z~._ WITH THE FOLLOWING MODIFICATIONS: SURGE CAPACITY: SOIL ABSORPTION SYSTEM (SAS) :'~70/~/~' ~{'Z-,.)~ /~..//.,Z~? SEPTIC TANK PLUS SAS ABSORPTION RATE /'2,5Y~ ,~ /~,~ ~ ' AVERAGE 24 hrs~e~,~/~,~.> /=/~D/~,~- ISTEADY S~AT~,~ RISE NOTES: TEST DATA ATTACHED REPORT BY: JML John M. Lambe, P.E. 4303 North Star Slnlet REFERENCE: Anchorage, Alaska, 99503 DATE /~/~'7 BY: '-~ LEGAL DESCRIPTION: ~;~--~.¥ 907-279-8056 DEPTH BELOW METER READING GALLONS PUMPED TIME ,R, EFERENCE ( GALLONS ) ( NET ) '-/ '"//" ' ~, ' ~ '~ ~c:,.-~- 6?¥ 7 / ~ ' ~ ::-/ ~1 ~/ ,7 o -3~o ~c/..S~ ~,~, I ~: 14- - ~c~ ;~ , ~ ~%~0 ~,' ~5~ I JML ' I John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 DATE%o/i4-/?~_~ pERFORMED BY: t~c.~.~ L__~x_~.~,~-- LEGAL DESCRIPTION: L._.~--- % DEPTH BELOW METER READING GALLONS PUMPED TIME R. EFERENCE ( GALLONS ) ( NET ) ~.- ~,, ~-~ ~o 4-? /'~ '7~ 4.~~. ,~-~ ~, ~-~ '7,~-~ ~_~_~'z~ 4t~Z .... PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910143 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:WARREN RALPH OWNER ADDRESS:7901 DEARMOUN RD ANCHORAGE, AK 99516 DATE ISSUED: 6/10/91 EXPIRATION DATE: 6/10/92 PARCEL ID:01701403 LEGAL DESCRIPTION: WINDCHIMES LT 3 SEC. 25, T12N, R3W, SM LOT SIZE: 90222 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ISSUED BY:· DATE: 5 125.00 126.00 126.00 126.00 126.00 889° 56'10'W 659.00 ANO 164.28 13 Oth 314.50 589' 59'40'E 628.60 164.27 N89°57'49'W (82-297) S69°sg'40'E 51430 8~ 297)~ 3O Z 300,50 (CJ 500.60 (Comp~ 30 ssg' 57'00'W 500,1 Rood RECEIVED I~fa Y ~. 9 199~ D ~Unicipah ept, i , 'teal~h & Hu~?Choraoe : APPLF NT FILLS-OUT UPPER HA' ONLY Address ' Z~p Code Add~ess Zip Code Address Zip Code ~Slngle Family Water Supply ~lndlvidual ATTAOH WELL LOG. A w~l log is required for all wells drilled sinoe June 1975. ~ Community For wells drilled prior to that dale, give well depth (attach log If available), Sewer Disposal ~ Public Utlllly When Connected 1o Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCE8SING CAN BE INITIATED. Time Time Time Time , /,5 ¢ Date Date Date Date / , /-/,y'~:~ Inspector Inspector Inspector Inspector Field Notes: i,t-~ n ( '~. APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDIT,ONAL APPROVAL' Boils Rating Date ~wer Installed Well To Absorption Area Well Log Received ALASKA e,,JIRO[/menTAL CO[1TROL II1C. ~nqln.rin~ [, ~nuironmcnlal $1udits 11/9/82 RAINER MORTGAGE 4797 BUSINESS PARK BLVD ANCHORAGE AK 99503 SELLER - JIM STEPHENSON SUBDIVISION-WINDCHIMES BUYER-'~R~ BLOCK-0 LOT-3 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN UNKNOWN ~LREA. THE SYSTEM IS CAPABLE OF ACCEPTING 300 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 100 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 2 BEDROOM HOME. THE SEPTIC TANK WAS PUb~ED ON 11/9/82 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 2 BEDROOM HOUSE. ,,~T~'~ OF 1250 IS ADEQUATE FOR ALASKA nUIROrlmerlTAL COFITROL SeRUICeS, IFIC. ~ngineer'in9 ~ ~nuiconmentel $1udies 11/9/82 RAINER MORTGAGE 4797 BUSINESS PARK BLVD ANCHORAGE AK 99503 SELLER - JIM STEPHENSON SUBDIVISION-WINDCHIMES BUYER-BACKSTROM BLOCK-0 LOT-3 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 300 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 100 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 2 BEDROOM HOME. THE SEPTIC TANK WAS PUbIPED ON 11/9/82 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 2 BEDROOM HOUSE. 1250 IS ADEQUATE FOR 1220 LUes1251h J~¢nu¢ */~nchore9~, J~iaska 99503 · (907) 276-1361 ..... DEPT. OF HbAt,~n MUNICIPALITY OF ANOHORA~E ~i~OH~A~ ~g~?oTIO~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~" ~/ ~ ~/o~{ 825 L Street - Anchorage, Alaska 99501 [ ' ." 0C tg 1976 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Comolete al parts on page 1, Incomplete requests will not be processed, Please allow tar 110) days for processing, 1. PROPERTY OWNER M~.~.I NG ADDRESS /',6. lo,Gl . PROPERTY RESIDENT Elf differer(t f~om above~ 2. BUYER MAll. lNG ADDRESS PHONE PHONE 3, LENDING INSTITUTION PHONE MAILING ADDRESS 4..EALTO" AGENT MAILING ADDRESS PHONE 5. LEGAL DESCRIPTION STREE,T EOCA,T ON 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four ~ Two [] Five [] Three [] Six [] Other ~ef, J 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY 8, SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY ATTACH WELL LOG. A well log is required for a wells drilled since June 1975. For wells drilled orior To that date, give well cleptn lattach log if available.) c~z~ · '' ' individual/on-site, give nstallation date /~ 90 If system is over two [2) Years old an adequacy test is reou~rec by this Department NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR iNSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER L~INDIVIDUAL/ON -SITE DATE INSTALLED E~PUBLIG UTILITY Connection Verified INSTALLER E~]Septic Tank or []HoJding Tank Size: if Tank is homemade SOILS RATING give dimensions; TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELL TO: Septic/HoldingTank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS : PROVED FO. BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78)