HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 1 LT 12
Municipality of Anchorage
DEPARTMENT OF HEALTH & ENVIRONMENTAl- PROTECTION POUCH 6-G50
ANCHORAGE, ALASKA 99501
tNSPECTIOM REPORT ON OMSlI'E SEWAGE DISPOSAL SYSTEM AND/OR WELL
NAME .' .' .' .'~"~ ~.,\ ~'~_.. LOCATION
PERMIT NUMBER
ADDRESS ~%0 Q~~ LEGALaESCRiPTiON
PHONE(S) ~--~l~ ~ ~ ~ ~ ~9~~ ~OFBEDROOM8
SEPTIC TANK
MANUFACTURER ~ R.~:~.-,(D~ CAPACITY IN GALS
MATERIAL %~"~G- ~ #OF COMPARTMENTS
INSIDE DIMENSIONI
SEEPAGE SYSTEM
[] TILE DRAJNFIELD
NUMBER OF LINES LENGTH EACH 'TOTAL LENGTH
DISTANCE BETWEEN LINES TRENCH W DTH
DEPTHS'3, ~W" FILLQ~
TILE TO GRADE BELOW TILE FILL ABOVE TILE
~,SEEPAGE TRENCH OR [] PIT
[] RINGS- DIA.
FILl. MATERIAl. DEPTH
DEPTH
~AJ~EFJFECTLVE ABSORPTION AREA: ~::~ O~ ~ SQ. FT
DIS'FANCES
SEPTIC SEEPAGE SEWER
TANK SYSTEM LINE CESSPOOL WELL
WELL
SYSTEM DIAGRAM
J
WELL
CLASSIFICATION DEPTH PIPE MATERIAL
]NSTAI~LER ~ ~..~.'f~
REMARKS
72-0~ 2 (0/?7)
d
DEPARTHENf OF' HERLIH fiND EHVIRONMENTflL P~OTE~-¥~ON
825 'L" STREET, RNCHORRC~E, RK. 99~:Z //,'~ ~ ~
PERMIT NO. ( 779~a >
RF'PLICRNT
LOCRTION
LEGAL
ED RIC~ ~820 CRRNSERR¥
Lur. :'L2 BK. t ~ODIRK MRNOR S?D LOT SIZE
20000 :gQURRE F'E'ET
TYPE OF SO]:L AE)~ORB'I'ION SYS'i"E:~M I~: TRENCH
M~IMUM NUMBER OF BEDROOMS = 4
~OIL RRTING (S[~ I=T/BR)=: :170
THE REQiJIRE[) SIZE OF THE .<SO:U-, RBSORF'TION SYSTEM I.~:
D, EiF" 'l" H=.~-: :L:L L.E".N,~i "T' I-~ ~: ~ "~' [.~ F,,~ IR "...' E ] .... E::' E~ P l'l-i=': 6
THE LENOTtt DIMENSION IS THE I..ENLRTH (IN FEET) OF' THE TRENCH [)R DRRINF'IELD.
THE DEPTH OF'" R TRENCH OR PIT IS THE DISTRNIZ:E BE'T'NEEN THE ~URFF1CE OF THE
GROUND FINE) THE 80TTOM OF THE;' EXCAVRTION <IN FEET),
THER¥~ I~ NO ~ET NIDTH FOR 'rRENCHE~.
THE GRRVEL. DEPTH I~ THE; MINIMUM DEPTH OF GRRVEL BETHEEN THE OIJ'rFRL..I., PIPE
RND THE BOTTOH OF THE E~CRVRTION <IN FRET),
PRCt',::RaE PLRNT HRY BE: INSI'FILL.ED ;-:IT THE PERMITTEE"~ OPTION SUBJECT TO THE
FOL.L. OHING CONDITIONS;
EITHER R CL,RSS I OR II NSF RPPROVEI) PLRNT MRY BE INSTRLLED.
R CONTIHUOUS HAINTENRNCE RGREEMENT IS REQUIRED. IF' R MRINTENRNCE
R[3F,'EI~HENT I5 NOT KEPT CURRF]NT YOU HRY BE': REQUIRED TO ENLRR~iIE THE SOIL
R~SOF:PTION $¥STEH RNr,¥,'OR YOU HRY BE SUBJECT TO PROSECUTION,
BRCKFILLING OF' RNY SY'.~TEH H~THOLIT F~NRL INSPECTION RND RPPROVRL BY THIS
DEPRRTMENT NZLL B~! SUBJECT TO PROSECUTION.
M~NIMUH DISTRNCE BETNEEN R HELL. AND RNY ON-SITE ~ENRGE DISPOSAL ~Y~'FEH IS
:toO FEET' FOR R PRIVRTE NEt..L OF', 200 FEEl" FOR R PUBLIC NELL.
NELL LOGS RRE REQUIRED RND MUST BE RETURNED rTO THE DEPRRTF1ENT I.qI'rFI~N 30 F;,RY55
OF l'ttE NELL COMPLETION.
OTHER R~QLIJR~HENTS HRY RPPLY, 5;PECZF]CRT$ON% RND CON%T'~UC"I"[ON DZFiGRRH~ RRE
RVRIL.RBLE TO INSURE PROPER INSTRL,LRTION,
I CERTIFM THRT
'J~: I RM FRMIL, IRR WITH THE RE~2, U:[REMENTS FOR ON-.SITE SEHERS RND HELLS RS SET
F'ORTH ~ THE HiJNICIPFIL, ITM OF RNCHORREIE.
2: I HILL IN~TRLL THE SYSTEH IN RCCORDRNCE HITH THE CODES.
:~; ~ IJNDERSTRND THRT THE ONT~Z'~[ SENER 5M~TEN HRY RE[!UZRE ENL. RRGEMENT IF' THE
RESIDENCE IS REMO[~LEF~/TO A'NC:LJJDE MORE THRN 4 BEI)ROOH5.
'
RFFLI.,RN1 ZC, RICE
Dep~.'tnmnt o£ l lealth ;md ]".nvi~onmelHnl Protection
2516 E, Tudor Road
Anchorage, Alnska 99507
276 2221
'[his form report:,:
Depth
~eet
10-
11 -
12 -
13 -
14 -
Was ground water encountered?
:;l~ll,,'-; I:h; t']..[H~l,.; ]'lf): i1:;'1 ""' ' ~
This form reporLs: Soil:, loq _. . [/ ...... Percol,~tirm Lc~;L ...... ~_ ..... ~ ..... ~:~,;
Uep th
Feet
1 -
"': '_Z [._:'-:'--: :.:::L-_
, ,.-
10
' ' ' , ................. /o . I ~,Z~ _ ' .....
':/' * ' ..... 1 .......... ~.. -/:¢ · [ ....... ~ ~'~
- '2~: ......~ -'~ ~ ........ ~-~?~ .................
- ................ '~ ..... ,'>¢:'~: l ' /~. :o ..... ~ ...............
4?3 ~
DATE RE EIVED_
iNSPECTiON APPOINTMENTS ~- ,~ - ~ ~.,,
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECT
'~' MUN~CI~LI~
MUNICIPALITY OF ANCHORAGE DEPT. OF
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~VIRON;v[~;,Fh',-
825 L Street-Anchorage, Alaska 99501 APR 1 zl./980
) ENVIRONMENTAL SANITATION DIVISION
REQUEST 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,
~ PROPER Y OWNER ~ PHONE
MAILING ADDRESS
~OPERTY RESIDEN-~If differen~m above) PHONE
~~ PHONE
2. BUY 'R .
MAILING ADDRESS
~'. L GA DESCRIPTIO
[] One ~ :our
~ SINGLE FAMILY ~ Two [~ =ive
~ MULTIPLE FAMILY ~ Three [] <"
[] Other
7. WATER SUPPLY
~ INDIVIDUAL~ 'ATTACH WELL LOG. Awell log's reauired for all wells dr)
[] COMMUNITY since June 1975, --or wells drilled prior to tna~: aate, c~ ve well
[] PUBLIC UTI LITY deptl~ (attach log if available.)
'~.
SEWAGE ISPOSAL SYSTEIV
,~--~01~L~C UTi LIT~Y
I'NOTE: THE INSPEC'rlON FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATE[).
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE E] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
2, WATER SUPPLY PERMIT NUMBER
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
Connection Verified
[]Septic Tank or [] Holding Tank
Size: ~)~.~.~ If Tank is homemade SOiLS RATiNG
give dimensions: I ' ~ ~:~
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: 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 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
April 24, 1980
Ed Rice
9110 Jupiter
Anchorage, Alaska
9950'7
Subject: Lot 12 Block 1 Zodiak Manor Subdivision
Approval for your individual sewer and water facilities
can not be granted until the following iten]s have been
completed:
(1)
The water analysis report be delivered to this
office from Chem Lab, 5633 B Street~ for our
review.
(2) The septic tank pumped with a receipt submitted
to this office.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Alaska Mutual Savings Bank
Mortgage Loan Department
Post Office Box 1120 99510
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'~(;IP^L~T¥ OF ANCHORAGE
92El L Street - Anchorage, Alaska 99501 DE~. O~ H ~A~H &
~I~OHM~N]AL pRO~CT ON
Telephone 264-4720 SEP 3 t 1978
FIEQUEST FOFI APPROVAL OF INDIVIDUAL WATER AND SEWEp.~!._'~. D
DIRECTIONS! Coral: ete all parts on page 1, Inc¢)mplete requests will not be processed, Please allow ten (101 days for processing.
1. PROPI=-RTY OWNER PRONE
Edr~nd ,7. and Shirley A. Rice 243-3378
MAILING ADDRESS
6820 Cranberz:f, AnchOrELge~ ~( 99502
PROPERTY RESIDENT (If different from above)
~/a
2, BUYER
sa~ as above
PRONE
PHONE
MAILING ADDRESS
3,-----LENDING INSTITUTION
Security National Bank
MAI LING ADDRESS
2525 "C" Street, Suite 502,
4, REALTOR/AGENT
n/a
Anchorage, AK 99503
PRONE
276-6800
PHONE
MAILING ADDRESS
5, LEGAL DESCRIPTION --
LOt 12, Block 1, zodiak Mar[or Subd:ivision
STREET LOCATION
, 9110 Jupiter, Anchoraqe, AK
6, TYPE OF Rr[SIDENCB
SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
INDIVIDUAL'
COMMUNITY
PUBLIC UTILITY
E~. SEWAGE DISPOSAL SYSTEM
~ IN DtVI DUAL/ON-SI'I'E~'
~ PUBLIC UTILITV
99503
NUMBER OF BI-"DROOMS
[] One :~ Four
[] Two [] Five
[] Three [] Six
Other_
ATTACH WELL LOG. A well log Is required for all wells drill
since June 1975. For wells c dlled prior to that date, give well
depth lattach log if available.}
**If individual/on-site, give installation date
If system ~s over two (2) years old an aeequac¥ [esi ~s required
by this Department.
NOTE: THE INSPECTION FEE MIJST 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
NSPECTOR 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 UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBUC UTI, TY t
Connection Verified INSTALLER
[]Septic Tank or []Holdin§Tank
Size: ]~:~..S3-~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION ~EA MATERIAL
4. DISTANCES WELL TO: 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
LEGAL DESCRIPTION
72-010 (Rev, 3/78)
O~Lobor 27~ 1977
Rice
(;020 Cranberry
99502
Subject: Lot 12 Blook I Zodiak Manor Subdivision
?he s~wor syste:~ installed on the subject ]?roporty is
disapproved for ~:ho following
(1) perforate~ pipe holes neef~ to be turn~d down.
(2) '~he required length is 57 feat, the to,al length
is only 54 feet°
(3) T. he inlel: a~d ontlet of t:he tank should 1<)~ sealed.
(4)
%¥~o(2) inches of graw~l is required on top of tile
drainpipe and visq'aeen is required on fop of the
gravel.
(5)
The grew;1 baokfill hos ~leen mixed with too mansy
fines an/{ does ~ot moot the ~in~h '~0 2%inch s~reon~d
)3efore final app,;oval can be granted ~ho above items will
need to be co~lreoted.
I[f the. re ara any further questions, ploa,~e oontact this
effioe at 264.~.4720o
Sinoe~aly,
Robert C. Pratt~
Sanitarian
RCP/ljh