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HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 2 LT 8· 'ZOOiA K ' LoT' MUNICIPAL. I'rY OF ANCHOI:IAGI: DEPARTMENT OF I-IEALTH & ENVIRONMEf~TAL PROTECTION ENVIRONMENTAL ENGINE[ii:lING DIVISION 825 [.Street- Arlchorafle, Alaska 99501 'reiephone 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WEI.I. INSPECTION REPORT MAILING ADDRESS LEGAL DESCRIPTION ~ NO. OE ~EDROOMS PERMIT NO. No, of compartments [i~¢uid ~apa~ity i,~llons DISTANCE TO: ~ -c ~"~ ,./,~Lo~'~¢ .,'g~¢~ · ~ ' ,;¢2 (o .% '7 W (.)¢ ~ ~ rT ~{ ~- [ ,~ ~incl~as ~_ ~ I inches Fetal effective absgrpti°n~ ~ C~) area Length Widtl] Depth PERMIT NO. ameter )th Total e~eetive.~bsolpt~on area ~- DISTANCE TO: ] ~)~- Depth Driller Distance to lot line ~ PERMIT NO. ~(O DISTANCE TO: Building [oundation Sewer Hne Septic tank ~ Absorption area(s) OTHER )IPE MATERIALS SOIL TEST RATING / ~ .5 INSTALLER ~ARKS DATE LEGAL DEF'FIR]"HEI",IT i-,r:' HEFILTH Ir41",l[) Ei",I',,,'IF'.ONMENTFIL 825 STREET., RNC:HORFIGE., RK. 2e: 4--47S'e~ C£~ ~'-.!t -....- ::~; I::IPI::'I~ I C:RNT ROI",I R ]: ',,,'laRD LOCFIT i ON LINK L. EGF]I .... 852t SOI...F'IR DRIVE LOT 8 BLK 2 ZOC, IR[:: HRNOR SUB LOT SIZE: 16685 '.SQUFhRE FEET T'T'F'E OF SOIL RBS;ORP-FION S'.?STE]"I IS: TRENCH r,'IF:h'-'.::IHLIH NI..IME~ER OF BEDROOf,IS = 3 SOIL RRTING (Sg! F"I",,."BR)= :1.25 THE REQUIRED SIZE: OF THE SOIL,. FIBSORPTION S;'~.':F.,TEM IS: 1'HE LENGTH DIMENSION IS; THE L.ENGTI4 ,::IN FEET) i:)F:' TFIE TRENCH OR [:,RF:I]:NFiELD. '1"HE DEPTH OF FI 'FRENCH OR F'ZT :ES THE £:,Z::STFtNCE BETHEEN THE SL.IRFFICE OF' THE GF4%~I..IND FINE::, THE E:OTTOr,t OF THE E::<CF~V~-r]:oN (IN FE.E:T). THERE IS NO SET I.,.IIDTH FOF...' TRENCHES. THE (::iRFI',,,'EL [:,EPTH ZS THE HINIMUH DEF'TH OF GRFI',,,'[:ZL BETk!EEIq THE CIUTF'F:ILL PIPE FINE:, THE BOTTC~H OF' THE E:,<CFI',,,'FITION ,::tN FEET.'.,. F'ERMI"I' RPPL. IC:FINT FIRS; THE RESF'I]NS;:[BIL. I T'¢ TO INFORM TH IS DEPRR"rMENT [:,LIRING THE INSTFILI...RTION INSF'ECTIOI'.,12'i OF RN'.? HELLL'5 RDJFIC:ENT TCI THIS'; PROF'ER'F'¢ FIND THE NLIMBER OF F:,'ESI[:,ENCES THFIT THE HELL. I.,.IIL. L SER',/E. BFICKF:ILLING OF FIN'¢ :ii;'~.'"2';'l"Ei'"l I.,.IITHOUT FINRL INSPECTICd",I F:IN[:, F~PPRO'v'FIL B'¢ THZS [:,EPFIRTHENT 1.4IL. L DE: SUB.tECT TO PROSEC:LITICdq. I'dINIP1UM DIS"FtaNCE BETI4EEN R 14ELL. FIND FIN~'r' ON-SITE SEHRGE DISF'CISRL S"r'STEM IS ::t. Or3 FEE]' FOF?. R I-:'F'.I',,,'FfTE 14ELL OF.". :I. SE~ TO 2C~O FEE]' FROM FI F'UF:,'LIC HEL. L. DEF'ENDII",IG UPON THE "r'¢PE OF:' PUBLIC HELL. MINIMUr, I DISTFINCE FROH R I::'RI',,,'RTE HELL. TO R PRIVFITE SEI.qER LINE IS 25 FEE:'r F:II'.,ID TO I::1 COHMUNIT'T' SEP.IER LINE IS 75 FEET. WELL. LOGS F. IRE REQUIRED FINE:, MUS]' BE RETURNED TO THE [:,EPFIRTMENT HI'THIN gr3 [:'FI'T'S OF' THE HELL COMPLE:TION. OTHER REQUIREHEN'TS'; M1:'t'¢ I:IPPL"~". SI'--'EC:IFICFITION'.:~'; RN[.', C:ONSTRIJCTION [:,IFIGRFIHS FIRE FI',,,'FI I L.I:::IE:LE TO I NSLIRE PROF'ER I NSTFILL. FIT I ON. I CERTIF:'¢ THRT 1: I RI"I F'FIPIlLIRR HITFI THE REg!LIIRIEMENTS FOR ON-SITE SEHERS RN[)I,.IEI_L.S FIS SET FORTH B"r' THE MI..INIC:ZF'FILI]"'¢ OF FINCHORFIGE. 2: I HILL ZNSTFILL THE S"r'STEM ZI",I RC:C:ORDRNCE NZTH THE CODES. 3:: I IJNE:,EF.".STFtN[) THFIT 'T'HE ON-SZTE E;EHER 'S,'¢STEM HR'¢ REQUIRE ENLI:~F?.GEMEN]' ~F' THE RE'.SI:E:,ENCE IS REHOE:,ELED ]"0 INCLLI[:,E MORE -rHFIN 3 E,'E[:,ROOMS. Well Log For ......... f~.q ..... ~.L.¢~/.~4 ......................................................................................... Date completed ' ENVIRONMENTAL P;©rECTION Depth of we]..]. ...... 1 i-,~ / JUL J. i3 i981 si~.e of c~,*i-¢ 4 '//~ R E C E 1 V E D Distance to water Distance to water while pumping ............ ..~,:~ .................................... at rate of ................... ~ .................. gallons per hour. Formation from //4 I to ]/4/ I //3 Driller DELTA DRILLING COMPANY SRA BOX 394 S aNCHOraGE, ALASKa 99507 C'ONSTF JCTION TEST' LAB PERFORMED FOE. LEGAE ,DESCRIPTION: THI~::FORM :REPORTS: Ron Rivard ~ 8 ' Block ,~Vlsuol Soils Examination · ,~; 180, "W. 48TH .AVE. STE, 'C' ANCHOR AGE'~::~ALAS KA~ 99503 248 1333 :':~ ~:.:: :DATE PERFORMED: 4/7/81 ~:~ ,-Subdivis~ ~d~ak .~o~ ~ O Perc01ati~ Te~ ..... DEI~H SOIL : .': NOTES F EI--~ :" ~DESCRIPTION ~' 5' V .v' -- i' 1. ¢ Overburden · Brown -i; very ~ :"" grey sahd 'D <;'~ Gr~ve]Xy Sand 125sfJbr ~, ~. o` . · i -~OTI'OM OF HOLE .WA Sii?ROU N~ ~ WAT E R ENCOUNTER[';/) No IF Y~.{;' ~tHA~*DEPTH' ~ LEGEND ' ~ · S ~,,~11p~ 'toKen ' · --~vFrozen-zone '- -" '- · table f~ ~EADII~G~,. .!*~' DATE . GROSS TIME; . NET TIME -:*' .... DEPTH TO H20:' -,/_.NET DRAINAGE. PERCOLATION RATE: .... _DRAINAGE. E_~EQUIREMENTS: ~ ~].25sI/b~' ~ROPOSED NSTALLATJON: , ',EItSEEPAGE PiT/ ~ DRAIN FIELD O OTHER -:" COMMENTS; _ ~-~:S'~' PERFORMED [W: K.)¥.B. DATA CERTIFIED BY: - K&m~_e¥ R. Baxter DATE: 4~8~8] INSPECTION APPOINTMENTS 7~tE ~-A ,. REC'~I'VED TIME DATE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~y~IjI''IICIPAL]TY OF ANCHORAGE DEPr. O~ HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAl- PROTECTION FEB 2 4 1980 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 DIRECT ONS~ Complete ~11 pa.[.t~ oil page 1, Incomplete requests wig not be processed. Please allow ten (lB) davs for processing ~ ....... PHONE: J~HONE S. LEGA~D~ESCRIPTION ~ ~ , mr _ X/-Z::_ ~E OF RESIDENCE ' ~ SINGLE FAMILY ~ MULTIPLE FAM LY NUM~ ER OF BEDROOMS E] One [~ ~our E] Two [] Five ~;~' Three I~ Six [] Other 7". WATE~..flUPPLY ~'~ INE)IVIDUAL~ "ATTACH WELL. LOG, A well log is remnred for [] COMMUNITY [] PUBLIC UTILITY 8, SEWAGE DISPOSAL SYSTEM NDIVIDUAL/ON-SITE** PUBLIC UTILITY all wel s drilled since June ~975. For wells drilled odor to that date, give wel depth (attach log if available.) ~)/~YEAF{ ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFGRE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~'~" SI NG LE FAMILY [] ONE [~'"~TH R E E [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2, WATER SUPPLY PERMIT NUMBER F~~' INDIVIDUAL DEPTH OF WELL [] COMMUNITY \\~\ DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED ~.~/AGE DISPOSAL SYSTEM PERMIT NUMBER LJINDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified ~'*- INSTALLER []Septic Tank or []Holding Tank Size: /~-~ t.) 0 If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER 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 ~__~ ~EDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-e10 (Rev, 6/79) CHEMICAL & GEe ~OGICAL LABORATORIES (,-  TELEPHONE (g07)-279.4014 274.3364 ALASKA~ INC. ANCHORAGE INDUSTRIAL CENTER 5633 B Streat Drinldng Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WA*E. SYSTEM'. F] I I I -F3 I.D. NO. Mailing Address City Mo, Day SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref, no. [] Special Purpose state Zip Code Year [] TreatBd Water [] IJntreated Water SAMPLE NO, LOCATION Collected ~. [ I Time Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube Eli Membrane Filter Lab Ref, No, Result* Analyst J L J READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06.1220 (b) Rev,!978 BACTERIOLOGICAl. WATER ANALYSIS RECORD .BGe _ Date ) \ _/