HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 4 LT 2OLOK
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51
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711
Mayor
Development Services Department
Building Safety Division
On -Site Water a Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.mwmoro/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW.
Parcel Identification Number:
Legal Description
:Z001Alk
Pump Installation Date:
.M AA106R
7?- Lf k-2-
h'
Pump Intake Depth Below Top of Well Casing: 44 feet
Pump Manufacturer's Name: rA y M C 1> oyl A L7
PumpModel: OL30 Tc -;,18
Pump Size 11(51- hp
Pitless Adapter Burial Depth: /0 feet
Pitless Adapter Manufacturer's Name:
Pitless _adapter Instailer: %
Well Disinfected Upon Completion? '.V Yes ❑ No
Method of Disinfection: C LD et "p- v2l�
Comments
Date of Issue:
Owner CA ✓CCJ�ad�+('sE),f I lv
f37ol SC�1-42 Dw,
14rle1,704eAlI1 14K
IPump Installer Name: rjY)Ch o e0-7ez 00k
Attention: The pump installer shall provide a pump installati1n log to the DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAMEPHONE
_]_"UPGRADE
MAILING ADDRESS
LEGAL DES RIPyTIIOON r
LOCATION tet` NO. OF BEDROOMS
O
�
Well Absorption area
DISTANCE T0: 7
Dwelling i
PERMIT NO.
22
wQ
Manufacturer
Material
No. of compartments
Liq. capacity in gallons
If HOMEMADE:
Inside length
Width
Liquid depth
°�z
DISTANCE TO:
Wel
`�5y
Dwelling
_ __ Lam'
PERMIT NO. v
02<
z h
M
—�y
w
w z
Zw
.Manufacturer C
Well Foundation
DISTANCE TO:
No. of lines Length of each line Total length of lines
_____
MaterI'aL„gjC
Nearest lot line
_
Trench width
inches
Liquid ca pa tY in g��IIQ[1s
PERMIT NO.
Distance between lines
Top of tile to finish grade
Material beneath rile
inches
Total effective absorption area
W
Length
Width
Depth
PERMIT NO.
Q h
w°
Type of crib
Crib diameter
Crib depth
Total effective absorption arca
N
DISTANCE TO:
Well
Building foundation
Nearest lot line
Depth
Driller
Distance to lot line
PERMIT NO.
EDISTANfE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
LEQQGLLA//L��
a -
_
PIPE MATERIAy&
SOIL TEST RATING
INSTALLER o
REMARKS
e
6
IM
6
APPRO - DATE
72-0131 v, 81
MUNICIPALITY OF ANCHORAGEti:Lt-)
Department ` Health and Environmental rotection �12nns��_3 fia
825 Street, Anchorage, AK. .)501 I
264-4720 J Cvuu r�
Permit #_�(�yf_ # # # HANDWRITTEN PERMIT
WELL ANDfON-SITE PERMIT
Applicant: Mailing Addtess:
Location: Phone Number:
Legal Description: L.�Z_ 1-4 �Zob/,f_7-/C nleY)LYLot
Type of Soil Absorption System Is:
Trench: Drainfield: Seepage Bed:
Size:
Holding Tank:
Maximum Number of Bedrooms: 3 Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
DEPTH - ..LENGTH GRAVEL DEPTH --
WIDTH ==
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SJe'Fr (HOLDING) TANK SME 2-aLL GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
. * * * TW0(2) INSPECTIONS ARE REQUIRED # #
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is '75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper_ installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 u 2 # # #
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that 3 be rooms.
Signed: Issued by: `__���� �C
Applicant 77 d�
e.�'C'-z-G/
swP/024 (1/81) ( q6�
Moo 1c 1PAl 1r` OF AP4t.lIGRAGt
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e A F )WR i t l i F Pot mi 1
( lair 1
_..-_._.. 1`rt{t' ;w! /t)Y E.ild"-,{I EC77e: --r rt_)ii.4l.
i"
I,4 ,xf "t Ra"eL f 15=� Ptic{} r i
Cht-. vtE 1tt {_L. :'<% i_'i$[; of th, BOLL li)i=.-pLiun SYit OM L`i
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(e WmaLAiSilt to tho fE.lStFa-t1{-ill Lget) of the Kca"0i1 JC avainfivid,
U -Ip i•❑ .J t` - kxe Iic.ti or pts, in tb& c7},,Cann Lpt,inlyn c(1€i surfaae ot the gvrlual
til,_: itotf'ow' ov Cho €-gc: avaTion(I-1) te<'_), 'Poore to no say width W t:s:ol'I='hQ'i
1%M qu '_ t e Lh ._ Cho min i_muuni =1opth elf grav"I Z")i:tm .` n Lhe 00""L1 [s =tft.' ..1
him houncyn of the exclVaLl-on(in feat),
.. f =(1(+1 s= �.! al / s�1'%"Tii l)l,)j) Ii• -Si ;ANK SIZE yl'?�)L 3(_i__, _ GALLONS
p ��
i � 'lt , a t ii i 4
e poo I, i tV to 1n&l 1,. Ili cwt/-partMan during t. ,
.r df iaY l�1{.
juspeockonn of any ,4.'Ig cdjac:clne to )-,hl, pi-.o}i21._r and f_e1r. clt.tttlbat .
,idea ass thaY'. Wo t;eLL will t=: -•i i,
;$i)(t'_) IN SI £.(MONS ARE MMIM
ti,a.),s kLj nq no any syntism wif— 1. ul_ f 1_,i;+li.11z,I1oc ion and approval by thin <3.£-ys
.Jill cir: null—j'--T—"`t 1-O Lll_oifiout'!on,
3tf fc ,L-
distanco )tF_lwa f'1 `e i-:l_i -_+1Jf any till G'l'ta sewago di.spo`iii of"tst in}IJ
Cir n 13€'z t�.c €t
all oc 150 Lo 200 loot £rom _ pUl.ilio a07_1 is S� a1<l��.ny rl-pQtt c_}{ft f
.i public La) 3 Minimum ' zlc from a privatewet! tfj a Privatc newer 11
pa,cand to { 111.1fifFtl � newer Line is 15 WL, WeH LOW are E-ogui0:
and"t,F sfi j to C.f13 (]t 113i 0111E>tsL within 30 a,a} - 01' a nSip" I Ct(1fttS i' t 1 -i
1410 ,U'1 _ i ui r"Mai7f n may -.piply. ;shi :. hcat ions and cori3l.,.uc Fon li.-acLrtams oL-.
Kvavlablp to 0j oyiel 't ii,;s,_j i sit]L'on.
f't.lii' I t_.%u 1 ids ; DUCEMBI H .? a - a
Coy a`i11'-11t.: 5;i't•Isez and wn %?- .1
_.- la"th by _h, ,unrc-ipajivy of Anchorage.
Wjjji1 ,9l tl Cho 5ySLOM 1,a as cl7'atdlK dl i h oo,'Je
uif_ r . _and !hat t lw on We t:e t.WI: .yi s twu ln3lt TMn1i'Y. atfLl3Me{;";
t.:) inc!"de I. de MO W t_( aiy
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Phone ``)l.tU Ji'W!
Lira War if{la:
[i"Ovacye
meal
_
`oil.
I7¢t.;�11if ( a I.Pi-('-/hr) ���. ..
y. __.-.•._
..... _
Cht-. vtE 1tt {_L. :'<% i_'i$[; of th, BOLL li)i=.-pLiun SYit OM L`i
.-.J MCMI
I
xif:i'i�, � I�(rii (;1tnVfi (2t_r'i"11 _-- �- _ _ _ ;�('1l�If __
(e WmaLAiSilt to tho fE.lStFa-t1{-ill Lget) of the Kca"0i1 JC avainfivid,
U -Ip i•❑ .J t` - kxe Iic.ti or pts, in tb& c7},,Cann Lpt,inlyn c(1€i surfaae ot the gvrlual
til,_: itotf'ow' ov Cho €-gc: avaTion(I-1) te<'_), 'Poore to no say width W t:s:ol'I='hQ'i
1%M qu '_ t e Lh ._ Cho min i_muuni =1opth elf grav"I Z")i:tm .` n Lhe 00""L1 [s =tft.' ..1
him houncyn of the exclVaLl-on(in feat),
.. f =(1(+1 s= �.! al / s�1'%"Tii l)l,)j) Ii• -Si ;ANK SIZE yl'?�)L 3(_i__, _ GALLONS
p ��
i � 'lt , a t ii i 4
e poo I, i tV to 1n&l 1,. Ili cwt/-partMan during t. ,
.r df iaY l�1{.
juspeockonn of any ,4.'Ig cdjac:clne to )-,hl, pi-.o}i21._r and f_e1r. clt.tttlbat .
,idea ass thaY'. Wo t;eLL will t=: -•i i,
;$i)(t'_) IN SI £.(MONS ARE MMIM
ti,a.),s kLj nq no any syntism wif— 1. ul_ f 1_,i;+li.11z,I1oc ion and approval by thin <3.£-ys
.Jill cir: null—j'--T—"`t 1-O Lll_oifiout'!on,
3tf fc ,L-
distanco )tF_lwa f'1 `e i-:l_i -_+1Jf any till G'l'ta sewago di.spo`iii of"tst in}IJ
Cir n 13€'z t�.c €t
all oc 150 Lo 200 loot £rom _ pUl.ilio a07_1 is S� a1<l��.ny rl-pQtt c_}{ft f
.i public La) 3 Minimum ' zlc from a privatewet! tfj a Privatc newer 11
pa,cand to { 111.1fifFtl � newer Line is 15 WL, WeH LOW are E-ogui0:
and"t,F sfi j to C.f13 (]t 113i 0111E>tsL within 30 a,a} - 01' a nSip" I Ct(1fttS i' t 1 -i
1410 ,U'1 _ i ui r"Mai7f n may -.piply. ;shi :. hcat ions and cori3l.,.uc Fon li.-acLrtams oL-.
Kvavlablp to 0j oyiel 't ii,;s,_j i sit]L'on.
f't.lii' I t_.%u 1 ids ; DUCEMBI H .? a - a
Coy a`i11'-11t.: 5;i't•Isez and wn %?- .1
_.- la"th by _h, ,unrc-ipajivy of Anchorage.
Wjjji1 ,9l tl Cho 5ySLOM 1,a as cl7'atdlK dl i h oo,'Je
uif_ r . _and !hat t lw on We t:e t.WI: .yi s twu ln3lt TMn1i'Y. atfLl3Me{;";
t.:) inc!"de I. de MO W t_( aiy
how
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Municipality of Anchorage
MEMORANDUM
DATE: September 28, 1982
TO: Les Buchholz, DHEP
FROM: Engineering Design Supervisor, AWWU
SUBJECT: Sanitary Sewer Availability to Lot 2, Block 4
Zodiak Manor Subdivision
As discussed in recent telephone conversations, the subject pro-
perty will have public sanitary sewer available for use upon
completion and acceptance of Zodiak Manor LID H85. A segment of this
project is aligned in Solar Drive, the street right-of-way west of
the subject property. Also as part of this project, a 4 service
stub will be installed from the sewer main to the west property line
of Lot 2.
Zodiak Manor LID No. 85 is in the final design stages at this time.
Construction completion is anticipated for late spring/early summer
1983.
If we can be of further assistance, you may contact us at your
convenience.
�bl1,CM Cl1� ..< ._ �0
ALFRED E. SUNDQ�JIST, P.E.
Engineering Design Supervisor
Anchorage Water & Wastewater Utility
DCK:deb
91-010 (5/78)
i .,-Iliclpallty ®f Anchurage
MEMORANDUM
DATE: July 21, 1.982
TO: Building Safety
FROM: Health and Environmental Protection
SUBJECT: Lot 2 Block 4 Zodiak Manor Subdivision
The Department of Health and Environmental Protection has no
objections to the projected residence on Lot 2 Block 4 Zodiak
Manor Subdivision, since public sewer .is expected within
three(3) months.
Les N. Buchholz, R.S.
Program Supervisor
LNB/ljw
91-010 (5/78)
M -W DRILLING, Inc.
P.O. Box 10-378 ^ 10300 Old Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA 99511
DRILLING LOG
Well Owner—. -Advance Construction _Jack KLine Use ofWelLDomestic
Location (address of: Township, Range, Section, if known; or distance main
Lot 2 Block 4 Zodiak Manor
Size of casing. -6" Depth of Hole -1011 feet Cased to—US' - 0 7 -feet
Static water level_ 66 ft. (a:66vL4 (below) land surface. Finish of well (check one) open end ( xx );
Screen ( ); Perforated ( ).
Describe screen or perforation wone _ — _ _._
Well pumping test at— 5 _gallons per (175Wa (minute) for--1__hours with._ 1 nn 8tx
of drawdown from static level.
Date of completion_ Opt �er__?_5�IaS2'
WELL LOG
Depth in feet from
ground surface, Give details of formations penetrated, size of material, color and hardness
0
_Z._
_
-TO
2
TO-
-- 1u
1-8
TO---
40
4J_TO—
85_
85
TO
96-
9 6
96
TO
100
100
1n
10k
-TO----
-TO---
TO____TO _ __—
-TO--
-TO-.---
-TO-----
-TO------
-TO- - -
TO—_TO__ —_TO_ ___TO__—_ -TO--- --
_TO_ —
__Cas ing_at i c.ku -_
Broem s lt.y_aravel
�s��n1✓s; 1 r� � �nrL and gYauel--- -.--- -
Brown gravelly clay
Brown n_ravell-v clav (da=)
Waterbearina eravel
Ccv;ti;._-t, -,
1 --CUSTOMER
REPLY
------------- --- -------
SIGNED DATE
[REDIFORM . 45 472 SEND PARTS I AND 3 WITH CARBON INTACT - Par PAR (50 SETS) 0412
PART 3 WILL BE RETURNED WITH REPLY.
DETACH AND FILE FOR FOLLOW-UP
APPLI( NT
FILLS OUT UPPER HA 'ONLY
ProPc9 Owner 1 L ('[ (_: i r"
y 6� 4 K I.
--
Phone
Date
Date
Mailing Address iii Q / j ��� it
p
j (1:l // Zi Code J7 :.` U
Inspector Inspector
Buyer / 4
In for Inspector ^
l`JT
Address 0 -/ ri -1 � G` L ii l" i1 % ✓%;+, t // +% �_ Zip Code
Lending Institution /1/o%1 L- /�f-/�_
,/ /f't� -
Phone
Address
Zip Code
Realty Co. & Agent
� — �� C(.V f✓
Phone
Address
Code
Iryf.�vE C E I E pp
II!
///Zip
Legal Description ._._{�1 �,�
.� �. ��i /x/19 A'-
Street Location .`-3 j C)
( ) DISAPPROVED
Type of Residence
El—giingle Family
❑ Multiple Family No. of Bedrooms
DATE—�(��-�p
LJ Other
8Y: --
Water Supply
Dale Sewer Installed
P�lndivtdual
Well Log Received
ATTACH WELL LOC. A well log is required for all wells drilled since June 1975.
Ll Community
For wells drllletl prior to that date, give well depth (attach log if available).
❑ Public Utility
Septic Tank Size
Sewer Disposal
-t
Year Individual Installed:`/��
❑ Individual
L Public Utility
When Connected to Public Utility: _
L -I }Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time
Date
Date
Date
Date
Inspector Inspector
In for Inspector ^
l`JT
6a` ro+dral RAGE
� nn
Field Notes: (let
'm� (lf..-,-p" soy 0 C- ./.
DEPT. OF N°/LTII
IENVIROViJ�LiV7 AL PROTECTION
1 b,e
� — �� C(.V f✓
/
Iryf.�vE C E I E pp
II!
( 3) APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE—�(��-�p
8Y: --
Soils Rating
Dale Sewer Installed
Well To Absorption Area
Well Log Received
—
Well to Tank
Septic Tank Size
72 023 I3Ie2I
E -H
TR, A
Ip
V TR.BI
i
i
J "
2 !� 2
F'
19 3
7
B 4" 24
o,
'10
6J :, BLK
28
35
r'
x h' 31
16
\ r
i6
TBLK 2It��°�1�
Z G D I A I< , L.I.D.
L.iD.. Boundary
Proposed Sever'
:!area Signing
NO- 85